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Discussion Starter · #1 ·
I am at a crunch point with my diabetes in that if I can’t get my figures down, I will go onto the insulin with all the weight gain inherent.

Guess what? I don’t want the insulin. So I am trying a new diet, one I never thought I could cope with. And it’s working. Basically, I’ve cut my calories down to a miniscule amount, but I don’t know how long I can keep this up. However, I don’t understand how else the gastric band works.

Now, I know that people who have had the operation will of course be guided by their doctor in terms of nutritional content. Because my knowledge of food isn’t that bad, I know that fruit and vegetables alone is not a healthy diet. I have to add in other things, although I have at last divested myself of the dreaded carb. I will be getting a small amount from my veggies, but without potatoes, bread and pasta in there, I won’t be getting too much. However, I can’t see that there is much of a difference between someone who has had the operation and someone who simply uses their will power alone to keep to a tiny diet. I mean, they must have bodies which can cope with tiny amounts of food, so therefore our bodies must be able to keep going despite only a tiny intake.

I have been informed by my doctor that a) I am not eligible for the gastric band, despite confirming that most people who have it are ‘cured’ of their diabetes (I use the quotes because I don’t believe you can be cured of diabetes, only that you can live a lifestyle which is uncomplicated by the condition – a small clarification but one which is important. If one were able to stretch one’s stomach, and go back to eating an appalling diet, I’m sure one would soon get the diabetes back) and this is because my BMI is still too low. B) The NHS is now looking to compromise my lifestyle (and of course all other diabetics) in order to save money. So, one solution for me would be to take a certain insulin and the Byetta together, a treatment I was offered before going to the specialist, but this is now being withdrawn because of costs. I might sill be able to get it, but I wonder, for how long? C) I can get the gastric bypass regardless of my BMI if I have the odd 10k lying around. So whilst they are emphasising the BMI stuff, it is really all about the costs, folks. I wouldn’t mind so much if it weren’t for the fact that the doctor confirmed that through the weight gain, I have the potential to lose my ability to work, to support myself and I would eventually end up on state benefits in the end. The alternative is that they could give me an operation which would ensure that none of that would happen. The logic of this is gobsmacking to me. They are removing a potential source of income and adding to the drain on their resources. This just does not make sense.

I am going to have a look at some anorexics’ websites, because although I don’t encourage anorexia, or suggest that’s what we should become, they are coming at my problem from a different angle. For example, all anorexics obviously eat too little, but they could be helped by ensuring that they at least get the right vitamins and minerals. They already know how to survive on minimal amounts of food. Their problem is that they can’t increase it when necessary and that they may gain such illness like rickets.

I have only to add that my figure last night was 5.4 and this morning it was 5.8. I have never achieved such a low figure before, so something is working. It would be nice just to lose the weight so that any gain could be coped with, but since the weight gain is potentially never ending, that’s no help.

My biggest fear is that I will suddenly find my figures going up, since the specialist is now insisting that I go back onto another medication before the insulin which will definitely ALSO make me gain weight. I don't get the advantage of putting on lots of weight and then putting on lots of weight. My only objection to insulin is weight gain.
 

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Are you familiar with Dr. Richard Bernstein's book, The Diabetes Solution? He outlines a very-low-carb (under 30 grams a day) approach to managing your blood sugars that can assist in getting your BGs under control--even using insulin--while avoiding weight gain.
 

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Here is a link to a post I recently made about gastric bypass.

Take it from someone who has tried every diet in the book, cutting calories down too low or cutting the amount of food down too low will not help you lose weight. Your body will think you are trying to starve it and will hold onto the fat, not to mention the fact that it is very unhealthy in lots of ways when you don't eat enough food or take in enough calories. Many of us are on a low carb diet and have lost lots of weight without even trying, and without starving ourselves, but I wouldn't advise 'inventing' your own low carb diet. I have been on the Adkins diet from when I was diagnosed 6 months ago. It is a lot like Dr. Bernstein's diet, that ShottleBot recommended. The Atkins website has the diet plan right there and it tells you what you can and can't eat. It is a healthy diet, will help you get your bg down and also lose weight, and many people at the forum are either on Bernstein or Atkins.

I am type 2, not taking any meds and not on insulin, and there are others on the forum who have managed to stay off meds and insulin, and have been losing weight, we do it with exercise and a low carb diet.

If junk food is a big temptation for you as it is for me, in the recipe section of the forum you will find low carb recipes for things like pizza, Doritos, ice cream and just about any treat or sweet you can name. Even though these recipes are low carb and healthy, they do taste good.

Some type 2's have to take meds or insulin, they have no choice. If you do a sensible low-carb diet and still cannot get your bg to go down and stay below 140 (6.5), you really should take meds because at 140 and above, damage is being done to your body.
 

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Discussion Starter · #4 ·
Here is a link to a post I recently made about gastric bypass.

Take it from someone who has tried every diet in the book, cutting calories down too low or cutting the amount of food down too low will not help you lose weight. Your body will think you are trying to starve it and will hold onto the fat, not to mention the fact that it is very unhealthy in lots of ways when you don't eat enough food or take in enough calories. Many of us are on a low carb diet and have lost lots of weight without even trying, and without starving ourselves, but I wouldn't advise 'inventing' your own low carb diet. I have been on the Adkins diet from when I was diagnosed 6 months ago. It is a lot like Dr. Bernstein's diet, that ShottleBot recommended. The Atkins website has the diet plan right there and it tells you what you can and can't eat. It is a healthy diet, will help you get your bg down and also lose weight, and many people at the forum are either on Bernstein or Atkins.

I am type 2, not taking any meds and not on insulin, and there are others on the forum who have managed to stay off meds and insulin, and have been losing weight, we do it with exercise and a low carb diet.

If junk food is a big temptation for you as it is for me, in the recipe section of the forum you will find low carb recipes for things like pizza, Doritos, ice cream and just about any treat or sweet you can name. Even though these recipes are low carb and healthy, they do taste good.

Some type 2's have to take meds or insulin, they have no choice. If you do a sensible low-carb diet and still cannot get your bg to go down and stay below 140 (6.5), you really should take meds because at 140 and above, damage is being done to your body.
Hiya, thanks for your answers, I will try the Bernstein diet. I am currently losing weight, despite a low calorie diet, I just feel as though I am being pushed into a life style which is not healthy for me anyway. Being too fat to do anything, let alone exercise, sounds unhealthy to me, along with being too fat to do anything except exist. What kind of life is that? Why should I strive to hold on to such a life?

Junk food doesn't tempt me, it's ordinary food. It's a certain amount of food. I can't seem to get it right, but I would rather damage my body through too little food than having insulin.

I would rather end up in hospital or in a coffin than be abandoned by the medical services when I look like Jabba the Hutt but my sugar levels are fine.
 

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I just feel as though I am being pushed into a life style which is not healthy for me anyway. Being too fat to do anything, let alone exercise, sounds unhealthy to me
If you can walk, you can exercise. If you have trouble walking, then do whatever you have to do to keep your body moving around as much as you can during the day and count that as your exercise.

When you talk about an unhealthy lifestyle, I hope you aren't talking about eating low carb because there is scientific evidence that backs up the fact that a low carb diet is the healthiest diet around, and not just for losing weight and not just for diabetics. If you go to Blood Sugar 101 and do some reading, you will see that this is true.

I hope you have given up the idea of trying anorexia. You are talking about wanting a healthy lifestyle, that sure won't get it for you, it would just end up ruining your health even more.

I know you are upset about being overweight, but it didn't happen overnight and the weight doesn't come off overnight, even with bypass. But if you eat low carb, it is your best chance for losing weight in a healthy way and keeping your bg down as a bonus. And if you stick to it, I believe you will lose weight faster than you think. Give it a week, stay on it faithfully, then step on the scale and see what the result is, I think you will be pleasantly surprised.

Stress can cause your bg to go up, so I hope you can calm yourself down and stop being angry at your doctor and put those emotions into something positive, like determination that you are going to put your all into losing weight. Many of us at the forum are overweight, and we all have diabetes, so we have some of the same struggles as you. All any of us can do is take it one day at a time.
 

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In addition to low-carb, my focus is mainly high fat. The two together have lots of benefits:
  1. It prevents overeating naturally because of greatly increased satiety from food.
  2. It encourages the body to use fat for energy instead of glucose.
  3. You can eat as much or as little as you want and no real discipline is required.
  4. Energy and mental alertness become very elevated even greater than a full-calorie "balanced" diet.
  5. Body weight stabilizes where it belongs
  6. Preserves lean muscle - any weight lost comes from fat, not muscle

Even though you may lose weight on a starvation (extremely low calorie) diet you need to be concerned about where you lost it from. Chances are that much of it was from lean muscle - part of the normal reaction to starvation.
 
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I agree with smorgan. We have been taught that fat will make us fat, but it is carbs that actually make us fat. But it is important that you eat the right kinds of fat. Real mayo instead of things like Miracle Whip, real butter instead of margarine, heavy cream instead of milk, coconut oil is considered by many on the forum to be the best oil to use. Eggs, sausage, bacon. Real cheese instead of processed, etc. This is the opposite of what we have been taught, but if you go to the website I suggested in my earlier post, it will be explained to you.

Our bodies burn carbs for energy, but when you cut way down on carbs, it burns fats and protein for energy, including burning our body fat. I'm sure someone else could explain it better, but you get my drift.
 

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Mayfly? You said you have at last divested your diet of the dreaded carb. Good for you!That is why your numbers have sunk down into the 5s. As long as you continue to strictly avoid carbs, your numbers will be safe. Once you have accepted this, then let's go on & explore the complete low-carb ethic. As Salim & Gizmo have explained, fats are not the enemy. Neither is protein. So you're safe to increase your intake of both protein & fats without jeopardizing your low BG.

Here comes the paradox (meaning something that seems self-contradictory or absurd but in reality expresses a truth) about eating low-carb/high-fat. You WILL lose weight. I have, my husband has, most of the people on this forum have. It comes with the LC/HF package. Without conscious effort, the weight comes off. You just concentrate on eating as much protein as you like, including whatever fats enhance the meal, and the weight will come off. Thumb your nose at the doctors with all their medications - once you get on the low-carb/high-fat regimen, they'll be the ones who are gobsmacked at your results.

Please please get away from the anorexia/miniscule calories notion. Even if it works at first, it can't last. You have said you may not be able to keep it up. Please take a week or two on Dr. Bernstein's diet. After the first week you'll be a believer. If Dr. Bernstein doesn't trip your trigger - an Atkins-type method will accomplish the same ends.
 

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Being too fat to do anything, let alone exercise, sounds unhealthy to me, along with being too fat to do anything except exist. What kind of life is that? Why should I strive to hold on to such a life?
This makes me so sad. I see myself in these statements the last couple of years and it's painful. I piled on so much weight due to undiagnosed diabetes and suffered that sort of depression because of it. The fatter I got, the less I could move, the more desperate I felt.

The reason I repeatedly say that diabetes is the best thing that happened to me in the last year is because it broke that destructive thinking. Gizmo is right. If you can walk you can exercise. The issue is finding the energy to do it, and that's where cutting out the carbs and eating fat and protein come in.

I changed my diet in 24 hours after diagnosis. I went from being exhausted all the time to having energy and feeling the weight drop off. I've lost almost 50 lbs this year and didn't even try. Seriously. It was a bonus.

What I focused on was diabetes, that's it. I obsessed on my meter, changing my diet, finding exciting new ways to cook and eat, and getting satisfaction from my plummeting numbers. I weighed only when I was at the doc's or near someone else's scale, maybe once every couple of weeks. I've never lost weight this painlessly.

Smorgan is right - appetite and cravings take care of themselves when you eat enough calories from fat and protein and cut the carbs.

I'm now so comfortable and secure with this way of eating that the last couple of weeks the scale showed me up 5 lbs. Before I would have panicked - now? Nah. I just kept keepin' on, convinced my body would right itself and it did. It all came right back off in a week, plus a lb or 2. If it took longer, I was prepared to wait. I have 25-40 lbs left to lose, or whatever my body decides is right, and I know it will happen.

Based on what charts say my bmi should be, I would have been a candidate for gastric bypass, so you are not fatter than I was.

The important thing is: I have energy and friends tell me I look great (even more than the lost weight, I look healthier). I feel great.

You can do this. Focus on your health not the weight, and the weight will take care of itself.
 

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Discussion Starter · #10 ·
No, no, unhealthy lifestyle to me is being 25 stone, unable to move but with low sugars. That to me is unhealthy. I worry about the guy in the paper who ended up unable to walk because he was so overweight - his choices were cut for him, and my doctor simply won't deny that I could end up in the same position.

I have ordered the first Dr Bernstein's book, which I hope will work for me. I had a large supper yesteray - some fish, some sweetcorn, corgettes, peppers and a mushroom, and my sugars at bedtime were 6.1. However, during the day I had been for a long walk, had some homemade vegetable soup and then had a fig. Two hours later my sugars were 9.2. I'm guessing it was the fig.

I think the starvation I tried has at least taught me that I can do without so much food, and also to treat food as a necessity rather than basing my life around it. I think I consider my portions to be smaller, whereas you guys would probably look at what I ate and think I was eating WAYYY too much!

I look forward to my book arriving (August 4th or earlier) and to starting an actual proper diet, although I'm going to keep to a strict one for the moment and re-adjust as I go on. For example, I had some walnuts yesterday (HIGH FAT, I'm thinking) which didn't spike me at all.

All I want is for my body to stop needing more and more exercise to get the same effect. Like walking these days just doesn't get the levels down. Only cycling has an effect. But I think the book suggests some exercise routines? If the diet is cheaper as well, I can afford to go back to swimming and maybe the gym (for those days when I don't get a cycle ride for whatever reason). My only worry about high protein is that it may mean more money. I know there are cheaper sources, but I seem to have some odd reactions. Eggs seems to spike me for some reason.

Thanks for the encouragement, if I could at least maintain my current weight, I could live with that.
 

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Discussion Starter · #11 ·
Oh, forgot to add - does dehydration effect levels? I was craving some water when I got in, but didn't have any before the fig. Then of course felt massively thristy and stupidly didn't drink anything. However, I had some fruit juice with my supper with lots of water, but my levels were still lower than with the fig. I've noticed before that drinking mineral water seems to produce a lower figure. Unless it's just a co-incidence.
 
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