Wednesday, March 30, 2016

I Better Do It the Doctor's Way


I am really having a hard time getting it back together. Just waiting/trying to eat the way I ate before is not working for me. I wasn't having cravings before... they were basically nonexistent so I *could* eat whatever I wanted, because I didn't want things that strongly or that often. My portions have definitely gone up since I got sick and it has been harder to cut them back down. Before, if I wanted a sandwich, I'd make half of a sandwich and eat 3/4 of it and that was enough. Or if I wanted pasta I could have a few bites and that would be enough. Now when I want a sandwich it's a whole sandwich to feel satisfied, or a bowl of pasta to seem like enough. I think having my blood sugar totally stabilized by the injections I was taking before made it easier to make good choices; even if I ate a piece of candy or a cookie I felt FINE and normal and had no cravings. Now the same piece of candy or cookie makes me have that old familiar spike and crash and then I want more sugar. I think the difficulty is a completely physical one... not a mental/emotional drive to eat like it used to be. And even before I started on the Victoza shots, I was losing weight slowly... but I was also eating gluten free, which naturally limited my choices. Now I am doing neither.

My doctor did tell me I could regulate my own blood sugar with the diet she gave me, which is basically a lot of vegetables (small portions of the starchy ones like sweet potatoes), lean produce, and small grain portions. I know from past experience I do best without the grain portions (I believe if I had never added back grains after Medifast, I'd not have regained the weight). If I choose to have grains or sweets I have to understand that they need to be small amounts... basically tastes or slivers... and not on an empty stomach. The alternative to managing my blood sugar this way is going back on injections that my new insurance will not cover because my tests have never been in the diabetic range. So, I am going to try and manage it with diet. And I mean really do what she asked me to do, instead of trying to moderate a lot of starchy (split pea soup), grainy (dinner rolls or rice), and sweet (cookies and candy) into my life. I'd rather do that than take injections, and definitely don't want to "qualify" for shots by ruining my health. That means some restriction, but I am determined to find a way of eating that does not involve measuring, counting carbs or calories, or feeling deprived.

I also decided to break out the FitBit again and use it as motivation to move. The scale is not going down, and I am not going to let this year go by without significant weight loss. Will update soon!


10 comments:

Jack Sh*t, Gettin Fit said...

You can do it, Lyn. No wait... that's not strong enough. YOU CAN DO IT, LYN!!!!!!!!!!!!!!!!! Wait... that's too strong. Here: You can do it, Lyn!! That feels better, right? Right?

Anonymous said...

Lyn, if your aim is to control your blood sugar through diet why don't you try Karen's suggestion about at-home blood glucose monitoring? That feels like the quickest way to figure out which foods specifically cause blood sugar spikes for you personally, and then you can make smarter choices about foods you know trigger an unhealthy response. It's not always the foods that you expect. I read a study where they did this and some people had a "healthier" response to cookies than bananas, and some people's blood sugar was spiked more by a meal of bread and butter than pure sugar water. But it was highly individual. What works for one person may not work for the next. It seems like you could do with gathering this information about your body.

JM said...

Could it be that the victoza was helping with the cravings?

Anonymous said...

understanding that blood sugar spikes were related to cortisol was key for me, after i got to the point where my cravings were physical and not coping strategies. cortisol impacts emotion. if you eat grains with fat, the impact on blood sugar and cortisol is reduced. it won't result in weight gain unless your calories are still weight-loss level calories, but the difference in my mood as immediate and incredible. butter + starch = very different impact than just starch. eating more fat was so, so helpful for me. i suspect you know this + hence the avocado + bacon routine... but until i understood that blood sugar levels had an instant impact on my cortisol and physiology, i wasn't as motivated to change.

Lyn said...

Anon #1~

with all due respect to Karen, who has had much success with her plan, I want to follow my doctor's suggestions rather than people who don't know me or my medical history. If my doctor ever suggests home blood sugar monitoring, I'll certainly do that. And if the doctor's suggestions don't seem to be working I'll definitely look into other options.

JM~

Definitely, since the cravings are being caused by blood sugar fluctuations, and Victoza stabilzes blood sugar.

Anon #2~

interesting, thank you.

Anonymous said...

Have you researched the "potato hack?" I think you may benefit greatly from an experiment like that. Check out numerous message boards on marks daily Apple regarding the "potato hack."

Deb said...

I had to chuckle over the fat + carb comment, because it's every noncompliant diabetics trick to fool the glucometer. :} Fat slows the metabolism of sugar (whether from grains, sugar or other carbs) so you don't get the spike. If the spike is your only concern, then it's a technique that works for you,however, there is a problem. While the blood glucose does not spike as high if fat is added, the BG stays high longer than it would have if you hadn't eaten the sugar...or the fat...in the first place. The fat does not mitigate against a rise in glucose from the increased carbs, it only slows the effect, giving you a longer high glucose state. Instead of a spike with normal glucose two hours late, you'll have a more moderate rise...and it will still be there 2 or 3 hours later.

If you're going to be noncompliant, it is a good trick to know. SWhat it means is that if you MUST have sweets, don't have low fat sweets like hard candy--have full fat ice cream. :} Yeah. I know that trick. ...and I don't advise it.

Best wishes.
Deb

Anonymous said...

deb, my "trick" has helped me regulate my cortisol, feel better, sleep better, and maintain a weight of 150 pounds (down from 200) for five years. i said it had to be done in conjunction with a weight-loss level of calorie restriction. it's not a trick to fool a glucose monitor. i've never had one. but thanks for the snark.

Deb said...

Anonymous,

Hey! It wasn't snark against you at all. You're taking my comment way too personally. I said, "If the spike is your only concern, then it's a technique that works for you..." If this works for you, then it works.

I clearly referenced my reaction to what DIABETICS use it for, especially per my own experience. In fact, the "add gat to it" is a trick that is taught in diabetes management classes to minimize spikes. The trouble is that if one is having glucose control issues beyond spikes and cortisol (which I suspect Lyn is), then it's a technique with consequences. consequences that only one who monitors their BG--or is advised of the after effects--would know.

At any rate, I meant no disrespect by calling your "add fat to it" technique a trick. Nor was my comment directed to you. It was a telling on myself (and most "knowledgeable" diabetics) and passing on a caution. That's all.

Congratulations on your success.

Deb

Anonymous said...

thanks, deb, that was a really polite and courteous message. i appreciate it.