Diet and Health FAQ

Tagged As: sample diabetic diet

Question:
New doc called me in for a BG test this morning. He had just got recored from last doc. BG was 136 in July and I was told everything was OK. I asked for a diet. It does not have any fruit exept cherries, banana, grapes and apple. I cannot eat banana. It listed 4 oz. orange juice and other juices. Whatever became of oranges and grapefruit? I eat whole fruit because of the nutrients that have been strained out of the juice. Where can I get an ADA diet? I also need to lose about 30 to 50 pounds. Thanx. Betty

Answer:
Betty... The single biggest question a diabetic has to answer is: What do I eat? Unfortunately, the answer is pretty confusing. What confounds us all is the fact that different diabetics can get great results on wildly different food plans. Some of us here achieve great blood glucose control eating a high complex carbohydrate diet. Others find that anything over 75 - 100g of carbs a day is too much. Still others are somewhere in between. At the beginning all of us felt frustrated. We wanted to be handed THE way to eat, to ensure our continued health. But we all learned that there is no one way. Each of us had to find our own path, using the experience of those that went before, but still having to discover for ourselves how OUR bodies and this disease were coexisting. Ask questions, but remember each of us discovered on our own what works best for us. You can use our experiences as jumping off points, but eventually you'll work up a successful plan that is yours alone. What you are looking to discover is how different foods affect you. As I'm sure you've read, carbohydrates (sugars, wheat, rice... the things our Grandmas called starches) raise blood sugars the most rapidly. Protein and fat do raise them, but not as high and much more slowly... so if you're a T2, generally the insulin your body still makes may take care of the rise. You might want to try some experiments. First: Eat whatever you've been currently eating... but write it all down. Test yourself at the following times: Upon waking (fasting) 1 hour after each meal 2 hours after each meal At bedtime That means 8 x each day. What you will discover by this is how long after a meal your highest reading comes... and how fast you return to normal. Also, you may see that a meal that included bread, fruit or other carbs gives you a higher reading. Then for the next few days, try to curb your carbs. Eliminate breads, cereals, rices, beans, any wheat products, potato, corn, fruit... get all your carbs from veggies. Test at the same schedule above. If you try this for a few days, you may find some pretty damn good readings. It's worth a few days to discover. Eventually you can slowly add back carbs until you see them affecting your meter. The thing about this disease... though we share much in common and we need to follow certain guidelines... in the end, each of our bodies dictate our treatment and our success. The closer we get to non-diabetic numbers, the greater chance we have of avoiding horrible complications. The key here is AIM... I know that everyone is at a different point in their disease... and it is progressive. But, if we aim for the best numbers and do our best, we give ourselves the best shot at heath we've got. That's all we can do. Here's my opinion on what numbers to aim for, they are non-diabetic numbers. FBG under 110 One hour after meals under 140 Two hours after meals under 120 or for those in the mmol parts of the world: Fasting Under 6 One hour after meals Under 8 Two hours after meals Under 6.5 Recent studies have indicated that the most important numbers are your after meal numbers. They may be the most indicative of future complications, especially heart problems. Listen to your doctor, but you are the leader of your diabetic care team. While his /her advice is learned, it is not absolute. You will end up knowing much more about your body and how it's handling diabetes than your doctor will. Your meter is your best weapon. Just remember, we're not in a race or a competition with anyone but ourselves... Play around with your food plan... TEST TEST TEST. Learn what foods cause spikes, what foods cause cravings... Use your body as a science experiment. You'll read about a lot of different ways people use to control their diabetes... Many are diametrically opposed. After awhile you'll learn that there is no one size fits all around here. Take some time to experiment and you'll soon discover the plan that works for you. Best of luck!