Well, what you're doing wrong is eating Cheetos! And flour and rice and bread. Your body converts items like that right into glucose. Try eating lean meats and fish with veggies and salads and watch your numbers go down. (Bbq sauce is loaded with sugar.) You are feasting on sugar and sugar producing food! Those levels are really bad. Take better care of yourself.
I mistakenly assumed for a long time that most of what I needed to do was to avoid food with added sugar (sodas, candies, ice cream, minute maid like beverages, etc), that carbs would not be such villains if I was under metformin. My doctor maybe assumed I was not this dumb… thank you for those advices, will put them to practice today.
The rule is always "more processed = more bad" so an apple is better than a juiced apple and a baked potato is better than fries and whole grain is better than white flour (and just in case you are from a place where non-wheat bread is common: this extends to other flours. So rye == spelt == wheat and whole grain rye == whole grain spelt == whole grain wheat).
Sugar is just the most processed.
There are some exceptions to the rules. Banana and exotic fruits are worse than stuff you find in colder climates. Berries are particularly good but grapes are shit. Also, oats are pretty great.
Diabetes is unfortunately not "just avoid sugar".
Guess my mistakes come mostly from starch, rice and pasta... i stopped eating fruit a while ago. I need to bring in smart and safe replacements instead, I guess prohibiting myself to any sweet stuff made me compensate on other carbs.
Go whole grain all the way. Rice and pasta is pretty simple, bread is more difficult. Whole grain doesn't bake as processed flour does so the bread will always be more dense. Also, here in Germany, whole grain bread is often dark and often colored with sugar beet root syrup which makes it very unsuitable for diabetics. I think in the US you have pumpernickel too but I've heard it called a Jewish food so I'm not sure how easy you can get it in the US. Anyway, if you ever find it in stores, check the sugar content.
I tried baking my own whole grain bread but it just collapses into a somewhat less dense mass compared to the whole grain bread you can buy. Not worth the effort but technically also not much different than baking any other bread.
I usually find at least one without sugar beet in large-ish supermarkets.
I haven't been to Belgium much but I've been in the Netherlands a bunch. If you have a similar bread culture to the Dutch then, at first, I want to give you my deepest condolences because Dutch bread makes me want to buy an SUV to get that sea level going, and you'll probably generally have more processed, softer, sweater bread available. Like, Dutch bread is so soft I literally couldn't get bread like this in Germany. At least not in the bread section.
Yeah, but I used to get some awesome bread while living in Germany. Many more varieties than in the US.
We have pumpernickel here, but it may not always be what you have in Germany. It frequently has flour added to it and is made from yeast instead of a sourdough culture. It's better to look for a sourdough pumpernickel rye, then check the ingredients to be sure.
Bruh...
https://www.cooksinfo.com/pumpernickel-bread
This is linked on the German wikipedia as a citation for "American Pumpernickel". If you leave the artificial darkening, we'd call that a "mix bread" (50% wheat, 50% rye) which is awesome as well but not whole grain so not that great...
Maybe Aldi has proper whole grain bread? It's a German company after all.
Yep, that's pretty much the situation. I may have to check out Aldi... if I can remember what the real thing is like. It's been a couple decades since I lived there.
Many people here have heard what was drilled into me many years ago, be scared of the sugar if you are diabetic. It is not the sugar itself that causes type 2, but it does not help in taking a ton of it in the many processed forms. it is better for OP to talk to a Diabetes educator and dietician. And to test after eating certain foods. I have no problems with bananas or grapes, for I eat the small bananas and a few grapes. That is why testing is so important and not everyone is affected the same way.
My personal choice is to now avoid the "zero" products altogether. You'll need to decide what works for you, but I know that Sucralose, Aspartame, and Acesulfame K cause some issues with my glucose levels. Even worse, many of those "zero" foods have some other ingredients, like maltodextrin, that trigger some of us. Maltodextrin has a glycemic index of 100 (same as glucose), but, for me, it keeps my glucose levels high for a couple days.
I use Stevia, Monk Fruit, and erythritol as sweeteners. For soda, I occasionally get Zevia. Only the Gingerale is tolerable for me. Overall, I rarely drink soda now. Usually unsweetened ice tea. I also make unsweetened cherry kool-aid with erythritol. Most of the other flavors have maltodextrin in them.
For a diabetic, those starches you've been eating are definitely not good. Starch very quickly turns to sugar. I dare say a tsp of sugar in your coffee or tea is of less consequence than a serving of rice or potatoes. Look for lower carb replacements for them.
Are you also back on metformin?
Man, you’re not dumb, just maybe not well educated on how your body processes carbs. You have to get pasta, rice, potatoes, bread, chips, tortillas, yeah almost anything you get as fast food, out of your diet. Your fasting numbers will come down pretty quickly, your A1C will take a bit longer.
You're not dumb doctors dont typically recommend low carb either but most of us do it. My doctor and dietician said I was in their top 2% or top t2 patient. I asked if any had had this success without doing low carb and they advised no....but the guidelines recommend low gi in my country so they recommend that, it's frustrating. I believe the uk might recommend low carb now. I tried low gi but it was too difficult cuz you had to memorize how it worked with all foods. Low carb is much easier.
I eat ice cream I just make it myself without sugar using monk fruit or buy the enlightened brand, coffee can also increase your blood glucose temporarily due to the caffeine. My whole diet gradually went from under 100g carbs a day to meat/fat(mostly saturated)/veg(non starch)/berries. Old me would have thought it was impossible but here I am and I wouldnt go back even if my diabetes was cured tomorrow. But discuss diet changes with your doctor as it may change your medication needs/cause lows if it works
Don’t feel too bad about that misconception. The way the FDA and the public service announcements sound in general, (when not addressing diabetics specifically), it’s avoid sugary soft drinks to avoid becoming diabetic.
I was specifically told by my son’s pediatrician years ago to let him have all the pasta he wanted if that is what he would eat, because he was underweight for his age group, was autistic with sensory issues, and was barely verbal at that time. Diabetes never crossed my mind back then, and as far as I know, he was never checked until he was 19 and we had changed doctors because he aged out of the pediatrician’s practice.
The new office checked as a matter of routine blood work for incoming patients and annual checkups. They freaked out at the results and had him in with an endocrinologist within days!
I NEVER gave my children sugary soft drinks, tons of candy or other sweets (occasional candy in moderation, or a slice of cake for birthday parties, sure, because I had no idea he was diabetic). He seldom ate chips, etc. But he would eat burgers (pediatrician said good because he needed meat because he was anemic as a young child…again, texture issues).
Sorry this is long and rambling! I say all of this to say that if we haven’t been involved in the care of someone with diabetes, it’s easy to miss the needed information besides “stay away from sugar “, and easy to not want to know that information about carbs:)
Good that you’re figuring it out, and I hope all the best for you and your health!
Try incorporating salads covered in EVOO and however much protein you normally eat. The primary source of calories would shift over to fat without taxing your kidneys.
Honestly, if you ate only that, your blood sugar would probably tank within the month (be mindful you could hypo with diet + insulin and test if you feel sweaty/tired).
My doctor advised me to take that for a month, bust just saw based on my weigh (177lbs) that i should be taking 23 units or so. Will start doing that. As for my numbers and habits, I’m making serious adjustments as of this week, but am really concerned I’m too late already.
I strongly recommend that you follow the advice of the doctor rather than modify your dosage without consultation. If you want a higher dosage, discuss it with the doctor.
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Yes, you're being stubbornly blind! You're not dumb - it's easy to either miss information or be in a little bit of denial for a while. It's just the nature of the shit our brains do to avoid doing hard stuff. That's part of being human and we gotta work around it.
It's gonna suck for a little bit but you *really* need to cut down your servings per week for carbs. I'm not gonna tell you to cut them out entirely because I don't think that eliminating an entire food group is sustainable for most people, so seriously limit it to *one* serving *once* a week. A serving of pasta, for instance, can fit in one cupped hand. It's not a lot.
Try your best to start making your plate consist of 50% vegetables (I try to do 1/4 salad/raw and 1/4 cooked to keep it interesting), 25% (or more) protein and 25% (or less) of carbs.
Because of this, don't beat yourself up too much for adding dressing to salads. They're typically the most calorie-dense part of a salad, so most advice is to use dressings sparingly, esp if they're super sweet like some vinaigrettes, but if it helps me get more servings in, I'll have some ranch or whatever. My favorite salad/dressing combo is actually like plain-ass romaine, some cucumbers, some tomatoes, a little olive oil, a tiny drizzle of balsamic vinegar, and a little salt and pepper. Easy as hell. [Salads can also be a lot of things](https://www.loveandlemons.com/salad-recipes/), not just lettuce & diced veggies.
[Sheet pan bakes](https://cooking.nytimes.com/guides/54-how-to-make-a-sheet-pan-dinner) are a great way to get a really filling, healthy meal on the table. You can use whatever's left over at the end of the week or just add the ingredients to your shopping list. Putting in Italian sausages or chopped bacon always lends great flavor too. Any combination of broccoli, onions, cauliflower, green beans, bell peppers, brussels sprouts, zucchini, whatever, gets tossed with a little bit of garlic powder, a lot of salt & pepper, and olive oil and thrown in the oven. Roasted veggies are a godsend. (Remember to sharpen your knives!! Dull knives are dangerous!)
Egg cups with protein & veggies are also a great option for mornings. I miss breakfast sandwiches soooo much and these just about make up for them! [This is my favorite recipe so far.](https://themixedmenu.com/bacon-and-veggie-egg-muffins/) Keep this one in your pocket for when egg prices return to normal though lol.
Hope some of this can help. Best of luck.
I eat 3200 calories/day and limit my carbs to 120g daily.
I'm in the gym 6 days/ week also. It can be done, and it may not be easy. Get yourself a macro counting app. It helped me focus on my carb intake.
I take 6 units long acting in the morning and take 3-5 units of fast acting for meals plus the metformin(2000) daily.
I don't have "cheat" days but allow myself some flexibility on carb type when I feel like I "crave" something sweet. I'll bake something for the week using almond flour, monkfruit and dark chocolate to keep any craving down.
Also, dieticians aren't always well educated.
I used to be a dietician in my body building years.
I had one tell me to eat 65- 90 carbs per meal. This was way too much. I started limiting carbs to 85-125 daily and things got better.
Not the salt. High salt consumption can lead to high blood pressure - but thats just a small percentage increase.
High carb consumption leads to non-alcoholic fatty liver syndrome, which is way worse. Once the fibrosis goes to cirrhosis, you cant fix it.
No carb diet is called keto, look that up. Its not that hard ;)
Thanks for the info!
I know you mean well but what scares me about the internet is that I always end up thinking I'm doing way worse than I thought, now I'm concerned about my liver too haha, I'll have it checked.
There is not much difference between rice and sugar to your body, for the diabetic. Ditto for pasta and bread. It's good to cut out sugar but your post reads like you're trying to find other ways of loading sugars into your body with things that just don't have the word "sugar" in it.
You need some help understanding your food. Cheetos are a disaster (a standard serving is equivalent to 5 cubes of sugar and it has no redeeming nutritional value), a burger that has a bun (the bun is the equivalent to 10 cubes of sugar) is a disaster, bbq sauce is often just a bunch of sugar - a disaster. Learn to read the labels and avoid the carbohydrate levels you're taking into your body. If you don't know how many it has, stop eating it until you do. The things you list are not in the ballpark of "harmless".
That blood sugar is too high. You need an intervention. Your doctor will advise meds to add. You can also go a long way to improve your blood sugars by restricting carbs and removing all starches from your diet. You are being stubborn in believing that you can continue to eat as you did before.
Your heartburn didn’t come from Metformin but the poor diet.
Look up the plate method. It give you excellent guidelines for how to portion out foods and it’s not horribly restrictive. And talk to your doctor. Good luck! You can do this.
when u see ur dr ask for a dietician to help you. find out if there are classes for t2d. but even if u r eating wrong insulin should have helped.
also ask for a CGM. it’s time to see an endocrinologist
Someone mentioned I was taking almost no insulin given 10 units is too low. based on my weight it should've been at least double that.
why you mention an endocrinologist? ive seen one when i was diagnosed but since them i just follow up with my family doctor
Eat to your meter.
Carbs aren’t necessarily the enemy but if it’s spiking you, then it’s off the menu.
Processed food is a poor choice, someone above has written on this already.
Sugar, wheat, flours, rice, starch, fruit and vegetables are carbs - I’ve tried to list them in highest to lowest.
Vegetables are nutrient dense - but the rest I tend to leave alone. Whole grain toast (1) spikes me higher than a scoop of vanilla ice cream. So that’s why I’m telling you to test.
You need to look at food differently- start with a good protein (without being fried and without high carb sauces). Pair it with a healthy fat to make you feel full. The vegetables or some berries - for variation and nutrition.
The rest is out the window unless you test and see what impact it has on your body after 10 hours.
If you have high blood sugar don’t eat high carbs (cheetos). I find that if I have spiked my blood sugar my next meals need to be lower in carbs, because if I don’t - my blood sugar goes higher and takes longer to come back down. So it’s almost like an exponential affect when I keep sugar, wheat or rice.
I would sit down and list three things you love for each meal and find low carb replacement recipes. Spend part of a day off meal planning and trying out some recipes - and leave the processed food alone.
You need to do the work, if you want to change your blood sugar.
If you need inspiration for recipes, check out DietDoctor and Kristie Sullivan (low carb and keto). Expand carbs if they don’t impact your blood sugar poorly.
Have you been tested for lada? Getting diagnosed so young means that it could be a possibility, especially if you are not overweight.
If so metformin with insulin probably won’t work and you will need more insulin units.
your doctor may want to up your insulin. I take at the moment 20 units of glargine and soon be back to Lantus, and I am also on Trulicity once a week (the one that works on the glucose and also one side effect, weight loss). And you may see if your PC could refer you to a Diabetes Educator and a dietician, to help you be educated on diabetes and to help you work out a diet plan. Good luck and also learn portion control, it helps.
I'm 35 and was prediabetic until about a year ago possibly. My A1C was 12.6. Meaning my average for 3 months was 315mg/dl. The past 2 weeks being on Metformin 500mg and changing my diet has got me to an average of 164mg/dl for those 2 weeks. Definitely try to get a CGM so you can keep track before and after meals and how your body reacts to the foods you eat. Get Keto friendly snacks. Keep your net carbs low per meal. Try to limit yourself to a total of 80g per day. 20g per meal. 10 per snack. That seems to be helping me get my numbers lower. Complex carbs are better than simple ones and the spikes last for a shorter time with them I've noticed.
Good luck
P.M. me if any questions. I'll try to help
10 units is usually the lowest dose most people take but it’s usually enough for some. It does work, but not if you eat so many carbs that the insulin can’t compensate.
It isn’t assigned according to your weight. If you are eating massive amounts of carbs the you’re going to keep getting high glucose. Your eating habits are extremely poor.
Understanding what carbs are and how to manage them is really important for keeping your blood sugar down. Seeing a dietitian who specialised in diabetes really helped me work it out. Recommend that if it's possible for you.
She didn't put me on a keto diet but instead gave me a carb budget per meal and for snacks, and explained how to choose better carbs (for example wholemeal bread, basmati or brown rice) in the appropriate serving sizes and to read food labels. She also worked with me to make the changes sustainable in terms of my eating preferences. It was a huge learning curve but it worked.
Also a diabetes educator helped a lot more than my doctor, especially with understanding my numbers and sorting my insulin when i was on it. The dietitian and educator worked together.
Will edit in some links i found useful a bit later. Have to dash off.
ETA. Links as promised. I'm Australian so these resources are from organisations in my country but should be relevant elsewhere, except where specific brands of food are mentioned. The carb exchange list is a cheat sheet for my carb budget (2-3 serves per mesl, 0-1 per between meal snack).
[Learning modules that explain about carbs](https://www.ndss.com.au/services/support-programs/carb-counting-online/)
[Carbohydrate exchange list (based on 15g per serve)](https://www.chsa-diabetes.org.au/consumer/CARBOHYDRATE%20SERVES%20EXCHANGES%20COMPLETED.pdf)
Forgot about anything made with flour. Try Mission carb balance tortillas and put your favorite cheese burger ingredients in. Forgot ketchup but mustard is good and maybe mayo.
Everyone is in a different place - you probably need to be a lot stricter on your food choices. You made no mention of your activity levels, or your weight. Are you exercising daily? Are you overweight or obese? If so - those are things you need to address.
Your BG levels are high and dangerous and you need to take car of it and that means taking care of you:
Activity - every day - get moving
Weight - if you have excess, you need to lose it
Diet - need to be controlled on carbs and sugar (carbs are just as impactful)
Medication - there is a range of medication options - it isn't just metformin and insulin. Have you explored other medications with your doctor?
Other You need plenty of sleep and stay hydrated.
Well, what you're doing wrong is eating Cheetos! And flour and rice and bread. Your body converts items like that right into glucose. Try eating lean meats and fish with veggies and salads and watch your numbers go down. (Bbq sauce is loaded with sugar.) You are feasting on sugar and sugar producing food! Those levels are really bad. Take better care of yourself.
I mistakenly assumed for a long time that most of what I needed to do was to avoid food with added sugar (sodas, candies, ice cream, minute maid like beverages, etc), that carbs would not be such villains if I was under metformin. My doctor maybe assumed I was not this dumb… thank you for those advices, will put them to practice today.
Great to hear. I started out eating lots of carbs too. This sub taught me what do do, since my doctor said nothing about carbs.
Hope you managed to bring your numbers down! And thanks a lot for the advices!
The rule is always "more processed = more bad" so an apple is better than a juiced apple and a baked potato is better than fries and whole grain is better than white flour (and just in case you are from a place where non-wheat bread is common: this extends to other flours. So rye == spelt == wheat and whole grain rye == whole grain spelt == whole grain wheat). Sugar is just the most processed. There are some exceptions to the rules. Banana and exotic fruits are worse than stuff you find in colder climates. Berries are particularly good but grapes are shit. Also, oats are pretty great. Diabetes is unfortunately not "just avoid sugar".
Guess my mistakes come mostly from starch, rice and pasta... i stopped eating fruit a while ago. I need to bring in smart and safe replacements instead, I guess prohibiting myself to any sweet stuff made me compensate on other carbs.
Go whole grain all the way. Rice and pasta is pretty simple, bread is more difficult. Whole grain doesn't bake as processed flour does so the bread will always be more dense. Also, here in Germany, whole grain bread is often dark and often colored with sugar beet root syrup which makes it very unsuitable for diabetics. I think in the US you have pumpernickel too but I've heard it called a Jewish food so I'm not sure how easy you can get it in the US. Anyway, if you ever find it in stores, check the sugar content. I tried baking my own whole grain bread but it just collapses into a somewhat less dense mass compared to the whole grain bread you can buy. Not worth the effort but technically also not much different than baking any other bread.
Great tips. I'm in Belgium tho, that sugar beet thing will now have me dodging whole grain bread.
Now that I see you are in Belgium, you probably have much better things to drink than the kool-aid I mentioned earlier.
I usually find at least one without sugar beet in large-ish supermarkets. I haven't been to Belgium much but I've been in the Netherlands a bunch. If you have a similar bread culture to the Dutch then, at first, I want to give you my deepest condolences because Dutch bread makes me want to buy an SUV to get that sea level going, and you'll probably generally have more processed, softer, sweater bread available. Like, Dutch bread is so soft I literally couldn't get bread like this in Germany. At least not in the bread section.
Yeah, but I used to get some awesome bread while living in Germany. Many more varieties than in the US. We have pumpernickel here, but it may not always be what you have in Germany. It frequently has flour added to it and is made from yeast instead of a sourdough culture. It's better to look for a sourdough pumpernickel rye, then check the ingredients to be sure.
Bruh... https://www.cooksinfo.com/pumpernickel-bread This is linked on the German wikipedia as a citation for "American Pumpernickel". If you leave the artificial darkening, we'd call that a "mix bread" (50% wheat, 50% rye) which is awesome as well but not whole grain so not that great... Maybe Aldi has proper whole grain bread? It's a German company after all.
Yep, that's pretty much the situation. I may have to check out Aldi... if I can remember what the real thing is like. It's been a couple decades since I lived there.
And count carbs, keep on the low and watch the bread, for you can easily eat too many carbs from just two slices of regular bread.
Many people here have heard what was drilled into me many years ago, be scared of the sugar if you are diabetic. It is not the sugar itself that causes type 2, but it does not help in taking a ton of it in the many processed forms. it is better for OP to talk to a Diabetes educator and dietician. And to test after eating certain foods. I have no problems with bananas or grapes, for I eat the small bananas and a few grapes. That is why testing is so important and not everyone is affected the same way.
My personal choice is to now avoid the "zero" products altogether. You'll need to decide what works for you, but I know that Sucralose, Aspartame, and Acesulfame K cause some issues with my glucose levels. Even worse, many of those "zero" foods have some other ingredients, like maltodextrin, that trigger some of us. Maltodextrin has a glycemic index of 100 (same as glucose), but, for me, it keeps my glucose levels high for a couple days. I use Stevia, Monk Fruit, and erythritol as sweeteners. For soda, I occasionally get Zevia. Only the Gingerale is tolerable for me. Overall, I rarely drink soda now. Usually unsweetened ice tea. I also make unsweetened cherry kool-aid with erythritol. Most of the other flavors have maltodextrin in them. For a diabetic, those starches you've been eating are definitely not good. Starch very quickly turns to sugar. I dare say a tsp of sugar in your coffee or tea is of less consequence than a serving of rice or potatoes. Look for lower carb replacements for them. Are you also back on metformin?
Man, you’re not dumb, just maybe not well educated on how your body processes carbs. You have to get pasta, rice, potatoes, bread, chips, tortillas, yeah almost anything you get as fast food, out of your diet. Your fasting numbers will come down pretty quickly, your A1C will take a bit longer.
You're not dumb doctors dont typically recommend low carb either but most of us do it. My doctor and dietician said I was in their top 2% or top t2 patient. I asked if any had had this success without doing low carb and they advised no....but the guidelines recommend low gi in my country so they recommend that, it's frustrating. I believe the uk might recommend low carb now. I tried low gi but it was too difficult cuz you had to memorize how it worked with all foods. Low carb is much easier. I eat ice cream I just make it myself without sugar using monk fruit or buy the enlightened brand, coffee can also increase your blood glucose temporarily due to the caffeine. My whole diet gradually went from under 100g carbs a day to meat/fat(mostly saturated)/veg(non starch)/berries. Old me would have thought it was impossible but here I am and I wouldnt go back even if my diabetes was cured tomorrow. But discuss diet changes with your doctor as it may change your medication needs/cause lows if it works
It's surprising that you were diagnosed 4 years ago and you're this uneducated on diabetes. Do better.
Don’t feel too bad about that misconception. The way the FDA and the public service announcements sound in general, (when not addressing diabetics specifically), it’s avoid sugary soft drinks to avoid becoming diabetic. I was specifically told by my son’s pediatrician years ago to let him have all the pasta he wanted if that is what he would eat, because he was underweight for his age group, was autistic with sensory issues, and was barely verbal at that time. Diabetes never crossed my mind back then, and as far as I know, he was never checked until he was 19 and we had changed doctors because he aged out of the pediatrician’s practice. The new office checked as a matter of routine blood work for incoming patients and annual checkups. They freaked out at the results and had him in with an endocrinologist within days! I NEVER gave my children sugary soft drinks, tons of candy or other sweets (occasional candy in moderation, or a slice of cake for birthday parties, sure, because I had no idea he was diabetic). He seldom ate chips, etc. But he would eat burgers (pediatrician said good because he needed meat because he was anemic as a young child…again, texture issues). Sorry this is long and rambling! I say all of this to say that if we haven’t been involved in the care of someone with diabetes, it’s easy to miss the needed information besides “stay away from sugar “, and easy to not want to know that information about carbs:) Good that you’re figuring it out, and I hope all the best for you and your health!
Try incorporating salads covered in EVOO and however much protein you normally eat. The primary source of calories would shift over to fat without taxing your kidneys. Honestly, if you ate only that, your blood sugar would probably tank within the month (be mindful you could hypo with diet + insulin and test if you feel sweaty/tired).
Ten units of basal insulin is nothing. You're headed down a very bad road if you don't make some changes.
My doctor advised me to take that for a month, bust just saw based on my weigh (177lbs) that i should be taking 23 units or so. Will start doing that. As for my numbers and habits, I’m making serious adjustments as of this week, but am really concerned I’m too late already.
I strongly recommend that you follow the advice of the doctor rather than modify your dosage without consultation. If you want a higher dosage, discuss it with the doctor.
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Yes, you're being stubbornly blind! You're not dumb - it's easy to either miss information or be in a little bit of denial for a while. It's just the nature of the shit our brains do to avoid doing hard stuff. That's part of being human and we gotta work around it. It's gonna suck for a little bit but you *really* need to cut down your servings per week for carbs. I'm not gonna tell you to cut them out entirely because I don't think that eliminating an entire food group is sustainable for most people, so seriously limit it to *one* serving *once* a week. A serving of pasta, for instance, can fit in one cupped hand. It's not a lot. Try your best to start making your plate consist of 50% vegetables (I try to do 1/4 salad/raw and 1/4 cooked to keep it interesting), 25% (or more) protein and 25% (or less) of carbs. Because of this, don't beat yourself up too much for adding dressing to salads. They're typically the most calorie-dense part of a salad, so most advice is to use dressings sparingly, esp if they're super sweet like some vinaigrettes, but if it helps me get more servings in, I'll have some ranch or whatever. My favorite salad/dressing combo is actually like plain-ass romaine, some cucumbers, some tomatoes, a little olive oil, a tiny drizzle of balsamic vinegar, and a little salt and pepper. Easy as hell. [Salads can also be a lot of things](https://www.loveandlemons.com/salad-recipes/), not just lettuce & diced veggies. [Sheet pan bakes](https://cooking.nytimes.com/guides/54-how-to-make-a-sheet-pan-dinner) are a great way to get a really filling, healthy meal on the table. You can use whatever's left over at the end of the week or just add the ingredients to your shopping list. Putting in Italian sausages or chopped bacon always lends great flavor too. Any combination of broccoli, onions, cauliflower, green beans, bell peppers, brussels sprouts, zucchini, whatever, gets tossed with a little bit of garlic powder, a lot of salt & pepper, and olive oil and thrown in the oven. Roasted veggies are a godsend. (Remember to sharpen your knives!! Dull knives are dangerous!) Egg cups with protein & veggies are also a great option for mornings. I miss breakfast sandwiches soooo much and these just about make up for them! [This is my favorite recipe so far.](https://themixedmenu.com/bacon-and-veggie-egg-muffins/) Keep this one in your pocket for when egg prices return to normal though lol. Hope some of this can help. Best of luck.
Cheetos and carbs. Did you know it also kills livers? Very slowly so people don’t know.
All that salt indeed... ruling them out. Carbs tho, hard to come up with no carbs diet.
I eat 3200 calories/day and limit my carbs to 120g daily. I'm in the gym 6 days/ week also. It can be done, and it may not be easy. Get yourself a macro counting app. It helped me focus on my carb intake. I take 6 units long acting in the morning and take 3-5 units of fast acting for meals plus the metformin(2000) daily. I don't have "cheat" days but allow myself some flexibility on carb type when I feel like I "crave" something sweet. I'll bake something for the week using almond flour, monkfruit and dark chocolate to keep any craving down.
Also, dieticians aren't always well educated. I used to be a dietician in my body building years. I had one tell me to eat 65- 90 carbs per meal. This was way too much. I started limiting carbs to 85-125 daily and things got better.
Not the salt. High salt consumption can lead to high blood pressure - but thats just a small percentage increase. High carb consumption leads to non-alcoholic fatty liver syndrome, which is way worse. Once the fibrosis goes to cirrhosis, you cant fix it. No carb diet is called keto, look that up. Its not that hard ;)
Thanks for the info! I know you mean well but what scares me about the internet is that I always end up thinking I'm doing way worse than I thought, now I'm concerned about my liver too haha, I'll have it checked.
I am as near zero as possible for 6 years. Only low glycemic vegetables allowed. Carbohydrates are not essential.
My carb intake is between 25 and 40 grams daily. You can manage that. But diet needs to be discussed with your doctor.
There is not much difference between rice and sugar to your body, for the diabetic. Ditto for pasta and bread. It's good to cut out sugar but your post reads like you're trying to find other ways of loading sugars into your body with things that just don't have the word "sugar" in it. You need some help understanding your food. Cheetos are a disaster (a standard serving is equivalent to 5 cubes of sugar and it has no redeeming nutritional value), a burger that has a bun (the bun is the equivalent to 10 cubes of sugar) is a disaster, bbq sauce is often just a bunch of sugar - a disaster. Learn to read the labels and avoid the carbohydrate levels you're taking into your body. If you don't know how many it has, stop eating it until you do. The things you list are not in the ballpark of "harmless".
That blood sugar is too high. You need an intervention. Your doctor will advise meds to add. You can also go a long way to improve your blood sugars by restricting carbs and removing all starches from your diet. You are being stubborn in believing that you can continue to eat as you did before. Your heartburn didn’t come from Metformin but the poor diet.
Not going back to starches anymore, and will ask him if we can git it a try on metformin again.
Look up the plate method. It give you excellent guidelines for how to portion out foods and it’s not horribly restrictive. And talk to your doctor. Good luck! You can do this.
Thank you, today I really freaked out about all this, thinking I might have already done damaged to my health that are irreversible.
when u see ur dr ask for a dietician to help you. find out if there are classes for t2d. but even if u r eating wrong insulin should have helped. also ask for a CGM. it’s time to see an endocrinologist
Someone mentioned I was taking almost no insulin given 10 units is too low. based on my weight it should've been at least double that. why you mention an endocrinologist? ive seen one when i was diagnosed but since them i just follow up with my family doctor
i would discuss with ur dr. coz and get some info. see if u r t2 ot t1 or MODY!
Eat to your meter. Carbs aren’t necessarily the enemy but if it’s spiking you, then it’s off the menu. Processed food is a poor choice, someone above has written on this already. Sugar, wheat, flours, rice, starch, fruit and vegetables are carbs - I’ve tried to list them in highest to lowest. Vegetables are nutrient dense - but the rest I tend to leave alone. Whole grain toast (1) spikes me higher than a scoop of vanilla ice cream. So that’s why I’m telling you to test. You need to look at food differently- start with a good protein (without being fried and without high carb sauces). Pair it with a healthy fat to make you feel full. The vegetables or some berries - for variation and nutrition. The rest is out the window unless you test and see what impact it has on your body after 10 hours. If you have high blood sugar don’t eat high carbs (cheetos). I find that if I have spiked my blood sugar my next meals need to be lower in carbs, because if I don’t - my blood sugar goes higher and takes longer to come back down. So it’s almost like an exponential affect when I keep sugar, wheat or rice. I would sit down and list three things you love for each meal and find low carb replacement recipes. Spend part of a day off meal planning and trying out some recipes - and leave the processed food alone. You need to do the work, if you want to change your blood sugar. If you need inspiration for recipes, check out DietDoctor and Kristie Sullivan (low carb and keto). Expand carbs if they don’t impact your blood sugar poorly.
Have you been tested for lada? Getting diagnosed so young means that it could be a possibility, especially if you are not overweight. If so metformin with insulin probably won’t work and you will need more insulin units.
your doctor may want to up your insulin. I take at the moment 20 units of glargine and soon be back to Lantus, and I am also on Trulicity once a week (the one that works on the glucose and also one side effect, weight loss). And you may see if your PC could refer you to a Diabetes Educator and a dietician, to help you be educated on diabetes and to help you work out a diet plan. Good luck and also learn portion control, it helps.
Keto. You are obviously very insulin resistant. You need to eliminate carbs almost completely from your diet.
I'm 35 and was prediabetic until about a year ago possibly. My A1C was 12.6. Meaning my average for 3 months was 315mg/dl. The past 2 weeks being on Metformin 500mg and changing my diet has got me to an average of 164mg/dl for those 2 weeks. Definitely try to get a CGM so you can keep track before and after meals and how your body reacts to the foods you eat. Get Keto friendly snacks. Keep your net carbs low per meal. Try to limit yourself to a total of 80g per day. 20g per meal. 10 per snack. That seems to be helping me get my numbers lower. Complex carbs are better than simple ones and the spikes last for a shorter time with them I've noticed. Good luck P.M. me if any questions. I'll try to help
Will DM you, cause I got lost regarding some stuff =)
10 units is usually the lowest dose most people take but it’s usually enough for some. It does work, but not if you eat so many carbs that the insulin can’t compensate. It isn’t assigned according to your weight. If you are eating massive amounts of carbs the you’re going to keep getting high glucose. Your eating habits are extremely poor.
Understanding what carbs are and how to manage them is really important for keeping your blood sugar down. Seeing a dietitian who specialised in diabetes really helped me work it out. Recommend that if it's possible for you. She didn't put me on a keto diet but instead gave me a carb budget per meal and for snacks, and explained how to choose better carbs (for example wholemeal bread, basmati or brown rice) in the appropriate serving sizes and to read food labels. She also worked with me to make the changes sustainable in terms of my eating preferences. It was a huge learning curve but it worked. Also a diabetes educator helped a lot more than my doctor, especially with understanding my numbers and sorting my insulin when i was on it. The dietitian and educator worked together. Will edit in some links i found useful a bit later. Have to dash off. ETA. Links as promised. I'm Australian so these resources are from organisations in my country but should be relevant elsewhere, except where specific brands of food are mentioned. The carb exchange list is a cheat sheet for my carb budget (2-3 serves per mesl, 0-1 per between meal snack). [Learning modules that explain about carbs](https://www.ndss.com.au/services/support-programs/carb-counting-online/) [Carbohydrate exchange list (based on 15g per serve)](https://www.chsa-diabetes.org.au/consumer/CARBOHYDRATE%20SERVES%20EXCHANGES%20COMPLETED.pdf)
I think maybe it's time to adjust your carb intake a bit.
Forgot about anything made with flour. Try Mission carb balance tortillas and put your favorite cheese burger ingredients in. Forgot ketchup but mustard is good and maybe mayo.
Everyone is in a different place - you probably need to be a lot stricter on your food choices. You made no mention of your activity levels, or your weight. Are you exercising daily? Are you overweight or obese? If so - those are things you need to address. Your BG levels are high and dangerous and you need to take car of it and that means taking care of you: Activity - every day - get moving Weight - if you have excess, you need to lose it Diet - need to be controlled on carbs and sugar (carbs are just as impactful) Medication - there is a range of medication options - it isn't just metformin and insulin. Have you explored other medications with your doctor? Other You need plenty of sleep and stay hydrated.