Disagreeing with Nutritionist
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If you have to pay for this out-of-pocket, then you should have the authority to make the decision. If you think you might benefit enough to make it worth the money, go ahead. As VeeJay says, they might surprise us & suggest something actually helpful. But the odds are high that they'll follow the party line and prescribe carbs, carbs and more carbs - exactly the opposite foods needed for a diabetic way-of-eating.
If I were you, I'd skip it . . . hang onto your money! On the other hand, it's good practice for all the nodding & smiling we have to do to keep our doctors happy!
If I were you, I'd skip it . . . hang onto your money! On the other hand, it's good practice for all the nodding & smiling we have to do to keep our doctors happy!
The nutritionist who did the food section of the diabetes class I took definitely wasn't interested in low-carb. She started by asking if anyone thought we should cut out carbs, in a challenging sort of way.
That being said, if you ignored the carb limits she recommended for us (45-60/meal), she taught us a LOT that was useful no matter what plan you use. Many of the people in the class had never really looked at nutrition labels before, and we had a lively discussion about "sugars" vs. "total carbs" and "fiber". She also had some food models she passed around that showed a carb serving (15 grams) of many common foods. It's one thing to say "I want to limit my carbs to 45 (or 15, in my case) in a meal" but another to actually hold in your hand 15 carbs worth of rice, and compare it to 15 carbs worth of Snickers, or broccoli. The physical aspect of it was eye-opening.
I guess my point is that if you go to a nutritionist, as was said up-thread, try to take what you can from it, and ignore the stuff that you know will raise your BG.
That being said, if you ignored the carb limits she recommended for us (45-60/meal), she taught us a LOT that was useful no matter what plan you use. Many of the people in the class had never really looked at nutrition labels before, and we had a lively discussion about "sugars" vs. "total carbs" and "fiber". She also had some food models she passed around that showed a carb serving (15 grams) of many common foods. It's one thing to say "I want to limit my carbs to 45 (or 15, in my case) in a meal" but another to actually hold in your hand 15 carbs worth of rice, and compare it to 15 carbs worth of Snickers, or broccoli. The physical aspect of it was eye-opening.
I guess my point is that if you go to a nutritionist, as was said up-thread, try to take what you can from it, and ignore the stuff that you know will raise your BG.
Last March was diagnosed with type 2 with A1C of 13.4. In one year on low carb low fat low sugar unprocessed food diet brought my A1C down to 6.5 with 12 units insulin and 2000 metformin. This year working on decreasing insulin and or eliminating. Wish me luck
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We are our own best advocates. If it seems wrong, then it probably is.
I have been on a KETO diet for years. It was the only way to keep my sugars under control.
I have been a diabetic for 24 years and ONLY a year ago I have been diagnosed as a 1.5 diabetic (LADA).
So any amount of carbs spiked my sugars.
I think that diet may work for some people, but we are all not all the same stage/or type of diabetes.
Be aware that there are changes at the ADA and many dieticians may be backing off the high carb diets. I don't usually go to them because I need specialty diet recommendations and NONE of them seem to have good training in those areas, which amazes me. So I'm left to figure it out.
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It is my opinion, that ADA Educators start all training for what is recommended for Type 1 Diabetics, and then modify that for Type Twos. I am a Type Two. I had to listen carefully to get the part I needed.
ADA Educators know not to tell us the whole truth about how miserable the diet seems, at first. We would stomp out the room with harsh words and louf language.
Since I did not have to pay for Diabetes Educators, it is easier for me to not worry about how many places they glossed by the truth of my future.
My Diabetes educators were good in getting across that Diabetics Count Carbs, not Calories. Also in teaching what is a high Carb, and what is less Carbs. I had to suffer the consequences of my not implementing things like, all restaurant portions are huge for a Type Two Diabetic like me. I have to not eat some type of foods at all, like starches. Teach myself that lesson several times a month.
They teach how to do a food diary, and record my miss deeds. So I --might -- learn better.
I think the Educators avoid talking about what Diabetes is eventually going to be like for our diet, and lifestyle. It is awful to not eat either what I used to, or what I actually want. If I knew the truth of the suffering of the diet, I might have stomped out their office as well.
Where we get into doing a better diet, or a low carb Diet is when we begin to feel better. I don't like that higher sugar, I need to sleep feeling. I can eat something now, and my mind tells me how i am going to feel later because I made that mistake. One fellow used to have a tagline, "There is nothing I like to eat more than I like my Eyes." Meaning he wants to be able to see well as he ages.
Once the positive thinking teaching guru, Anthony Robbins (and I do not believe in everything he says or advocates) told a story about diet. He says, and I paraphrase, "Notice in a beer commercial they have a young fit attractive woman in a two piece bathing suit holding their brand of beer. She can't have a body like that, if she much drinks that beer."
Robbins advocates visualizing, before we eat something what the consequences will be. He told a story about his own brother who was very obese. He asked Anthony for help. Anthony asked him to describe what he typicall ate. Brother admitted his problem was Kentucky Fried Chicken. He said everyday as he drives around, he sees a KFC, and has to stop to get some. He loved KFC, and could not resist. The smell, the taste so satisfying.
Anthony told him to visualize his life like a picture, and on one corner of that picture, creeping in is the smell of burning rubber tires, and how much KFC actually smells like that. and over time keep visualizing or having his memory remind him of the smelling of burning rubber.
My ADA certified educator might started saying that I could target 45 carb meals. Talks about lower carb foods, and what I don't want, a food journal. Measuring what happens ---when---. Talks about using a vegetarian based diet, and using only low carb vegetables. Every notice a cow is a vegetarian, and has to eat all the time to keep themselves going.
I hear stuff from my Diabetes Educator that I don't think is accurate either. How can she be an expert and not know that Chocolate is one of the basic food groups?
ADA Educators know not to tell us the whole truth about how miserable the diet seems, at first. We would stomp out the room with harsh words and louf language.
Since I did not have to pay for Diabetes Educators, it is easier for me to not worry about how many places they glossed by the truth of my future.
My Diabetes educators were good in getting across that Diabetics Count Carbs, not Calories. Also in teaching what is a high Carb, and what is less Carbs. I had to suffer the consequences of my not implementing things like, all restaurant portions are huge for a Type Two Diabetic like me. I have to not eat some type of foods at all, like starches. Teach myself that lesson several times a month.
They teach how to do a food diary, and record my miss deeds. So I --might -- learn better.
I think the Educators avoid talking about what Diabetes is eventually going to be like for our diet, and lifestyle. It is awful to not eat either what I used to, or what I actually want. If I knew the truth of the suffering of the diet, I might have stomped out their office as well.
Where we get into doing a better diet, or a low carb Diet is when we begin to feel better. I don't like that higher sugar, I need to sleep feeling. I can eat something now, and my mind tells me how i am going to feel later because I made that mistake. One fellow used to have a tagline, "There is nothing I like to eat more than I like my Eyes." Meaning he wants to be able to see well as he ages.
Once the positive thinking teaching guru, Anthony Robbins (and I do not believe in everything he says or advocates) told a story about diet. He says, and I paraphrase, "Notice in a beer commercial they have a young fit attractive woman in a two piece bathing suit holding their brand of beer. She can't have a body like that, if she much drinks that beer."
Robbins advocates visualizing, before we eat something what the consequences will be. He told a story about his own brother who was very obese. He asked Anthony for help. Anthony asked him to describe what he typicall ate. Brother admitted his problem was Kentucky Fried Chicken. He said everyday as he drives around, he sees a KFC, and has to stop to get some. He loved KFC, and could not resist. The smell, the taste so satisfying.
Anthony told him to visualize his life like a picture, and on one corner of that picture, creeping in is the smell of burning rubber tires, and how much KFC actually smells like that. and over time keep visualizing or having his memory remind him of the smelling of burning rubber.
My ADA certified educator might started saying that I could target 45 carb meals. Talks about lower carb foods, and what I don't want, a food journal. Measuring what happens ---when---. Talks about using a vegetarian based diet, and using only low carb vegetables. Every notice a cow is a vegetarian, and has to eat all the time to keep themselves going.
I hear stuff from my Diabetes Educator that I don't think is accurate either. How can she be an expert and not know that Chocolate is one of the basic food groups?
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I determined long ago that I was one of those "live to eat" people as opposed to the "eat to live" people. I've heard people in my life say, "Oh, I forgot to eat <name of meal>." That never happens to me! The best gifts I got from Mother Nature were my hair genes (still got it!) and that I do not have a sweet tooth. I did not spend my live eating gooey desserts or self-medicating with ice cream or candy so it wasn't hard to give them up when diabetes came along. I am aware that not every diabetic is that lucky and there is a booming business in low-sugar and keto-friendly desserts and snacks.
I do remember that "gotta sleep" feeling and tbh that's what keeps me away from meals like barbecued ribs (though I dearly love them) and pasta. Just didn't like that feeling more than I liked the food. So if the opportunity (wife's meal) presents itself and I'm really jonesing for it, I'll have a bite or two. But I know how I'll feel when I eat much more of it and that's enough to ward me away. That part is tough, though, and actual positive reinforcement is not immediate. It does come, however, when my opthalmologist marvels at how good my eyes look for a diabetic in his 60s or when my GP calls me a poster child for her other diabetic patients.
It's tough. Nobody asks to have to modify their natural urges like this. People don't beg to have to apply sunscreen to their bald heads, either. You run with what you've got. You may not be happy about it but you do it in the hopes that what you do is better for you than what you don't do.
I do remember that "gotta sleep" feeling and tbh that's what keeps me away from meals like barbecued ribs (though I dearly love them) and pasta. Just didn't like that feeling more than I liked the food. So if the opportunity (wife's meal) presents itself and I'm really jonesing for it, I'll have a bite or two. But I know how I'll feel when I eat much more of it and that's enough to ward me away. That part is tough, though, and actual positive reinforcement is not immediate. It does come, however, when my opthalmologist marvels at how good my eyes look for a diabetic in his 60s or when my GP calls me a poster child for her other diabetic patients.
It's tough. Nobody asks to have to modify their natural urges like this. People don't beg to have to apply sunscreen to their bald heads, either. You run with what you've got. You may not be happy about it but you do it in the hopes that what you do is better for you than what you don't do.
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