really confused after diabetes education class

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really confused after diabetes education class


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Old 08-06-2013, 21:24   #1
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Default really confused after diabetes education class

Hey all. I hope everyone's okay. I've been doing pretty well. My FBG readings are consistently under 100, with post-meal peaks around 125, often lower.

I've been low-carbing, high-fatting, but not religiously. Meaning, if we're out at a restaurant, I'll indulge in a piece of bread before the meal. Last night I even had a very small slice of pizza. I'd say all in all, my carbs can be anywhere from 20-60 a day, usually in the 30 range.

I'm on 500mg metformin once a day. I exercise 4-6 times a week for 45min-1hr, usually a walk or the elliptical.

Soooo, I went to the diabetes education class. It was not that bad! Not as bad as I was expecting. But of course the dietitian said I needed to up my carbs to about 30 a meal (haha...was she joking??). Her reasoning was that the liver secretes sugar into the blood if it senses there's not enough glucose swimming about. I understand that reasoning, as it's what accounts for why some people have high fasting numbers in the morning, right, even if their readings were fine before bed?

But I was like, "But obviously that's not a super issue for me, as my fasting numbers are steadily improving?"

IDK. She said give it a try, by having about 15g a meal, and seeing how my readings are. Some of it was quite confusing...I *have* noticed that if I skip the midday meal, my blood glucose DOES in fact go up (usually to about 115). But it seems to do with eating in general, not with carbs consumed. I don't want to risk my numbers. Is it worth giving it a try?

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Old 08-06-2013, 21:47   #2
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NO, not in any way shape or form do you need to increase carbs.

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Old 08-06-2013, 21:49   #3
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Personally? No, it's not. When your BG goes up from skipping a meal, try and have a small protein snack at least (handful of nuts, piece of cheese, etc). It should stop the climb you see when you skip a meal. As far as what would happen with upping carbs, your pp readings will go up, period. The increase in carbs will raise readings. I hate to hear things like this. It's obvious that carbs turn to glucose, and she's willing to play this "eat carbs and test to see" game with a diabetic. Shameful. What does she think what will happen, that your BG will go down after eating 30 carbs every meal? Geesh ... sorry, but I get so angry when I hear things like this.

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Old 08-06-2013, 22:14   #4
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Thank you. It was pretty upsetting, but I'm terrible at confrontation.

I suppose it was my own fault for not bringing in my numbers, because I could've simply shown her, "Look. Here's what's going on. NBD."

I feel like I don't know the science well enough to refute her. And also, it was just confusing. I am very good at, "Okay, here are my target numbers. Boom, if I eat this few of carbs, those are the numbers I'm going to get." But they kind of lost me at the liver stuff.

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Old 08-06-2013, 22:16   #5
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She also said, "People on Atkins tend to have really bad numbers."

And that seemed to me a blatant lie.

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Old 08-06-2013, 22:22   #6
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She is parroting something that has no basis in reality, and it's sad, because so many people hear this stuff, obey, and then assume diabetes is progressive, they have to take more and more meds, and ... arrive at places like this looking for help and ideas because what they are doing isn't working.

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Old 08-06-2013, 22:28   #7
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The goal is control. You are well on your way. Your A1c is dropping, isn't it? If this dietitian were a diabetic, I might listen to her story. But...every body is different. What you have been doing is working. Stay with it. The only person who has to approve is you.
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Old 08-06-2013, 22:28   #8
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moon, do you mean when people assume that it's progressive, they assume diabetes automatically gets worse because their numbers are getting worse?

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Old 08-06-2013, 22:32   #9
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@JT Reagan - Re: my A1c, I don't know if it's dropping, as I only had it tested initially at diagnosis (approximate 3.5 weeks ago).

I have a doctor's appointment tomorrow, but I'm assuming 1 month is not enough time to see significant A1c changes.

It's a shame, as she was really one of the loveliest, warmest, kindest people I've met, but I was like, "Hmmmmmm...." And no one else in the class seemed to know much. NO, BACON WILL NOT RAISE YOUR BG PEOPLE.

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Old 08-06-2013, 22:32   #10
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There are two approaches to diet.
  1. The official line which boils down to eat lots of carbs and try to handle the spikes with medications ranging from weight gain encouraging things like insulin to heart attack inducing drugs like Avandia. This will produce a nice roller coaster effect that almost certainly will result in the statement "diabetes is progressive, and in the end all patients deteriorate" being vindicated.
  2. The Low Carb line as followed by folk following the real Atkins diet (not the "new improved" version with lots of protein bars) or like us doing a "do it yourself" way. My daily carb intake is high for that group - about 60 grams but even at that high level I have averaged a fasting figure of 85 this year with only 10 of my readings going over 90. Post meals, I'm below 120. I've just turned 66 having followed this procedure for three years - almost to the day. I'm fitter than I was in August 2010 and in ten years time I expect to be posting on this forum without the need of a braille keyboard or any other aids.
The high carb brigade has a lot to answer for!

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Last edited by John.in.France; 08-07-2013 at 17:59. Reason: spelling!
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