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really confused after diabetes education class - Page 5


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Old 08-08-2013, 10:07   #41
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Re: exercise, it definitely does buy me some wiggle room, if only a tad. Could it be age-related? At 24, I know I'm fairly young to be diagnosed with T2. :/ Now that my sugars are in more normal ranges, my BG still will drop about 15-20 after exercising, and remains dropped for about 35 hours (even when I, say, eat a very small apple...It will still go up, but not as much as it would have, and it goes back down much more quickly).

I have heard weight training is even better...? As your muscles are working long after you've stopped lifting, and they obv don't need the insulin to get glucose from the blood.
I've been exercising a lot since I got serious about control and it really seems to help me. But only as an addition to the whole arsenal of weapons against diabetes. I certainly wouldn't want to use it as a method of 'cheating' in order to eat some more carbs. One strange phenomenon I've just noticed is that for about the past week I haven't been able to exercise much, due to work and vacation. It's the first time this situation's come up since I started. And my fasting numbers have been creeping up the past days, but my spikes have been greatly reduced, and the peaks are roughly the same, if not a bit lower. So, for example, before I'd be let's say a 90 before a meal, and I'd get a typical 30-point rise to a 120 after. Now I'll be at 100 before the meal and only go to a 110 after. It's like my BG numbers are flatlining with only small ups and downs which are all well within the range of meter error even. It's been like this for over two days already. With no difference in my diet or anything else, except the exercise, so I attribute that as being the likely cause. A bit strange though, if anything I'd think the effect of no exercise would be the opposite. But maybe the exercise is causing more variance within the day, due to how it affects my liver and it's calling my body to produce more/less insulin, liver dump, or whatever.

I plan to hit the gym tomorrow, so I'll see if that gets me back to my normal situation. I've liked how I feel since I started weight training, but I'm not sure if it's affected my BG numbers, compared to just vigorous walking which was my exclusive exercise up till about a month ago when I started added the weight training every other day. My main reason for adding the weight training was simply that my lower body was in pretty good shape due to all the walking, including lots of steep hills and stairs, but my upper body was still very weak/flabby, so just wanted to balance things out a bit.

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@aaron - Well, in all fairness, there was a dietitian there who tailored a meal plan to our individual needs -- meaning, she read the survey we filled out at home, talked to us a bit, then told us how many carb "points" we should have a (for me, it was 2-3, which is 30-45 carbs....A MEAL. WHAT? I didn't even eat that many carbs when I was non-diabetic). She was a lovely woman, truly, so I feel vaguely bad about speaking ill of her here....but ugh.

She also made a us do this exercise where we organised food into will affect blood sugar/won't affect blood sugar, and mostly it was on point, except she had nuts in the won't affect blood sugar category, "no matter how many you eat." I can eat nuts, but I definitely can't eat as many as I want. There are 15g of carbs in a cup. Honestly, when I get going, I could devour twice that much.
My nutritionist told me I should have 3 carb servings a meal with respect to grains only, with each serving at 23g carbs, for 69g. But an extra serving with dinner was allowed, so 92g. That was in addition to whatever carbs were in the serving of fruits, dairy, and vegetables I was to eat with every meal. And of course I was supposed to use non-fat or low-fat products for dairy, salad dressing, etc., which add more sugar. So it would have been easy for me to eat 300g of carbs a day just on her recommendation. Simply crazy. But in all honesty, I loved eating rice, being it's pretty hard to live in Korea and eat Korean food without rice. I'd have 4, 5, or more of those carb servings of just rice per meal, easy. Plus sometimes bread, pasta, or other grains with the meal, or potatoes, etc. She did say no potatoes, and so overall it was definitely a big reduction for me, but just not nearly what it should have been.

I was also told foods I couldn't eat, and ones I should. For me, nuts were off limits, which I used to snack on quite a bit. I still do though eat nuts occasionally despite her warning, but only in very limited quantities now, and not on a regular basis as before. I sometimes like a couple of almonds or other salted nuts together with my cheese as the combination of the two is quite nice to my tastes. Besides the huge number of carbs I was allowed, I think the worst thing was when I asked about raisins she said they were fine, within the portion size I was told. Well, maybe they don't affect everyone, but for me they're probably the worst thing I've yet to come across - just an enormous spike after eating them. Simply telling me to eat to my meter and test all my foods would have been the best advice, but at least I figured that one out by coming here and reading that advice from those who have already done this. The unfortunate instructions I was given about testing was that testing before and after each meal was probably inconvenient for me, so just testing at morning fasting and before dinner was enough. That method would have never told me whatsoever which foods were spiking me and which ones weren't.

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I feel worried for everyone in the class. They really didn't know anything, and they were nice, lovely people who I enjoyed being forced to sit with for 3.5 hours
Well, I think my classes were only about an hour each. An hour with the diabetic instructor, and an hour with the nutritionist.

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@mary - Frustrate and confuse! The saddest part is that I was hoping she was correct. I ate that roll yesterday and was like, "Maybe this will actually be great for my blood sugars." WELP. When I was making my husband a bacon sammy with these thick, hearty slices of buttered sourdough, I just cried a bit on the inside.

Most of the time, I can convince myself it's no big deal, that I can do it, but sometimes, it's really distressing not being able to eat the foods I really love. It's a good thing I love meat and fat, though. Nothing is as satisfying as a ribeye fried in butter, to me. Even pre-conscious eating, I smeared butter on my steak instead of using A1.
That's one part where I'm lucky - I'm not around temptation much. I'm sure I wouldn't be doing as well if I was. I live alone, and eat most of my meals alone, and am not really around much food other than what I eat. I do though have to walk past a bakery every morning and night that has a very powerful aroma of bread cooking that emanates from it. Makes me think about the taste of bread every time, but it's not enough to tempt me to give in. I just tell myself that the wonderful smell is reward enough for me.

I'm not much of a steak eater myself, but have found a few dishes that I can whip up that really satisfy me and don't make me miss the grains and potatoes too much. I feel very confident I'll be able to stick to it and not revert back to that nonsensical way of eating I used to.

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Old 08-08-2013, 17:09   #42
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Sounds like you went to the same lady that I got all my bad advice from! Said the same thing about the Adkins diet and that I needed to eat lots of carbs or my body would consume my brain. (omg, zombie apocalypse!)

We're livestock to these people. They feed us with misinformation to keep us hooked to their medications and services. They want us toting our insurance cards and copays to their office for as long we we can. They'll even help you get there by selling you a wheelchair after they've billed heavily for cutting your feet off.

Sorry for the rant, but Diabetes has caused me to gain as much of a distrust, and hefty level of disdain, for the medical community as tort abuse has for the legal professions.

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Old 08-08-2013, 17:48   #43
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Not to mention ... those classes are HEAVILY subsidized by insurance companies -- so really, something of a scam.

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Old 08-08-2013, 18:08   #44
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Not to mention ... those classes are HEAVILY subsidized by insurance companies -- so really, something of a scam.
Good point.

On the whole, I really don't blame individual doctors, nurses and educators, bad apples notwithstanding. My health plan dictates what kind of advice patients receive. Sometimes, it's excellent. Sometimes, it's blatant misinformation.

The Blame Trophy goes to the American Diabetes Association, and several of its international counterparts, which are funded by Big Insurance, Big Pharma, Big Agriculture and Big Junk Food.

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Old 08-11-2013, 00:37   #45
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I had the same advice. Eat more carbs. When asked why... so I would not go hypo. At that time I was doing fairly well... before the diabetes educator. Sadly, that was long before I found this forum... and now, something like 7 years down the track, too many carbs under the belt (literally and figuratively... ive put on many Kgs since then), too many weight inducing meds, and not enough exercise (my fault, not theirs)... I'm in the deteriorated group. I must have had every med known to man and am now on two insulins, eating hardly any carbs at all... insulin increasing by 2 units every other day and *still* dont have my fasting numbers under 7... always between 7 and 8... with spikes up as far as 10.x after eating.

I confess to a cheese sandwich a couple of times a week, and a potato once in a while. The pasta is all finished so no more of that.

I did discover to my absolute consternation that maltitol raises BGL as much as real sugar does... so why do they call it sugar free (oh wait... it *is* sugaar free... just isnt safe for diabetics). GRRRR.

I could just slaughter my diabetic educators and dieticians... but all they are doing is spouting off what they've been taught (and are still being taught)... and its wrong.

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Old 08-11-2013, 00:45   #46
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I did discover to my absolute consternation that maltitol raises BGL as much as real sugar does... so why do they call it sugar free (oh wait... it *is* sugaar free... just isnt safe for diabetics). GRRRR.

I think a good many of us found this one out the hard way. Myself included

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Old 08-11-2013, 03:03   #47
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I had the same advice. Eat more carbs. When asked why... so I would not go hypo. At that time I was doing fairly well... before the diabetes educator. Sadly, that was long before I found this forum... and now, something like 7 years down the track, too many carbs under the belt (literally and figuratively... ive put on many Kgs since then), too many weight inducing meds, and not enough exercise (my fault, not theirs)... I'm in the deteriorated group. I must have had every med known to man and am now on two insulins, eating hardly any carbs at all... insulin increasing by 2 units every other day and *still* dont have my fasting numbers under 7... always between 7 and 8... with spikes up as far as 10.x after eating.

I confess to a cheese sandwich a couple of times a week, and a potato once in a while. The pasta is all finished so no more of that.
Don't get too discouraged. I spent 8 years adhering to the bad advice I was given. After starting on insulin, and needing to increase my dosage each day, I started doing low-carb. It took some time, but eventually the insulin dosage stabilized, and by then continuing to go lower and lower on my carbs, my insulin usage started coming down, eventually to zero. It takes some time, and we're all different. Not everyone can do what I was able to do, so don't be discouraged if you need to stay on insulin. Even I know that someday I might need to go back on it, and if so, it's certainly not that bad. Way better than having uncontrolled BG numbers. The important thing is you definitely need to stop eating all grains and potatoes. Well, at least if your numbers are not good based on your meter after eating those foods. I think most of us here are very intolerant to grains and potatoes. Not even a little cheat with your cheese sandwich. It just isn't worth it. And again, it takes some time getting used to. Our bodies need to adjust to the ultra low carb way of eating. But once it does, many of us lose that strong craving for carbs. So it gets easier over time. Just don't give up and keep heading in the right direction - towards fewer and fewer carbs.

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Old 08-11-2013, 03:38   #48
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I could just slaughter my diabetic educators and dieticians... but all they are doing is spouting off what they've been taught (and are still being taught)... and its wrong.
This is why I am not too keen on going to the diabetes clinic my doctor wants to send me to. That, and from their web site it appears they are big on group sessions, which for me (a dyed-in-the-wool loner) would be a form of torture. (Simply put, I will not attend a "group therapy" session -- I'd rather have bamboo shoots hammered under my toenails than endure a group session.)

I am afraid that this clinic will give me the usual chapter-and-verse about how I should eat lots of complex carbohydrates*, when I am in fact working on eliminating grains from my diet completely. When I asked my doctor what the clinic will do for me that he can't, or that I can't find out on my own through research**, he backed down, letting it go on the back burner until after my next quarterly A1C test in October.

* - The dietary guidelines posted on the Canadian Diabetes Association's web site call for eating more whole-grain foods and limiting the consumption of fat. Most of us here do the opposite, as I am starting to do.

** - My professional background is in Library Science. I know how to do research.

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Old 08-11-2013, 04:18   #49
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Then just refuse. Or just don't show up. It's your body, not his.

Good luck,




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Old 08-11-2013, 14:15   #50
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Then just refuse. Or just don't show up. It's your body, not his.

Good luck,
They can only tell us what they, themselves have been told.

Including such gems as, "The evidence is overwhelming that ..." And doesn't THAT sound intimidating?

I have noticed recently that PubMed is releasing study reviews to the public, followed by the very stale, "Pass it on: ..." and making up a one-SENTENCE synopsis of the recent study!!!

Think docs do not read those? They are on the front page of my (medical) library's website. (I even asked to take them off ... no.)

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