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Medical Forum / Diseases and Disorders / Diabetes / December 2006Diet advice (in particular sugar)
Hi all, I am about 5 months in (Diagnosed in late July with type 2 - had a BG of 32 which is now averaging about 12 morning and evening and sometimes dropping to 5 during the day). I am currently on 200mg Metformin prolonged release (1/2 in morning 1/2 in evening), 30mg Gliclazide and 40mg simvastatin. On the whole I have got the hang of identifying the effects of exercise and different foods but I am after some advice regarding sugar intake. I do nee to loose some more weight, it had started coming down due to the diabetes but not that has stabilized a bit my weight is beginning to creep up. I am mid 40s 6 foot and this time last year I was 17 stone 10. I dropped to 14 stone 10 during November but recently I have gone back up to 15 stone 10 (not due to Christmas - honest!) To try and sort my weight out I have started recording very precise details about the Carb, Sugar, Fat, Saturated Fat and calorie content of my daily diet (including any snacks etc. When I do the analysis I find that my total sugar intake for the day is in the region of 60g even though I am not including any refined sugars or similar, the entire sugar content is from the natural sugar in foods. An example day is as follows:- Breakfast - Porridge, 1 slice of sunflower bread (with 5g low fat olive spread) Lunch - Mushroom omlett (2 eggs) + 1/2 tin healthy living Beans Dinner - Grilled chicken, roasted veg (with 1 tb olive oil), 150g baby new potatoes in skins, Tinned sliced apples (no added sugar) with a sprinkling of oats, nuts and sunflower seeds with tesco no added sugar instant custard. Snacks during day and apple and a banana The highest sugar content items are the fruits, should I be reducing this or is it OK. My instinct is that sugar from fruit is OK but I could do with some reassurance that I am about on the right lines - or indeed for someone to put me right if necessary! Many thanks. John >The highest sugar content items are the fruits, should I be reducing >this or is it OK. My instinct is that sugar from fruit is OK but I >could do with some reassurance that I am about on the right lines - or >indeed for someone to put me right if necessary! John, sugar you eat is the least of your worries. Your body converts starches - like porridge and bread - into glucose pretty well as quickly as you can eat them. Try using this URL to draw the link between what you eat and what your blood glucose levels are for yourself: http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm There's also the probability that you are less sensitive to insulin first thing in the morning - making it absolutely the wrong time to eat starchy foods like oatmeal and toast. Try an omelette or maybe some yoghurt or cottage cheese tomorrow, and see how much better your bg is! If you're lucky, you may be able to have some porridge as a night-time snack - but for many of us, oatmeal is just too carby to handle. Once you've got your bg into normal range, and are eating a level of carbohydrate your system can handle, you'll find it much easier to lose weight. Nicky. T2 DX 05/2004 A1c 5.5% BMI 25 D&E 100ug Thyroxine Thanks for the advice Nicky, I will try an omlett in the morning and see what difference that makes. I will steer clear of oats totaly for a while - perhaps trying some in the evening occasionaly and see what difference it makes. I will let you know how it goes. Thanks for the link I am off to check it out now. Kind Regards John >>The highest sugar content items are the fruits, should I be reducing >>this or is it OK. My instinct is that sugar from fruit is OK but I [quoted text clipped - 23 lines] >A1c 5.5% BMI 25 D&E >100ug Thyroxine > Thanks for the advice Nicky, > [quoted text clipped - 7 lines] > > John John, in your first post you mentioned snacks. Is there any particular reason you have these (particularly the banana)? Snacks WERE almost mandatory for a T1 diabetic using slow release insulin's as the need to avoid hypo's was pretty important, but with judicious monitoring and dose adjustments, these snacks became less necessary and as a result, less food was eaten during the day, so weight control became easier. If you're snacking because "someone in the know" told you that you should when you were diagnosed, question that advice. Your BG reading don't seem to indicate the need.  SignatureBeav VN 750 Zed 1000 OMF# 19 Nicky gave you good advice i'd like to comment on that banana........ test before you eat it, then at 1 hour after you eat it........ most of us can eat 1/4 to 1/2 of a banana before our bg go way too high......... berries (blueberries, Strawberries, raspberries, boysenberries, blackberries, black currents) are all fruits that we have more liberty eating....... their glycemic index is lower, so they don't impact the bg as hard Rick Mendosa has a description of Glycemic Index, Glycemic Load, a list of the glycemic index for various foods, and some low GI food recipes on his web site www.mendosa.com (i can't get the GI section to load for me today..... hopefully this is temporary) averaging 12 for your bg is not good at all.... you should be back to 4.0 to 6.5 premeals, and back down to 6.5 2 hours post meal...... adjusting our carbs in each meal helps us get down to the desired bg level....... keep a complete diary of the foods and volumes that you eat, so you can adjust your diet and find what works for you! :-) good luck.... sounds like you are ready to master this gorilla :-) kate type 1 for 19 years, complication free (touch wood) SignatureJoin us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ http://www.diabetic-talk.org/freeveggies.htm I have no medical qualifications beyond my own experience. Choose your advisers carefully, because experience can be an expensive teacher. > Hi all, > [quoted text clipped - 33 lines] > > John |
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