nhs advice

[Marmite]

no one seems to have replied to my concern on nhs diet.
I have today received an introduction to prediabetes. Support course was recommended by my Dr.
Re diet they state;- "eat plenty of starchy foods like rice, bread, pasta, potatoes - they should make up one third of what we eat"
"don't eat fruit on it's own, only as part of a meal "
As a "newbie" , does everyone agree with this ?

 

[Kaylz]

Diet is completely individual, there is no one size fits all, it's all about testing to see what and how much of things you can manage as the individual you are, someone will come along saying they can only tolerate 10g carbs a day while the next may manage 100g, honestly there is no right or wrong answer

 

[trophywench]

No - not without telling you to test test test before and after whatever you happen to eat, because without testing you don't know which specific things you need to do more than cut down on - and remember! a portion of something is a lot smaller than what people these days think!

Meat - a pack of playing cards size. Veg or rice or pasta - what you can get into your cupped palms but not overflowing. If you want to eat fruit - always as part of a meal, NOT as a snack in between meals.

 

[everydayupsanddowns]

I think you will get as many responses as people you ask.

Reactions to foods are highly individual, and that advice seems to be an extension of the ‘eatwell plate’ approach that has been in circulation (and been changed and tweaked) for decades.

Its also a structure that many here have found doesn’t work for them, by individual BG checking, while others are fine with it.

Diabetes UK used to suggest, ‘basing all meals around starchy carbs’ but have more recently changes that to a much more individualised approach which acknowledges that carbs are the food group which most directly affects BG levels, and that limiting intake can have positive impact on BG outcomes.

 

[Drummer]

That is the sort of diet I was on for almost two years before diagnosis - my Hba1c was 91 and my BG was over 17, and I felt very old.
I burnt the diet sheet next day, to start a barbecue. Six months later I was no longer in the diabetic range and have stayed there, just about, for almost three years - I feel a lot better too. I am thinking of having a tee shirt printed with 'Dr Atkins was right'.

 

[rebrascora]

no one seems to have replied to my concern on nhs diet.

Actually I wrote quite a comprehensive reply to your query on this thread...

Guidance regarding amount of carbs per day

This is one thing I’m really confused about - here in Belgium I’m told to eat everything as low fat as possible. Is the sugar content more important than the fat content? I’ve been surviving on no fat no sugar natural fromage frais or yogurt with raspberries and some sweetner.

forum.diabetes.org.uk

 

[Lilian]

Type 2 diabetes is actually insulin resistance. The foods that need the most insulin are pasta, bread, rice, some fruits, potatoes, parsnips. The more you eat of those foods the more insulin your body needs. The more insulin it needs the more insulin resistant you become. You do the math!!

 

[Lilian]

oops, forgot things like flour and sugar.