Which doctor is right.....?

By mrd346 Latest Reply 2014-02-02 15:13:34 -0600
Started 2014-01-28 18:26:14 -0600

Ok one doctor says to a type 1 diabetic who is active and Not overweight that you can eat what you want as long as you give the right amount of insulin. Another says you should eat simple foods etc …??

19 replies

jigsaw 2014-02-02 09:10:29 -0600 Report

Eating portions without utilizing portion control can lead to rapid weight gain! Insulin helps the body to utilize carbs more efficiently. Excess foods, especially carbs, are stored as FAT! To say it's ok to eat what you want, most likely means to use some common sense also. Gorge yourself on junkfoods, and don't include a healthy and nutritionally balanced food plan, You'll not only become unhealthy, but you'll probably gain weight and become tremendous!

One Step at a Time
One Step at a Time 2014-01-31 20:00:18 -0600 Report

I'm not even sure a nutritionist alone can be the best. You've got to keep really good data logs of foods you eat and insulin you take. Determine which foods cause you the most problem and take those out of your diet. Add some exercise to help lower BG levels. I have tried things my DR said and it's worked and not worked, same with the nutritionist. Every T1 is a little different. I have a hard time with processed foods, a child I have in class says fruit is what really messes with her. Every one is different. It's hard to find a balance, but it's doable.
I've fallen off the wagon and am going back to the basics. If it has ingredients I can't pronounce, it's off my menu.

Type1Lou 2014-01-31 14:33:28 -0600 Report

Diabetes is such an individual disease that you need to determine what works for you. In my case, after reading Dr Richard Bernstein's book "Diabetes Solution" back in the early 2000's, I decided to limit my daily carb intake to no more than120 grams per day. I'm still doing that and have been able to maintain a healthy weight and reasonable A1c's. My last A1c was 6.7 in December. I'm 64 and have had diabetes since age 27. Learn as much as you can and take an active role in the management of your diabetes. Reading the food labels for the carb content of everything that you eat is a start.

Silicone eyes
Silicone eyes 2014-01-30 15:35:12 -0600 Report

Find your balance, having been T1 for 27 years and in relatively good health, I am finding that a 42 year old metabolism isn't nearly as forgiving as a 15 year old metabolism. Extra insulin doesn't quite cover things as well as it once did.. Like most answers in life, it is usually somewhere in between the 2 extremes.

Jeanette Terry
Jeanette TerryPA 2014-01-30 13:56:43 -0600 Report

I have found that when it comes to diabetes, especially type 1 you have to really take control of your own health because it can be so different for everyone and even though doctors are great and definitely an important part of diabetes care, they really don't know what it is like on a daily basis. So take their advice with a grain of salt and experiment until you find a management plan that works for you personally. The doctors really can't fight something that is working.

jaydoubleyou23 2014-01-29 23:09:30 -0600 Report

I'm type one too. My doctor says I can eat basically what I want with the right amount of insulin which is correct. It doesn't mean she's telling me that I should just gorge myself in junk food, but basically just be a normal person. Treat yourself once in a while :) You're just life everyone else, you just have to be your own pancreas.

venis27 2014-02-02 06:03:26 -0600 Report

I am type one too, and in my opinion and experience, yes we can eat whatever we want but no, not in the amounts that a non-diabetic person is free to consume

venis27 2014-02-02 06:10:37 -0600 Report

I mean that I ve seen my body been able to cope with small amounts of wrong foods (e.g pizzas, ice creams etc)but the higher the quantity is the more the amount of insulin with the specific time of action wont be able to neutralize it!and so I might see paradox things like hypos one hour after eating lots of ice cream or 350s one day after eating a pizza!

venis27 2014-02-02 08:33:11 -0600 Report

Yes,I think that in the core of the whole thing there is the question of matching the release of sugars from bad foods with the activity of insulin…when it comes to small amounts of food its sth manageable,when it comes to larger amounts of foods for me its almost impossible, as my system goes way out tune…!but,in any case, its a really annoying and life-consuming task…!:-(

GabbyPA 2014-01-29 14:24:29 -0600 Report

There is very little in diabetes that is so black and white, right and wrong. It's more what works for you and what you can keep good control with that keeps you healthy longer.

Frankly, nutritionists are not trained for diabetic lifestyle. I know the one I went to was helpful, but way off base in a lot of things. If you can find one who specializes in diabetes, you will most likely get a glucose friendly plan.

There are several camps of thought in the eat what you want just cover it with insulin and to be honest, if that works, then that is fine. It can lead to some bad habits though. Diabetes is a progressive disease and as your body changes it will too, so you will have to always make adjustments no matter what you choose to do.

However, even as a person without diabetes may strive for a healthy meal plan, that may be your best bet against unexplained highs and scary lows. The most important thing in either way, is to make sure your insulin is covering the carbohydrates you are eating and the portions you consume.

Just Joyce
Just Joyce 2014-01-29 13:21:54 -0600 Report

Talk to a nutrtionist who can help you determine the best foods for you to eat and will help you come up with a meal plan that you can build on.

Doctors are not trained to do this and thankfully my doctor made no attempt to tell me what foods to eat. He told me the amount of carbs I can have per meal and left the rest to a nutrtionist.

jigsaw 2014-01-28 20:10:05 -0600 Report

Probably neither! Most doctors are not trained much if at all in nutrition. Best thing to do is see a registered dietician, especially if they specialize in diabetes, or a nutritionist. Probably the reason that my endocrinologist has a dietician available in the same office. In my 20 years of diabetes, I have yet to meet a doctor that would offer more than very basic advice concerning nutrition. In other words, if you want information about eating properly, then see a professional that is trained for and specializes in diet and nutrition.

Just Joyce
Just Joyce 2014-01-29 13:23:56 -0600 Report

I agree with you jigsaw. You wouldn't take your car to a zoo keeper for mechanical problems so why let a doctor who isn't trained in nutrition tell you what to eat. Every diabetic should speak with a nutrtitionist especially if the diabetic isn't a trained nutritionist.

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