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Medical Forum / Diseases and Disorders / Diabetes / April 2008

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How do you eat when you're not hungry?

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Julie Bove - 14 Apr 2008 22:48 GMT
The dietician told me part of my control problem was skipping meals which
caused liver dumps.  Although she might be right, it seemed my numbers were
going lower when I did skip a meal. I thought this had to do with my slowed
digestion but with no camera in my tummy, all we can do is guess.

I told her I just wasn't hungry and she suggested a liquid meal like
Glucerna because it was lactose free.  She didn't seem to understand that it
still had milk in it and I am allergic to milk, and not just lactose.  I
have not found any liquid meal replacements that are free of my allergens
and frankly I've never been able to gag down a liquid meal.  People have
suggested green smoothies to me but I think they are too high in carbs and I
am not sure I would be able to drink them or that they would stay down
because they still have fiber in them.  These usually have some sort of soft
fruit base like banana and then assorted green vegetables blended into them.

I've never liked tomato juice or V-8.  Never much liked fruit juice and she
said that wasn't a good meal replacement anyway because of the fast acting
carbs.  I did rather like the Diet V-8 Splash, (some flavors anyway) but I'm
not sure that is even being made and if it is, it's hard to find here.  Plus
I don't think it would have enough carbs to count as a meal replacement.
I've thought of things like soup, but even tomato soup is hard for me to get
down if I am just not hungry.  She also suggested crackers but I've never
really much liked them.  I had looked at a box of Triscuits because they are
one I did used to like on occasion, but they have trans-fats in them.  I did
once buy a box of Rosemary flavored ones with no trans-fats but they were so
nasty they went straight in the trash. I do have some sea salt crackers that
I like with hummus but if I am not hungry I can't bring myself to eat those.

Once again I see myself setting up for failure.  I managed to eat lunch
today, 1/2 of a peanut butter sandwich, but I ate it about a 1/2 an hour
later than I was supposed to.  I kept putting it off because I didn't want
to eat it. I am supposed to space my meals out ever 4 to 5 hours apart.  So
now I feel stuffed and like I wish I hadn't eaten that.  And yet I am
supposed to eat again in a couple of hours.  This isn't going to happen
because I have to take Angela to dance class.  I feel like I should bring a
small snack there just in case.  I woke up with much lower numbers this
morning after upping the lantus to 14 units and I don't want to risk a hypo.
But then I will have to eat a meal when I get back and I probably won't feel
like doing it.

*sigh*  I remember the days when I seemed to be constantly hungry.  All I
did was think about food.  And now it has come down to this.  Most days
there is not a single meal that I want to eat.
Nicky - 15 Apr 2008 08:36 GMT
>I told her I just wasn't hungry and she suggested a liquid meal like
>Glucerna because it was lactose free.  

A drink sounds like it might be easier than food, though - what do you
drink during the day? Would some of the electrolyte-replacement drinks
be any good?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Julie Bove - 15 Apr 2008 16:05 GMT
>>I told her I just wasn't hungry and she suggested a liquid meal like
>>Glucerna because it was lactose free.
>
> A drink sounds like it might be easier than food, though - what do you
> drink during the day? Would some of the electrolyte-replacement drinks
> be any good?

I drink diet Coke and water.  Electrolyte drinks wouldn't work because they
would be fast acting carbs.  Plus I hate the taste and couldn't gag one
down.
Andrew B. Chung, MD/PhD - 15 Apr 2008 10:33 GMT
Re: How do you eat when you're not hungry?

You don't.

Moreover, you should inform your doctor(s) about your anorexia as soon
as possible.

You would have already done this if you no longer suffered from the
delusion that not being hungry is good because you would then know
that anorexia is terrible.

This simply shows that the Holy Spirit is absolutely right to convict
you:

http://HeartMDPhD.com/Convicts

You know you do not have much longer just as the crucified thief at
Jesus' right knew he did not have much longer, dear Julie:

http://HeartMDPhD.com/HolySpirit/Prophecy

May you wisely choose to repent soon by publicly declaring with your
mouth that "Jesus is LORD:"

http://HeartMDPhD.com/HolySpirit/TheWay

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow

> The dietician told me part of my control problem was skipping meals which
> caused liver dumps.  Although she might be right, it seemed my numbers were
[quoted text clipped - 39 lines]
> did was think about food.  And now it has come down to this.  Most days
> there is not a single meal that I want to eat.
krom - 15 Apr 2008 12:16 GMT
When im hard core into body building i gotta eat things i hate with a
passion...i just think of it as fuel/medicine and stuff it down and move on.

Are you allergic to whey?
If not slam a whey shake and take vitamins..and or add strawberries or
things you like.
You can make a shake with soymilk..not that i care for soy myself but better
then nothing.

Or simply toss a handful of whatever nut you can tolerate down..just enought
to have the fuel u need for the day and take vitamins in morn and night to
make up for any nutriton yer missing.

KROM

> The dietician told me part of my control problem was skipping meals which
> caused liver dumps.  Although she might be right, it seemed my numbers
[quoted text clipped - 41 lines]
> did was think about food.  And now it has come down to this.  Most days
> there is not a single meal that I want to eat.
Julie Bove - 15 Apr 2008 16:10 GMT
> When im hard core into body building i gotta eat things i hate with a
> passion...i just think of it as fuel/medicine and stuff it down and move
[quoted text clipped - 9 lines]
> enought to have the fuel u need for the day and take vitamins in morn and
> night to make up for any nutriton yer missing.

Yes.  Whey is a dairy product.  I also can't have soy.  And I can't stand
shakes.  I can eat a handful of nuts but they don't supply enough carbs.
She said I needed to eat a full serving of carbs.

Actually yesterday turned out to be a tad weird.  I wasn't hungry at dinner
time but feared I might go hypo because I had to go to the grocery store
after dance class.  So I took some "Just Apples" and ate a few slowly during
class.  They were not so bad because I could kind of suck on them for a
while before eating them.

Got home and was STARVING!  Ate a sandwich and afterwards became more and
more hungry.  Tested and BG was 83.  This is not a good thing for me because
I've been known to drop rapidly at the lower numbers.  My snack was still an
hour away.  I ate a few potato chips just in case.  Ate the same snack that
I did the night before.  Today I woke up at 223 and the day before was 131.
Looks like I still have some kinks to work out.  But I feel like I don't
dare up the insulin if I am getting some normal numbers because I don't want
hypos.
Andrew B. Chung, MD/PhD - 15 Apr 2008 21:31 GMT
> Yes.  Whey is a dairy product.  I also can't have soy.  And I can't stand
> shakes.  I can eat a handful of nuts but they don't supply enough carbs.
[quoted text clipped - 7 lines]
>
> Got home and was STARVING!

Being hungry is the exactly the opposite of starving, because the
former is wanting food whereas the latter is needing food after going
without for days to weeks.

> Ate a sandwich and afterwards became more and
> more hungry.  Tested and BG was 83.

83 mg/dl is normal (euglycemia).

>  This is not a good thing for me because
> I've been known to drop rapidly at the lower numbers.

Not after eating a sandwich (and "Just Apples").

> My snack was still an
> hour away.  I ate a few potato chips just in case.  Ate the same snack that
> I did the night before.  Today I woke up at 223 and the day before was 131.
> Looks like I still have some kinks to work out.  But I feel like I don't
> dare up the insulin if I am getting some normal numbers because I don't want
> hypos.

The unknown variable will continue to be the food amount until there
is consistent weighing of all meals.

Truth is simple.

A simple parable for the wise and discerning:

http://HeartMDPhD.com/Parable

Be hungry... be healthy... be hungrier... be euglycemic:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
krom - 16 Apr 2008 11:02 GMT
Hmm..yeah i know whey is dairy but for most even allegic to dairy whey
doesnt bug em...no lactose etc in it. so thought id ask.

What about rice dream milk with say flax oil and almond powder and or egg
powder mixed in it to slam down..doesnt need to be a lot.?

But yeah sounds like its gonna be a fight to juggle the numbers out for ya
..im routing for ya to find the balance quickly.

KROM

> Yes.  Whey is a dairy product.  I also can't have soy.  And I can't stand
> shakes.  I can eat a handful of nuts but they don't supply enough carbs.
[quoted text clipped - 14 lines]
> feel like I don't dare up the insulin if I am getting some normal numbers
> because I don't want hypos.
Karen in NC - 16 Apr 2008 14:44 GMT
> Hmm..yeah i know whey is dairy but for most even allegic to dairy whey
> doesnt bug em...no lactose etc in it. so thought id ask.
<snip>

On the contrary, whey is high in lactose.  I'm lactose-intolerant; over the
years I've done a lot of research to learn where lactose might hide.  You
can Google "lactose intolerance and whey" if you want more info.  Now some
whey protein powders might contain very little lactose, but liquid whey is a
different story.

Karen
Type 2
krom - 16 Apr 2008 18:53 GMT
Ive never seen liquid whey other then what runs off my yogurt..lol

I use no lactose protien powders..always have... so assumed they all were i
guess..thnx for the info

KROM

>> Hmm..yeah i know whey is dairy but for most even allegic to dairy whey
>> doesnt bug em...no lactose etc in it. so thought id ask.
[quoted text clipped - 8 lines]
> Karen
> Type 2
Julie Bove - 16 Apr 2008 15:39 GMT
> Hmm..yeah i know whey is dairy but for most even allegic to dairy whey
> doesnt bug em...no lactose etc in it. so thought id ask.

It's not lactose that's the problem with a food allergy.  It's the milk
protein.

> What about rice dream milk with say flax oil and almond powder and or egg
> powder mixed in it to slam down..doesnt need to be a lot.?

I'm allergic to eggs and almonds.  And rice dream is really high in carbs.
Plus daughter is allergic to it because it contains gluten.

> But yeah sounds like its gonna be a fight to juggle the numbers out for ya
> ..im routing for ya to find the balance quickly.

Seems like the "Just Apples" worked out okay.  They're expensive though.
krom - 16 Apr 2008 18:54 GMT
Cool glad ya found somthing..im out of ideas..lol

Seriously tho it must be crazy tough on you having so many food allergies
and dislikes and stuff...

KROM

"Julie Bove" <juliebove@verizon.net> wrote >
> Seems like the "Just Apples" worked out okay.  They're expensive though.
 
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