On Thursday, I finally had my visit with the nutritionist who specializes in dealing with diabetic eating plans. I signed up to meet with her months ago, but she was so booked up, she couldn't see me until December. Happily, she was worth the wait.
First off, I'm down another three pounds, making it 13 altogether since I was weighed at the doctor's (this is what I'm counting from). I've been losing about 1- 1 1/2 lbs a week, which the nutritionist was pleased with. My old doctor probably would've been like, "You should be losing faster, here take some drugs." This woman was very non-judgmental and supporitve, and appreciated that I've been losing at a steady (if slow) rate. We talked it over and decided to cut one of my med doses (the glimiperide)in half. I'm now taking two pills instead of four. I also expressed my concerns about starting Victoza and she understood why I want to put that off. She didn't try to push it on me, which I like.
For the most part, she approved of my day-to-day menu. She was happy to see that I eat a lot of veggies and lean meats, and that I don't rely too much on "sugar free" versions of cakes and cookies. She did make a few tweaks, though:
According to her, I've been eating too many carbs at breakfast and too few at dinner, so she advised me to reverse that. She suggested that I have cereal OR toast at breakfast and then add in something like brown rice or quinoa to my evening meal.
She also suggested that I eat smaller meals, more often, to keep my blood sugar from dipping, as it's been. So she has me eating basically every two hours (main meals with snacks).
She liked that I eat a lot of Greek yogurt because it's so nutritious and has fewer carbs than regular yogurt. However, she told me that I'm better off buying fat-free plain Greek yogurt and then add in fruit. She says that the "fruit" that's in yogurts is basically syrup.
She also told me that I'm not getting enough good fats in my diet and should include more things like nuts, avocados and olive oil. She recommended that I eat Kind bars as a snack once a day. They're nut-based bars that are diabetes friendly. I had them at the diabetes walk and liked them. They sell them in our office cafeteria, too.
This is really interesting: she noted that insulin can actually make you GAIN weight and therefore it's really important for diabetics to keep things even and pay attention to what we eat, when. Her plan is helping me space out the carbs so I don't hit those highs and lows -- and will help me lose weight, too.
Finally, she suggested that I try the 20 percent challenge. The idea is to increase your movemement 20 percent over a period of time until you're taking about five miles worth of steps A DAY. That's a lot, but if you walk around the office the long way, you can get in a few hundred steps. I've ordered a pedometer and per her advice, am going to start doing 2000 steps a day and then work my way up.
Overall, it was a really good visit. It felt good to know that I've been eating correctly, but she also gave me a lot of new, useful information. I'm looking forward to getting my pedometer next week and starting this new challenge. I like the idea of having something that keeps track all day ... it satisfies the obsessive in me, LOL.
If any readers want to join me in this challenge, let me know in the comments. It will be interesting to compare our journeys.
Saturday, December 10, 2011
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