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Old 05-17-2011, 15:46   #21
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I was not a big meat eater before diabetes and ate mostly vegetarian meals. I thought I was eating healthy because I was able to take off 50+ pounds in 5 years with diet and exercise. But when I was dx'd diabetic 4 years ago I found the Whole grains and fruit I was eating was sending my bgs soaring. So I started to cut out the foods that sent my bgs high. At that time I was only a touch overweight ( 148) . But I found by cutting out bread, pasta, rice, cereal and all processed boxed foods with chemicals that bgs fell and pounds came off. If you can keep carbs under about 70 and eat enough protein and fat to make up for the lost carbs your body will be in a "ketogenic" state. That means it will burn fat for energy, not carbs. This is important in weight loss. When I cut out the carbs, I noticed a lot of my carb cravings soon disappeared. I know what you mean about not being a big meat eater. I'm sure I don't get all the protein I should but get a lot of it from things like eggs, my own high protein baked goods using nut flours instead of wheat flour. You can also use whey powder and make smoothies or add it to muffins and cookies to make your own high protein baked items. I also will add some veggie meals in each week like veggie chilli, eggplant parmesan breaded with almond meal or egg/veggie frittatas. I also use a lot of Coconut Oil in my meals which gives me enough fat to keep metabolism burning.

How many grams of fat should we have every day to keep weight loss coming?

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Old 05-18-2011, 13:23   #22
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well I eat carbs regularly and stick to wholegrain as it works for me. I don't eat a high fat diet. I increased my meat intake once to treat low iron level and I wound up with high cholesterol. With all the reading I've been doing concerning digestion and how the stomach works... fat slows down digestion. With stomach conditions (which I have) docs advise to watch your fat and fibre intake. Fibre is good, but some of it actually doesn't digest well if your stomach doesn't work right (eg. broccoli). I love broccoli personally, but I now eat it cooked so it's soft for me. So for me I think all food in moderation works best... whatever your meter suggests is Ok really.

 
Old 05-18-2011, 17:08   #23
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How many grams of fat should we have every day to keep weight loss coming?
Please bear in mind that dietary fat does NOT equate to body fat UNLESS you are taking in too many calories in total.

Because we MUST eat lower carb than non-diabetic folks we will be eating more protein and fat than they will.

If you use a proper calorie calculator to determine your needs, subtract 500-1000 per day for 1-2lbs a week of fat loss, (don't go lower than your BMR figure shown) and stick to it you'll steadily lose weight.

I don't personally believe there's a set # of grams of fat we should target, BUT If you're doing any resistance training or intense exercise you'll want to have a decent intake of protein to help with muscle growth/maintenance. I typically take in about 160-200g of protein daily right now. If I were weight training I'd take in more. For people exercising daily I recommend no less than 0.7 x Bodyweight (in pounds) grams of protein per day. (I'm 230lbs, so 230x0.7=161g minimum) More is likely required if you're strength training for muscle growth. If I were able to hit the free weights (which I can't due to spinal issues) I'd be taking in around 300g+ daily.

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As of Apr 23, 2013: 14-day Avg Fasting BG: 4.7 (85), A1c (Dec21): 5.1%, Stats: 230lb, 6'3" now with 37" waist

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Old 05-18-2011, 17:24   #24
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well I eat carbs regularly and stick to wholegrain as it works for me. I don't eat a high fat diet. I increased my meat intake once to treat low iron level and I wound up with high cholesterol. With all the reading I've been doing concerning digestion and how the stomach works... fat slows down digestion. With stomach conditions (which I have) docs advise to watch your fat and fibre intake. Fibre is good, but some of it actually doesn't digest well if your stomach doesn't work right (eg. broccoli). I love broccoli personally, but I now eat it cooked so it's soft for me. So for me I think all food in moderation works best... whatever your meter suggests is Ok really.
I was told the same thing, fiber takes a long time to digest especially for us with gut probs. I've all but quit eating salads and anything raw high fiber because they make me very miserable in my tummy. Soft veggies I can somewhat tolerate and some fruits. What I didn't realize til the Dr. told me was that proteins take a long time to digest too. Which left me asking her "well what the heck am I supposed to eat"? I eat a lot of lean meats so fat isn't a huge issue for me. As far as my cholesterol, the bads are pretty low, 50, so I eat what keeps me feeling as comfortable as I can be and keeps my sugars low while making sure I'm getting some nutrients in there that I need. When I snack it's on olives and cheese or tomatoes and the likes. My carb intake is fairly low as well, about 50 gms on the high end.
Moderation also goes a long way for me. I rarely spike over 200 anymore and it's usually because I went out to eat and had way too much. I don't do that often because that really does make me miserable for the rest of the day and into the night. My relationship with food isn't that good these days so I find myself eating just enough to take my oral meds and making sure I snack here and there enough that I don't go into starvation mode throughout the day.

And....It's official I've lost 10 lbs. this month!

btw...if there's anything good to say about Gastroperesis is that any carbs I ingest in solid form are slow to absorb as well which keeps me pretty free of those spikes.

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Old 05-18-2011, 19:20   #25
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I don't specifically count my fat grams, but try to have a fat source like coconut oil or nuts at every meal. I would guess I eat around 20-25 grams per meal. The fat intake should be higher than your protein. Every tablespoon of fat whether it is real butter, olive oil or coconut oil is 14 grams of fat. 2 talbespoons of peanut butter or Almond butter is probably 17-18 grams of fat. So this is not real difficult. I make all my baked goods with CO, shredded coconut and nuts, so I get tons of healthy fat. When I buy things like cream cheese, sour cream and cream, I always buy the full fat kind.

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Old 05-18-2011, 19:24   #26
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I don't specifically count my fat grams, but try to have a fat source like coconut oil or nuts at every meal. I would guess I eat around 20-25 grams per meal. The fat intake should be higher than your protein. Every tablespoon of fat whether it is real butter, olive oil or coconut oil is 14 grams of fat. 2 talbespoons of peanut butter or Almond butter is probably 17-18 grams of fat. So this is not real difficult. I make all my baked goods with CO, shredded coconut and nuts, so I get tons of healthy fat. When I buy things like cream cheese, sour cream and cream, I always buy the full fat kind.
I wish I could afford the coconut oil, but it's too rich for me right now

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Old 05-19-2011, 00:23   #27
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And....It's official I've lost 10 lbs. this month!

btw...if there's anything good to say about Gastroperesis is that any carbs I ingest in solid form are slow to absorb as well which keeps me pretty free of those spikes.
congrats Amy on the weight loss... that would make you feel good.

oh yeah I think I read somewhere about protein being slower to break down too. I think I've figured out why I get those hypos within 2 hours after eating sometimes.... the gastric emptying study showed my food hasn't even gone to the body of my stomach at 2 hours. Geez it can get tricky trying to manage diabetes when your stomach is unpredictable.

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Old 05-19-2011, 14:26   #28
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congrats Amy on the weight loss... that would make you feel good.

oh yeah I think I read somewhere about protein being slower to break down too. I think I've figured out why I get those hypos within 2 hours after eating sometimes.... the gastric emptying study showed my food hasn't even gone to the body of my stomach at 2 hours. Geez it can get tricky trying to manage diabetes when your stomach is unpredictable.
That's the way my stomach is onlymep. Slooooow.
I've finally been scheduled for a scope to make sure there is no blockage because it's moving so slowly. That's been one of my biggest issues with taking the fast acting. Eat, insulin, crash. I've tried taking it at different times after I eat, tried splitting the dosage. Sometimes I'm successful and sometimes I'm not and have crashed so many times that now I'm beginning not to be as sensitive to the signs of the crash and am way too low before I realize it.
Mostly I've been being real careful about what I eat and how much just to avoid taking it.
I have that scope to look forward to tomorrow.

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Old 05-19-2011, 15:40   #29
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That's the way my stomach is onlymep. Slooooow.
I've finally been scheduled for a scope to make sure there is no blockage because it's moving so slowly. That's been one of my biggest issues with taking the fast acting. Eat, insulin, crash. I've tried taking it at different times after I eat, tried splitting the dosage. Sometimes I'm successful and sometimes I'm not and have crashed so many times that now I'm beginning not to be as sensitive to the signs of the crash and am way too low before I realize it.
Mostly I've been being real careful about what I eat and how much just to avoid taking it.
I have that scope to look forward to tomorrow.
I hope the scope results show what is going on for you. I picked up my results today and was dissappointed because if basically said my stomach was normal because calculated percentage clearance was 97% by 4 hours... so no evidence of delayed gastric emptying. Although when I was actually having the test done... the 4 staff coming in and out of the room were telling me that my stomach wasn't normal in the first 2 hours... although this wasn't mentioned on the report. What they told me made sense as where the food was after an hour was just sitting outside of my stomach and they mentioned this can make you feel sick... well I've had problems with nausea for a while and loss of appetite at times. Also at 2 hours they explained the food was not sitting in the body of my stomach but was clumped together in the top part of it which they said wasn't normal. They showed me the image on the computer screen when I was lying on the scan bed. The food was sitting exactly where I get my pain... they pointed out where the food was sitting before they asked me if I usually had any symptoms in that area. Perhaps it's just nerves in that area that is sensitive or something maybe? I've yet to have discussion with docs.

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Old 05-20-2011, 18:41   #30
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I hope the scope results show what is going on for you. I picked up my results today and was dissappointed because if basically said my stomach was normal because calculated percentage clearance was 97% by 4 hours... so no evidence of delayed gastric emptying. Although when I was actually having the test done... the 4 staff coming in and out of the room were telling me that my stomach wasn't normal in the first 2 hours... although this wasn't mentioned on the report. What they told me made sense as where the food was after an hour was just sitting outside of my stomach and they mentioned this can make you feel sick... well I've had problems with nausea for a while and loss of appetite at times. Also at 2 hours they explained the food was not sitting in the body of my stomach but was clumped together in the top part of it which they said wasn't normal. They showed me the image on the computer screen when I was lying on the scan bed. The food was sitting exactly where I get my pain... they pointed out where the food was sitting before they asked me if I usually had any symptoms in that area. Perhaps it's just nerves in that area that is sensitive or something maybe? I've yet to have discussion with docs.
Update........Had the scope today thankfully no blockage it's just the Gastroparesis causing my probs. The only thing the scope revealed was a small hernia.

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