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Medical Forum / Diseases and Disorders / Diabetes / December 2006A bit perplexed
Hi everyone, I was diagnosed with type 2 diabetes one year ago. I am 40 years old, 6'1 and at the time I was diagnosed, I weighed 220 pounds. Today I weigh around 180 pounds. While I did not intentionally lose any weight, I just adhered to my physicians diet instructions and the pounds fell off. Recently, when in his office for an injury I sustained, he looked at me and told me not to lose any more weight. What drives me crazy is not knowing what to eat. I told him I am afraid to eat and he told me to "eat". My diet is fairly balanced, I go easy on carbs and starches. What can a diabetic eat to gain weight and maintain good sugar levels? This is a bit funny to me...I change and now he wants me to start eating to gain a few pounds. The other part of my question is what are the risks of losing too much weight? I figured all weight loss is good. I am taking 500 mg of metformin twice per day for treatment. Thanks for any pointers! Bryan I HOPE you are checking you blood glucose. Going low carb and and on meds CAN cause to to drop real low. I found out the hard way! Weight is not as important as body fat, and I am sure you have lost a lot. Have you done any reading, such as Dr. bernstein's book? http://www.diabetes-normalsugars.com/ pebblem...@yahoo.com wrote: > Hi everyone, > [quoted text clipped - 17 lines] > > Bryan > Hi everyone, > [quoted text clipped - 17 lines] > > Bryan You would do yourself a big favor to see a dietician. Ask your doctor for a referral to a dietician who works with diabetics. If your doctor can't provide such a referral, call around to local hospitals to see if they can refer you. Thanks for the reply. I may need to do that eventually, however, the expense is a factor. Bryan > In article <1165792282.640780.50...@80g2000cwy.googlegroups.com>, > [quoted text clipped - 23 lines] > can't provide such a referral, call around to local hospitals to see if > they can refer you.- Hide quoted text -- Show quoted text - In alt.support.diabetes on 10 Dec 2006 15:11:22 -0800 in Msg.# <1165792282.640780.50130@80g2000cwy.googlegroups.com>, pebbleman3@yahoo.com wrote: > Hi everyone, > [quoted text clipped - 3 lines] > I just adhered to my physicians diet instructions and the pounds fell > off. What were those initial diet instructions? > Recently, when in his office for an injury I sustained, he looked > at me and told me not to lose any more weight. What drives me crazy is [quoted text clipped - 9 lines] > I am taking 500 mg of metformin twice per day for treatment. Thanks for > any pointers! How often per day on average do you test your blood?  SignatureDonnaB : ^> shallotpeel <*> Yahoo Messenger: shallotpeel http://www.amazingtunes.com/mrpresident 06-07-06 Diagnosis T2 hbA1C 8.1, D&E & Metformin 500mg. 09-11-06 hbA1C 5.0 Hi Donna, It has been 2 months or so since I last tested my sugar. Financial times have been difficult and I have spent that money on other neccessities. Thank goodness for the $4.00 prescriptions! For those reasons, I have been extra careful of what I eat. I am still a bit ignorant about all of this, but my doctor tells me I am in the initial insulin resistance stage and from my experiences in testing my sugar a few months back - anything like pizza, white bread, pasta, or other stuff shoots my sugar levels straight up. The metformin helps keep it all in check. On Dec 10, 7:39 pm, DonnaB shallotpeel <shallotp...@comcast.net> wrote: > In alt.support.diabetes on 10 Dec 2006 15:11:22 -0800 in Msg.# > <1165792282.640780.50...@80g2000cwy.googlegroups.com>, pebblem...@yahoo.com [quoted text clipped - 27 lines] > 06-07-06 Diagnosis T2 hbA1C 8.1, D&E & Metformin 500mg. > 09-11-06 hbA1C 5.0 > Hi Donna, > [quoted text clipped - 7 lines] > stuff shoots my sugar levels straight up. The metformin helps keep it > all in check. You are taking an overly simplistic approach and that just won't work. Being "careful" with what you eat won't do you a lick of good if you are not testing your BG because you have no idea if the diet is working for you. Does your insurance not cover strips for your meter? Alas there is no one diet we all follow. Some of us can eat more carbs than others. If you are active you might need more carbs than an inactive person. And you won't know if you have a hypo if you aren't testing your BG. SignatureSee my webpage: http://mysite.verizon.net/juliebove/index.htm > Hi everyone, > > I was diagnosed with type 2 diabetes one year ago. I am 40 years old, > 6'1 and at the time I was diagnosed, I weighed 220 pounds. Today I > weigh around 180 pounds. While I did not intentionally lose any > weight, I just adhered to my physicians diet instructions and the > pounds fell off. Recently, when in his office for an injury I > sustained, he looked at me and told me not to lose any more weight. > What drives me crazy is not knowing what to eat. I told him I am > afraid to eat and he told me to "eat". > > My diet is fairly balanced, I go easy on carbs and starches. What can > a diabetic eat to gain weight and maintain good sugar levels? This is > a bit funny to me...I change and now he wants me to start eating to > gain a few pounds. The other part of my question is what are the > risks of losing too much weight? I figured all weight loss is good. > I am taking 500 mg of metformin twice per day for treatment. Thanks > for any pointers! > > Bryan You don't mention your current bg's and how any extra carb affects them now you have lost weight. You may find you can add in a few extra carbs and not spike, there is also a bit of leeway for some extra fats in the form of say avocado on the salad, some walnuts or almonds, perhaps some more olive oil. It might be a few small calories difference between losing weight and maintaining. > What drives me crazy is > not knowing what to eat. I told him I am afraid to eat and he told me > to "eat". So what are you eating now? I see you're not testing, which means you can't blithely add carbs without risking your health - that basically means more green veg, protein, and good fats. But your weight doesn't look scary to me? Maybe you're active enough so that you look lighter than you are? I wouldn't obsess about it too much, unless of course you lose a significant amount of further weight. Perhaps you could ask him to clarify a good range for you next time you see him? Nicky. SignatureA1c 10.5/5.5/<6 T2 DX 05/2004 100ug Thyroxine 95/72/72Kg In alt.support.diabetes on Mon, 11 Dec 2006 14:11:50 -0000 in Msg.# <4u5799F16dblkU1@mid.individual.net>, "Nicky" <ukc802466929@btconnect.com> wrote: > > What drives me crazy is > > not knowing what to eat. I told him I am afraid to eat and he told me [quoted text clipped - 7 lines] > further weight. Perhaps you could ask him to clarify a good range for you > next time you see him? And, given this above, and the lack of an answer to what dietary recommendations your doctor originally made to you, ... did the particular injury in question have any bearing on his concern about you losing 'too much' weight? How physically active are you? Do you have any other known health concerns that might be what your doctor is thinking about? If money's too tight to be able to test, that it might make seeing someone for dietary consultation a problem, ... how about some more information? Lots of it. <G> Wild hair here, any history of an eating disorder? OCD? Anything remotely related? And, yes, I know, and many others know about money being too tight. SignatureDonnaB : ^> shallotpeel <*> Yahoo Messenger: shallotpeel http://www.amazingtunes.com/mrpresident I had a foot injury from window washing and bad shoes. The weight became an issue when he looked at my weight on the chart. When my diagnosis was made, he handed me a booklet with dietary recomendations. I adhered to it and slashed my carbs. My doc is very good and he is of the conservative sort with diabetes, but he is so pressed for time that I have to tie him down sometimes to get real answers. He sort of chuckles at me at times because I am of the paranoya group with type 2 diabetes. Never any eating disorders either, i felt very good when my diagnosis was made...Well, I will run with some of the advice given. I know that testing is a corner stone of successful treatment and I will have to resume. Can't wait to get caught up with some bills. Thank you all for the responses! Bryan > In alt.support.diabetes on Mon, 11 Dec 2006 14:11:50 -0000 in Msg.# > <4u5799F16dblkU1@mid.individual.net>, "Nicky" <ukc802466929@btconnect.com> [quoted text clipped - 30 lines] > DonnaB : ^> shallotpeel <*> Yahoo Messenger: shallotpeel > http://www.amazingtunes.com/mrpresident Have you figured out (or has the doctor said) *why* he thinks you should not lose any more weight & maybe even gain some? You're only just under the top of the healthy-weight range, nowhere near the bottom or "underweight" (having started out just at the bottom of "obese"). you can check out http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/learn-it/bmi-chart.htm for more on the issue of healthy weight. (yes, y'all, I know about football players calculating as "obese" when it's all muscle, but I don't think that's what we're talking about here....) Best wishes. bj >I had a foot injury from window washing and bad shoes. The weight > became an issue when he looked at my weight on the chart. When my [quoted text clipped - 11 lines] > > Bryan That is a great question BJ. That is my dilemma. Because now I am around 179 and I will hear it again from him when I go in to see him. The irony is I have never felt better. The problem with the medical profession is that they "know" why they tell you something and yet they are reluctant to share the information unless asked. From my perspective, diabetes is scary and since they are the ones that delivered the diagnosis, they should be there to deliver information without being extensively quizzed. Bryan > Have you figured out (or has the doctor said) *why* he thinks you should not > lose any more weight & maybe even gain some? [quoted text clipped - 23 lines] > > > > Bryan > That is a great question BJ. That is my dilemma. Because now I am > around 179 and I will hear it again from him when I go in to see him. [quoted text clipped - 6 lines] > > Bryan Maybe not extensively quizzed on everything every time, but knowing what goals they're setting & why is not unreasonable, whether it's for your A1c, your bp, your lipids, or your weight. Then you can decide whether or not their reason makes sense to you & for you. It occurs to me to wonder -- what is *his* figure like?? bj >> Have you figured out (or has the doctor said) *why* he thinks you should >> not [quoted text clipped - 27 lines] >> > >> > Bryan I do respect his time, however, since he loves to check my heart, stick my finger, and quiz me of my sugar levels ( When I am testing ), then I get the jeebies and start asking him what is on his mind and what should I be worried about now. When I leave his office, I stew and fret about the complications from diabetes that lurk down the road. My greatest fears are blindness and kidney failure. He tells me that as long as glucose levels are controlled, those complications generally take a long time to develop if they do at all. About his figure...Tee hee. He is in pretty good shape. He is approximately 65 years old and he will step aside soon. I will miss him. From all I have read there are doctors that are casual about type 2 diabetes treatment. My GP is a stickler for good glucose control, LOW bp, and LOW cholesterol. He told me that we have to take the ADA's *abc* approach to control it. I have been extremely fortunate to have this doctor. I'm done ranting. Bryan > > That is a great question BJ. That is my dilemma. Because now I am > > around 179 and I will hear it again from him when I go in to see him. [quoted text clipped - 46 lines] > >> > > >> > Bryan > I was diagnosed with type 2 diabetes one year ago. I am 40 years old, > 6'1 and at the time I was diagnosed, I weighed 220 pounds. Today I [quoted text clipped - 4 lines] > not knowing what to eat. I told him I am afraid to eat and he told me > to "eat". What is your doctor seeing that we're not? Cause I don't see anything in the numbers here to be alarming at all. Have you lost muscle mass? Have your arms and legs become stick-like? Losing *weight* isn't necessarily a good goal; losing *fat* can be a good goal though. If you've lost a lot of muscle, I can see why the doctor might be concerned. Your weight doesn't seem so unusually low as to cause concern, unless it's a matter of having lost a lot of muscle. If that is the case, just eating more isn't necessarily going to help... depends what you eat. You might wind up adding fat on instead of muscle if you don't go at it properly. Just eating more isn't an answer, unless the question is flatout starvation. If my guess about what is going on is correct, what you need is to up your protein intake a bit and do some strength-building type of exercise. That will put primarily muscle on you - allowing you to gain weight without gaining fat. |
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