pavlos

Q:

I have type 2 diabetes and hypertension. Doc wants me on a low-carb, low-calories (600-800) diet that is supposed to improve the pancreas I also run 3-4 times a week and see a personal trainer twice a week. I am all for getting off my meds but I don't believe that amount of calories is able to sustain the energy I need for running and working out. Any advice would be great.

Amy Campbell

A:

You’re right – 600 to 800 calories a day is not a sufficient amount of calories to provide you with energy, especially given how active you are. It may not be realistic for you to come off of your medications if it means literally starving yourself in the process. Due to the progressive nature of type 2 diabetes, and to properly manage it, most people with this condition need medication, along with following a healthy eating plan and getting regular physical activity. However, it’s certainly possible to decrease the amount of medication that you take with weight loss and physical activity. I’d advise you to have a talk with your doctor about your diabetes and medication goals. It’s not “bad” to take medication and it’s important for you to keep your A1C and blood glucose levels in a safe range. Also, eating this small amount of food means that you’d be missing out on other important nutrients as well. You can still follow a lower-carb eating plan, but you need to consume an amount of calories that will sustain health. My advice is to meet with a dietitian. He or she can help you determine what your energy and nutrients needs are, and help you work out a realistic eating plan that will allow you to reach and stay at a healthy weight, along with helping you to control your diabetes. Ask your doctor for a referral to a dietitian in your community.

November 21, 2012 at 12:20 am