Just diagnosed - weight loss

By Julie2013 Latest Reply 2013-05-05 09:51:22 -0500
Started 2013-04-29 22:44:03 -0500

Diagnosed less than a year ago with type 2 and high cholesterol/triglycerides. Weighed 112 pounds and A1c was at 6.9. Went on a extremely low carb diet - no meat for 3 months - fish, salad, avacados and low fat cottage cheese. blood test cholesterol went down but A1c went up to 7.3 on the diet! So I modified my diet and my A1c is now down to 6.4 - did a home test this month. I do not want to be on diabetes meds - is it bad to have an A1c at 6.4 and not be on meds? My weight is now 100 and I am on an 800 calorie a day diet! My A1c was only 6.9 when I was eating what I wanted. It is really tough. I have begun to exercise. I was not excersing when I first went on the diet and lost muscle mass. Anyone else facing these problems? Thanks, Julie

18 replies

tabby9146 2013-05-05 09:51:22 -0500 Report

oh 800 calories a day is too little, you need to increase that. your weight sounds too low but I don't kow what is going on. eat lots of veggies, frozen and fresh, find out which fruits you can eat usually one piece is about 15 carbs, it depends on what fruit it is. You really need to go to the doctor about this and see a nutritionist I would think also. I have not faced that problem. I hope things improve. My trigs were higher than they shoud have been when I was first diagnosed over 4 yrs ago, I just added more good foods, cut out more of the bad and was using Smart Balance products and it got me within the good range. Wishing you improvement very soon!

Type1Lou 2013-05-01 14:38:43 -0500 Report

Generally an A1c in the 6's is considered good for a person with diabetes and reflects good control. I'm curious why you eliminated meat since meats are generally no-carb or very low carb other than to get better cholesterol numbers. I've been able to maintain my weight at 120 lbs on 120 grams of carb per day. I don't really count calories but figure I'm getting about 1200 calories per day. I don't eat much meat either but lots of fish and chicken and salads. Peanut Butter is one of my favorite staples. My last A1c was 6.8 but I'm a Type 1 on an insulin pump and will never be able to eliminate my diabetes meds. I'm assuming you're looking to gain back some of the weight you lost but doubt you'll be able to by eating only 800 calories per day, especially if you're exercising regularly. It's all a balancing act. Hoping you find the right balance!

Julie2013 2013-05-01 16:32:27 -0500 Report

I decided to get my protein from fish (salmon, sardines, tuna) instead of beef. But I do love a good steak and only did this temporarily.

Just Joyce
Just Joyce 2013-05-01 11:44:47 -0500 Report

I will third what both Nick and Jeanette said. 800 calories a day doesn't seem enough. As Nick said your body could be signaling that it is starving. I watched a nutritionist on the morning news discussing avocados and she said they are high in fat and carbs and the fat isn't the good fat. She said she took them completely out of her diet.

My A1C has been at 6.5 for quite sometime and I am on medication. I would suggest that you see a CDE to help you learn how to better care for yourself. You took meats out of your diet but the body needs the protein. Have you replaced it? Salads can be high in sodium and carbs based on what you put on them. Salads from restaurants can be hazardous because of high sodium, high calories and carbs. I never order salads. I prefer to make them myself so I can control what is in them and the dressing. I think you should also talk to your doctor about safely losing weight and medication based on your A1C

Nick1962 2013-04-30 13:27:12 -0500 Report

I'll second what Jeanette suggests about talking to a professional. 800 calories a day doesn't seem really enough to run your body, even at 100 pounds. For some folks that calorie level, along with a low carb diet might just be signaling your body that you're trying to starve it, and it will devote all it's resources to make sure you're storing nutrition (thinking it may need to be used for simple things like breathing) rather than allowing you to use it for muscle retention.
Avacados have a good amount of fiber, but come with a good amount of carbs and fat also while providing little protein. While you need the fiber, I think protein at this point will be necessary for your muscles. Not sure why you gave up meat, but unless you've replaced that protein in the form of eggs, beans, or a whole lot of fish like catfish, I might look at that decision again.
I've managed to get cholesterol from 326 to 136, and my trigs are below 40.
Again, see your doctor or nutritionist.

Anna K
Anna K 2013-05-02 20:49:13 -0500 Report

I agree…800 calories is starvation…most ADA diets are 1600-1800 calories per day. and your A1C is at a great number! As far as Avocados, they are good for diabetics in moderation, they contain good fats and it is full of fiber which keeps levels steady.

Julie2013 2013-05-03 00:17:49 -0500 Report

I just posted that I had an avacado for dinner with pita bread - approx 20 grams of carbs in the bread, and 2 hours after I ate my blood sugar was at 149. (way too high)… I had taken a shower so I did not take a walk after eating tonight.

Anna K
Anna K 2013-05-03 13:42:58 -0500 Report

I apologize, I thought someone replied to you that avocado was a bad fruit, it's not. And a bs of 149 is great for a postprandial sugar. You REALLY need to talk to a certified diabetic educator, it seems like you are doing like I did when my daughter was first diagnosed…I was freaking out about everything, the educator will calm your fears and help you grasp the concept that a diabetics' glucose levels aren't going to be a non-diabetics' levels. Example, a non diabetic should be 60-120, a diabetic may be ok w anything under 200 depending upon that person. My daughter's happy spot is 140-155 anything below that she's shaky and sick. Anything above that, she's irritable, nauseated, hot and just sick. Wishing you the best!!! :D

Nick1962 2013-05-03 11:08:56 -0500 Report

Yes, i just replied to that. 149 isn't bad unless you stick there for an hour. Plus your meter can be 20% off so that could have been 119. Try not to micro-manage the numbers, it will make you crazy. You're doing pretty well right now.

Julie2013 2013-05-04 10:31:38 -0500 Report

That is what it seems I am doing - micro managing. My first A1c was 6.9 and immediately my doctor wanted to put me on meds. I have been 109-110 on blood sugar fasting blood tests for years and my doctor never told me I may have been pre-diabetic!!!

Nick1962 2013-05-04 16:45:17 -0500 Report

Yes, give yourself a little slack. Those morning numbers might just mean you ned to try a higher protein snack right before bed. Not something i would have worried about in my 20's and 30's, but I'm older now and so is the body.
Some doctors don't believe in "pre-diabetic" simply because they way are current diets now, it may just be that - a dietary issue, and as we age our tolerances to certain foods changes. Its worth investigating through frequent testing if you can afford it to put your mind at ease.

Jeanette Terry
Jeanette TerryPA 2013-04-30 11:24:55 -0500 Report

If I were you I would talk with a dietitian or CDE about your diet. 800 calories just doesn't seem like very much food at all. In some cases you can eat smarter and not smaller. There are some things that you can avoid whereas others you can still enjoy in order to keep good blood sugar control. Everyone is different and has different needs so your doctor or dietitian might have some good tips for you.

Scarlet03 2013-04-30 11:01:12 -0500 Report

Your A1C at 6.4 is awesome, idk if you want to lose more weight but to me, you've lost enough…Sorry it scares me…I've been type 2 a while…And if you're losing weight but not on purpose talk to your doctor

Julie2013 2013-04-30 16:46:40 -0500 Report

Well I actually am losing weight on purpose, went from 2,500 calories plus a day to 800 calories. Think all of you are right. Need to eat smarter - not so much less. I tried the dietitian route, got an authorization from my doctor called the dietitian many times without a return call and then my authorization ran out. Thanks!!! What are the best meds for diabetes?

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