Doctor's visit and plans

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Doctor's visit and plans


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Old 05-24-2012, 22:41   #1
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Location: Toronto, Canada
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Default Doctor's visit and plans

Hi all.

Came back from my doc today. A1c was higher: 7.5, but this is in part to a disastrous Feb-Apr, which is when I started posting here. My 30-day average is 6.4; so as long as I keep going the way I've been going the last five weeks, my A1c should come down rapidly again.

I've been doing a LCHF diet, but am still lowering carbs. I' m under 100 a day and am aiming for 60 eventually.

My weight is down again, but I need to lose at least 20 more.

I wanted to post my plans for the next four months and update at intervals, welcoming input from you all.

I am already eating better, as I mentioned, and my averages are getting lower every week. My food and exercise regime plans are:

70 or fewer carbs a day, with less than 30 coming from grains or fruit. If I eat bread, it will be with breakfast, prior to exercise. Berries only, and with whipped cream or high-fat cottage cheese/yoghurt.

Exercise is mainly in the form of brisk walking, 3-5 miles a day, up to 10 miles at least twice a week.

Liquids will be water, coffee, or red wine, up to two glasses a day, but no more than seven a week. Two Diet Cokes a week.

Cream in coffee, not milk.

Meat-centered meals 3x daily, with non-starchy vegetables.

Small servings of hard, high-fibre crackers occasionally with cheese and meats, or half a high-fibre tortilla wrap to make a sandwich.

Untouchables include all prepared foods unless cold cuts and the like; all cakes, pastries, candy, except for small amounts of minimum 70% dark chocolate. No pasta, potatoes, rice. No cereal or oatmeal. No bread except in mornings, and small amounts.

I plan to set a meal aside a couple of times a month that is carb-focussed, so I can have good pizza or a topless hamburger and a handful of fries at those times. I'm not planning on living forever, so I want to balance pleasure with intelligent planning and get long-term results.

I have been reading seriously on the subject of LCHF eating over the last month or so and I'm ready to commit. BUT: if you have ever had a negative outcome of any kind eating like this, please say so. The diehards are almost evangelistic. Let's remember that so much dietary and medical dogma ends up being overturned in the end, that it would be a pity to try something whole-heartedly and only then start hearing that there are serious risks ...

Thanks again for your attention.

PS: My doc has given me permission to go the next four months off the Crestor, so I'm going to see what happens to my numbers eating LCHF and with no statins.

__________________
Diagnosed Aug 2010.
RG: 18
A1c: 11.3
Weight: 220


Jan 2012:
RG: 6.1
A1c: 7.9
Weight: 207

No meds except Crestor.
Supplements: Krill oil, vitamin B, Ubiquinol.


May 24 2012
RG: 6.2
A1c: 7.9
Cholesterol: 1.62, ratio 3.15
Triglycerides: 1.17
ALT: 82
Weight 201


Sept 2013
A1c: 6.1
Weight 185
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Old 05-24-2012, 23:21   #2
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All I can say is what happened to me: If you've been taking a statin, your lipids might increase after you go off it, but they will drop back down dramatically if you have time to persist. Four months is not enough to test lc/hf on your lipids profile - not after having taken statins already.

And if I were you, I would eat to my meter. It's great to have a plan, but if any of the components send your blood sugar up over 140 (7.7), then there's the weak link.




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Old 05-24-2012, 23:55   #3
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The only thing I would add to Shanny's advice is, I don't limit liquid consumption by volume per se, but by type. Diabetics tend to get under-hydrated. For me, iced water is totally free, and iced tea nearly so. Caffeine may spike some folks or cause other unwelcome issues, but (depending on the herbs and other ingredients), unsweetened herbal tea may be free for you.

Regarding low-carb, I've learned that if I don't eat enough fat and fiber (green veggies are great for this), digestive problems will occur. 'Nuff said.

Testing, of course, is the key.

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DX'd April Fool's Day, 2011 - T2
Female, 58, 5'7", 150 lbs.
A1C 13.5 -> 6.7 ->5.4 (1/31/14)
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B-complex
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Old 05-25-2012, 01:49   #4
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I'm glad you have a plan, but what you may want to do is vary it a little depending on your bg meter. I started out eating 75 carbs but found my bgs were way too high, so I dropped it to 50, then 40 and now I do 20-30 most days. Usually breakfast is the worst time for Type 2's so that is the meal I eat the least carb, around 5. If you want bread or fruit I would eat it later in the afternoon. I would also be careful about cheat carb meals. The only time I do that is on vacation and it takes as much as a month to get back to normal bgs.
You don't mention any diabetes meds. Have you considered Metformin?

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diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

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Old 05-25-2012, 03:31   #5
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I am eating to the meter, but I'm finding I can eat some carbs with most meals. I'm cutting in order to accellerate fat loss.

As for drugs, I just want to be on as few as possible. The upcoming four months are my last chance to drop my A1c under 6, so I'm aiming high. I haven't taken Metformin yet, but if I don't succeed in this next period, I'll go on. I'm curious to know how great an improvement I would expect on Metformin on my A1c if, say, I continued like this and also took it.

By the way, I'm 46 and only two years in, so I may have a bit more flexibility physiologically than T2s who are older, or were Dxed earlier.

__________________
Diagnosed Aug 2010.
RG: 18
A1c: 11.3
Weight: 220


Jan 2012:
RG: 6.1
A1c: 7.9
Weight: 207

No meds except Crestor.
Supplements: Krill oil, vitamin B, Ubiquinol.


May 24 2012
RG: 6.2
A1c: 7.9
Cholesterol: 1.62, ratio 3.15
Triglycerides: 1.17
ALT: 82
Weight 201


Sept 2013
A1c: 6.1
Weight 185
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Old 05-25-2012, 15:46   #6
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I went for about 3 months using diet alone. I was already exercising so that wasn't a big change in my lifestyle. I actually asked my doctor for metformin because my morning bgs were stuck in that 140-160 range. When I first started on 500 then 1000 then 1700 mg I got it down to 125-135 range. When I upped it to 2550 my fastings fell to 100 or below, where they still are now. I was also doing very low carb 30-40 carbs/day. With many Type 2's it is more the liver that is at fault than the pancreas and metformin helps limit the liver dumps which a lot of us get early in the morning. I find on days when I add a few more carbs or cheat my bgs will jump 30 points and stay high for days. I think it is my body telling me to eat right.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
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Old 05-25-2012, 16:23   #7
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I hear you. I was in NYC over the weekend with wife and kids. We walked and biked a total of 50 miles in three days, but I ate pizza and chocolate and had a hamburger over that time. Not CRAZY carbs, but almost the way I used to eat. It took four days for it to clear my system, and I felt CRAPPY. Interesting.

Shanny likes this.
__________________
Diagnosed Aug 2010.
RG: 18
A1c: 11.3
Weight: 220


Jan 2012:
RG: 6.1
A1c: 7.9
Weight: 207

No meds except Crestor.
Supplements: Krill oil, vitamin B, Ubiquinol.


May 24 2012
RG: 6.2
A1c: 7.9
Cholesterol: 1.62, ratio 3.15
Triglycerides: 1.17
ALT: 82
Weight 201


Sept 2013
A1c: 6.1
Weight 185
barksducks is offline  
Old 05-25-2012, 17:40   #8
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Once you give your body good quality lower carb food, when you eat fast food it sometimes makes you literally sick. I am good about 98% of the time but when I am travelling I sometimes eat things I shouldn't just because there aren't a lot of choices. So my bgs go up. I am one that hates meds. I don't even take asprin. But metformin is different. It will make you lose weight quicker and make you more senstitive to your own insulin as well. It also suppresses glycogen in your liver.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
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Old 05-25-2012, 22:03   #9
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Quote:
Originally Posted by barksducks View Post
I hear you. I was in NYC over the weekend with wife and kids. We walked and biked a total of 50 miles in three days, but I ate pizza and chocolate and had a hamburger over that time. Not CRAZY carbs, but almost the way I used to eat. It took four days for it to clear my system, and I felt CRAPPY. Interesting.
This is exactly why I gave up trying to occasionally include a few old favorite foods . . . it just took too long to get over it. A one-time spike is one thing - spending the next four days battling it back down is a different ballgame altogether.




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Old 05-26-2012, 01:55   #10
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Head down, eyes forward...food is for energy to live not for socialization or entertainment. Learn to make food a mere bodily function. Push those carbs down, 20 ish if you can. You do not need more. There are many substitutes for carbs. Good luck!!!

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