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(deactivated member)
on 11/16/10 2:29 pm - China
on 11/16/10 2:29 pm - China
Topic: RE: type 2 and blood sugars going nuts
well ,the most fast and effectcive way to decrease blood sugar is acupuncture
(deactivated member)
on 11/15/10 7:45 pm, edited 11/16/10 8:35 pm - Woodbridge, VA
on 11/15/10 7:45 pm, edited 11/16/10 8:35 pm - Woodbridge, VA
Topic: RE: HELP!!!!! Hubby just diagnosed with Type 2
That may have been your personal experience, but I belong to a community of type 2 diabetics who have the best control over their diabetes when eating high in fat and low in carbs. I would love to see any documentation you have supporting the idea that fat in the absence of dietary carbs increases insulin resistance.
EDIT: I forgot you're a type 1, not type 2. I still disagree that high fat increases insulin resistance in the absence of carbs, but it's not uncommon that your experience might differ from that of a type 2 since you are a type 1.
EDIT: I forgot you're a type 1, not type 2. I still disagree that high fat increases insulin resistance in the absence of carbs, but it's not uncommon that your experience might differ from that of a type 2 since you are a type 1.
Topic: RE: HELP!!!!! Hubby just diagnosed with Type 2
Type 1 diabetic for 25 years - pumping for 12 years.
Also HIGH fat will increase insulin resistance. Might slow the carb down - check, but also blocks insulin from being effective. Used to have to square wave if I ate a high fat meal. Means instead of giving my shot all right now via pump, I would have to give some now - and then spread it out over 30 mins to 2 hours depending on the meal.
(Not so post op)
(Not so post op)
Type 1 diabetic for 25 years - pumping for 12 years.
Topic: RE: I had bypass 5 yrs ago and diabetis INSTANTLY went away.
Thank you so much for the studies. I've been having problems with my sugars again. Started about 3 months post op.
Topic: RE: HELP!!!!! Hubby just diagnosed with Type 2
Thanks so much guys!! He is trying, but he is just a creature of habit. I have banned white bread from the house (I was already on the whole grains, but he had insisted on me buying the white for him--no more....) I really appreciate the suggestions, but you are definitely right. It's ultimately up to him. Wish me luck!!!
(deactivated member)
on 11/12/10 9:00 pm - Woodbridge, VA
on 11/12/10 9:00 pm - Woodbridge, VA
Topic: RE: HELP!!!!! Hubby just diagnosed with Type 2
Nothing wrong with meat - let him have it! It's the potatoes and bread that will do him in. Try making mashed cauliflower - you can even include butter, sour cream, bacon, cheese, whatever toppings he likes. What does he usually bring for lunches now when he has no fridge or microwave? Does he brown bag it, or is he okay with bringing an insulated lunch bag?
Does he like ANY vegetables at all? I used to HATE vegetables with the exception of mashed cauliflower and cooked broccoli (with butter or cheese). Now I've also recently discovered that I also like steamed baby brussels sprouts (with butter, garlic, and parmesan cheese - YUM).
Realize that, no matter what a doctor or diabetes educator might tell you, most type 2s do well by eating low in carbs and HIGH in fat. I know that's probably the oppostie of what you've probably been told fr years but it's true. Fat helps to slow the absorption of carbs, thereby decreasing a rapid post-meal spike in glucose levels. It's also the only one of the three macronutrients (fat, protein, and carbs) that will not convert to glucose at any time in the body.
In the end, though, the previous poster is correct - if he's not willing to change for his health, you can't force it on him (well, you can try, but it will likely be quite disasterous). Offer him some new things and make it as if you're actually cooking them for yourself - I know my husband is more likely to "try" something I make for myself than he is to eat something if I say I'm making it for him! Stubborn little buggers...
Does he like ANY vegetables at all? I used to HATE vegetables with the exception of mashed cauliflower and cooked broccoli (with butter or cheese). Now I've also recently discovered that I also like steamed baby brussels sprouts (with butter, garlic, and parmesan cheese - YUM).
Realize that, no matter what a doctor or diabetes educator might tell you, most type 2s do well by eating low in carbs and HIGH in fat. I know that's probably the oppostie of what you've probably been told fr years but it's true. Fat helps to slow the absorption of carbs, thereby decreasing a rapid post-meal spike in glucose levels. It's also the only one of the three macronutrients (fat, protein, and carbs) that will not convert to glucose at any time in the body.
In the end, though, the previous poster is correct - if he's not willing to change for his health, you can't force it on him (well, you can try, but it will likely be quite disasterous). Offer him some new things and make it as if you're actually cooking them for yourself - I know my husband is more likely to "try" something I make for myself than he is to eat something if I say I'm making it for him! Stubborn little buggers...
Topic: RE: Hospital Stay
Here's my experience.
I knew I needed a plan from my first visit with the surgeon who said I would have to go off my insulin pump when I started the pre-op diet. I did not say anything at that time, i had no intentions of going off my pump. I spoke to my endo who wrote a letter to the surgeon telling him I needed to stay on the pump. Since my surgeon required the letter from my endo, he shouldn't have brought up how my diabetes would be managed since it wasn't his area of expertise, He should have deferred to the endo from the beginning. If he had the following would not have happened.
At my second visit with the surgeon he was no longer saying I needed to go off the pump for the pre-op diet. Now it was just go off the pump when I was in the hospital. I asked him why? He started to give me an answer and then stopped in mid-sentence to say because he was the surgeon and he said so. I replied that answer just wasn't good enough.
Later he emailed me an apology. I emailed him back why I thought keeping the pump on was a good idea and how I had managed just fine during previous hospitalizations. I said I was willing to go off of it during surgery but wanted to use it before and after. He responded that we would let my endo help us manage my diabetes in the hospital. I had made sure my endo was available and I chose the hospital at which both my PCP and endo had privileges.
Fast forward to surgery day. Endo wrote orders for me to keep pump on through surgery and to manage my own diabetes once out of recovery. Although I was willing to take it off during surgery I kept it on because of the endo's orders.
Here's what happened. In the holding area outside of the OR, surgeon came and saw I had my pump clipped to my gown. He asked me what is that? Is that your pump? What rate is it at? I said 1.5 units/hr. He then said he didn't want it on during surgery and that it had to come off. At that point I was no longer going to fight the battle and make my surgeon angry right before he was about to cut on me. I took the pump off right after I was wheeled into the OR.
My Endo comes to the recovery room while I am still loopy from anesthesia and hooks the pump back up. She is pissed because my BG has gone up after just 1.5 hours without insulin. (Pumps deliver small amounts continuously of rapid acting insulin so there is no reserve or long acting insulin around to cover you once delivery is stopped). Once in a room
I begin managing my own BG. However my BG continues to rise. Then a nurse says it could be that sugar they are giving you in your IV. I was shocked because I had been told they don't give bariatric patients glucose in their IVs. Because the surgeon is so used to people's diabetes seming to disappear after surgery he orders dextrose in the IV for diabetics to help prevent hypoglycemia. My IV said in big letters Potassium Chloride and small letters underneath D5. I was getting about 6 gm/hr of dextrose. Nurse said it was just a small amount , not enough to make a difference. Maybe in a type 2 diabetic on pills or recently diagnosed who still makes plenty of insulin. I told her that was 144 gms/day, almost the 180 gms in my diabetic diet I had been prescribed by nutritionist CDE before my weight loss journey began that required 35 units of bolus insulin to cover. It's the sugar in the IV and the lack of sugar during surgery that caused my blood sugar to increase to 268. My blood sugars would continue to rise even more unless I increased my basal insulin to include enough insulin to match the 6 gm/hr of dextrose in my IV. I increased my basal rate .6 units/hr to cover the 6 gm dextrose and gave my self 9 units of correction insulin and brought my blood sugar down from 268 to 110. From then on my control was almost a straight line except right before I was being discharged.
Endo had left orders to be contacted if my BG went below 70 or over 250. I was testing my BG but the nursing staff was not recording the results in my medical record. Endo had to contact them and ask them where are my BG readings so she could view them remotely in my electronic medical record and keep an eye on them. Only then did the nursing staff start recording or paying attention to the results. (When I arrived I gave the nurse a sheet with my pump settings: my basal rates, my insulin/carb ratios, and my correction factors. She gave the sheet back to me. She didn't even want it.)
Just before discharge, my BG reading was 74. I said to the nurse I didn't want it to fall below 70 and would feel more comfortable with it just a little higher. I asked for 4 gms of sugar in liquid form since I'm on liquids and didn't want to take glucose tablets. Nurse replies she doesn't have any sugar free bariatric clear liquids to give me. Hello? Didn't I just ask for 4 grams of sugar? Then she said we have unsweetened apple juice but you're not allowed to have that. I had to convince her it was okay to give me the unsweetened apple juice she had available on the floor by showing her unsweetened juices diluted with water were allowed on the list of liquids the dietician had given me for the full liquid diet I would start as soon as I walked out of the hospital. Regardless of whether I'm allowed to have it or not, if I was having a low the nurse should know she can give me juice by mouth to correct a low if I am awake and able to ingest by mouth. If I was having a real low like a BG of 40 or 50 I wouldn't want a nurse to be standing around talking about we don't have any bariatric clear liquids on the floor. I'd just want her to act quickly to treat the low.
All of this from a hospital recognized by US News and World Report.
I knew I needed a plan from my first visit with the surgeon who said I would have to go off my insulin pump when I started the pre-op diet. I did not say anything at that time, i had no intentions of going off my pump. I spoke to my endo who wrote a letter to the surgeon telling him I needed to stay on the pump. Since my surgeon required the letter from my endo, he shouldn't have brought up how my diabetes would be managed since it wasn't his area of expertise, He should have deferred to the endo from the beginning. If he had the following would not have happened.
At my second visit with the surgeon he was no longer saying I needed to go off the pump for the pre-op diet. Now it was just go off the pump when I was in the hospital. I asked him why? He started to give me an answer and then stopped in mid-sentence to say because he was the surgeon and he said so. I replied that answer just wasn't good enough.
Later he emailed me an apology. I emailed him back why I thought keeping the pump on was a good idea and how I had managed just fine during previous hospitalizations. I said I was willing to go off of it during surgery but wanted to use it before and after. He responded that we would let my endo help us manage my diabetes in the hospital. I had made sure my endo was available and I chose the hospital at which both my PCP and endo had privileges.
Fast forward to surgery day. Endo wrote orders for me to keep pump on through surgery and to manage my own diabetes once out of recovery. Although I was willing to take it off during surgery I kept it on because of the endo's orders.
Here's what happened. In the holding area outside of the OR, surgeon came and saw I had my pump clipped to my gown. He asked me what is that? Is that your pump? What rate is it at? I said 1.5 units/hr. He then said he didn't want it on during surgery and that it had to come off. At that point I was no longer going to fight the battle and make my surgeon angry right before he was about to cut on me. I took the pump off right after I was wheeled into the OR.
My Endo comes to the recovery room while I am still loopy from anesthesia and hooks the pump back up. She is pissed because my BG has gone up after just 1.5 hours without insulin. (Pumps deliver small amounts continuously of rapid acting insulin so there is no reserve or long acting insulin around to cover you once delivery is stopped). Once in a room
I begin managing my own BG. However my BG continues to rise. Then a nurse says it could be that sugar they are giving you in your IV. I was shocked because I had been told they don't give bariatric patients glucose in their IVs. Because the surgeon is so used to people's diabetes seming to disappear after surgery he orders dextrose in the IV for diabetics to help prevent hypoglycemia. My IV said in big letters Potassium Chloride and small letters underneath D5. I was getting about 6 gm/hr of dextrose. Nurse said it was just a small amount , not enough to make a difference. Maybe in a type 2 diabetic on pills or recently diagnosed who still makes plenty of insulin. I told her that was 144 gms/day, almost the 180 gms in my diabetic diet I had been prescribed by nutritionist CDE before my weight loss journey began that required 35 units of bolus insulin to cover. It's the sugar in the IV and the lack of sugar during surgery that caused my blood sugar to increase to 268. My blood sugars would continue to rise even more unless I increased my basal insulin to include enough insulin to match the 6 gm/hr of dextrose in my IV. I increased my basal rate .6 units/hr to cover the 6 gm dextrose and gave my self 9 units of correction insulin and brought my blood sugar down from 268 to 110. From then on my control was almost a straight line except right before I was being discharged.
Endo had left orders to be contacted if my BG went below 70 or over 250. I was testing my BG but the nursing staff was not recording the results in my medical record. Endo had to contact them and ask them where are my BG readings so she could view them remotely in my electronic medical record and keep an eye on them. Only then did the nursing staff start recording or paying attention to the results. (When I arrived I gave the nurse a sheet with my pump settings: my basal rates, my insulin/carb ratios, and my correction factors. She gave the sheet back to me. She didn't even want it.)
Just before discharge, my BG reading was 74. I said to the nurse I didn't want it to fall below 70 and would feel more comfortable with it just a little higher. I asked for 4 gms of sugar in liquid form since I'm on liquids and didn't want to take glucose tablets. Nurse replies she doesn't have any sugar free bariatric clear liquids to give me. Hello? Didn't I just ask for 4 grams of sugar? Then she said we have unsweetened apple juice but you're not allowed to have that. I had to convince her it was okay to give me the unsweetened apple juice she had available on the floor by showing her unsweetened juices diluted with water were allowed on the list of liquids the dietician had given me for the full liquid diet I would start as soon as I walked out of the hospital. Regardless of whether I'm allowed to have it or not, if I was having a low the nurse should know she can give me juice by mouth to correct a low if I am awake and able to ingest by mouth. If I was having a real low like a BG of 40 or 50 I wouldn't want a nurse to be standing around talking about we don't have any bariatric clear liquids on the floor. I'd just want her to act quickly to treat the low.
All of this from a hospital recognized by US News and World Report.
Topic: RE: HELP!!!!! Hubby just diagnosed with Type 2
sweetie, I can say is good luck. If he isn't going to take control, you can't do it for him. Certainly can serve him stuff that would be better for him, and there by good for you as well.
Now just loosing 8% of his body weight can make a vast difference in his diabetes. 8% is doable, and tell him that.
take out the potatoes, or go with something better. read up on low glycemic type stuff. Has to take a sandwhich, go with hearty grain, vs white bread. Remember the whiter the bread the quicker your dead. Cook in smaller batches might be a help too.
make a meat loaf, use your chopper or blender to chop up carrots, celery, onions, mushrooms. don't add crackers, add quinoa - there you have healthy for both of you.
when I make sloppy joes, taco meat for the family, I do this too. so that just about half of it is veg. I got the idea from rachel ray's healthy joes recipe, its sort of a meatless sloppy joe. you should be cooking healthy for you, and if he doesn't like it he can cook. my hubby would rather not cook, so he puts up with the healthier stuff too.
some suggestions for you
Now just loosing 8% of his body weight can make a vast difference in his diabetes. 8% is doable, and tell him that.
take out the potatoes, or go with something better. read up on low glycemic type stuff. Has to take a sandwhich, go with hearty grain, vs white bread. Remember the whiter the bread the quicker your dead. Cook in smaller batches might be a help too.
make a meat loaf, use your chopper or blender to chop up carrots, celery, onions, mushrooms. don't add crackers, add quinoa - there you have healthy for both of you.
when I make sloppy joes, taco meat for the family, I do this too. so that just about half of it is veg. I got the idea from rachel ray's healthy joes recipe, its sort of a meatless sloppy joe. you should be cooking healthy for you, and if he doesn't like it he can cook. my hubby would rather not cook, so he puts up with the healthier stuff too.
some suggestions for you
Topic: HELP!!!!! Hubby just diagnosed with Type 2
Hey, can someone please help me. I had RNY in Sept, and have lost around 50 lbs. However, my hubby has just been newly diagnosed with type 2. I know if he were to just eat what I do, he would be just fine, probably, but he is such a stubborn man-type.
Sooooo.....can someone please give me some ideas on what to feed someone who is a meat-and-potatoes type who looooovvvveeeeesss bread, is not so crazy about vegetables, and needs to carry a lunch with him (no access to microwaves or fridge.)
Also, if someone could tell me how I can get him more motivated to exercise, I would be very grateful.
Sooooo.....can someone please give me some ideas on what to feed someone who is a meat-and-potatoes type who looooovvvveeeeesss bread, is not so crazy about vegetables, and needs to carry a lunch with him (no access to microwaves or fridge.)
Also, if someone could tell me how I can get him more motivated to exercise, I would be very grateful.
Topic: RE: Type 1.5 Diabetic
I have never heard of a 1.5....hmmm ; ) Good luck to you with your WLS! That's wonderful that you were able to bring your A1c down so much!
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