SamG

Q:

Am I still diabetic? My BMI is 23.5, I am 68 with CKD, and GFR of 45. I did the 30 days diabetes cure diet by Dr Rippich. My A1c went down from 6.0 to 5.2. I am no longer on Metformin. I lost 12 lbs, but I still have to eat low carb meals, and smaller portions. My BG after meals shoots up to max.190 and it takes 3 hrs instead of 2 hrs to come down to 130. My typical meal is 120 grm of chapatti (Indian tortilla) of spelt flour and cooked vegetables (curry). I keep it low protein due to CKD.

Patty Bonsignore

A:

Once you have been diagnosed with diabetes, you will always have it. It sounds like your diabetes is very well controlled at this point, which should help with preventing diabetes complications or controlling any complications you might have. Research has shown that keeping the A1C below 7% greatly reduces problems you can get because of the diabetes -- and you are well below this number. The problem with the special diets that people recommend for diabetes is that they can be hard to follow for more than 6 to 12 months. You want a meal plan that you can follow the rest of your life. If this meal plan is balanced, enjoyable and one you can see staying on, then there should be no problem doing so. You are right to watch the protein since you have chronic kidney disease. We recommend aiming for a diet with 0.8 grams of protein per kilogram per day, which is neither a high nor a low protein diet. Make sure to have a dietitian review the content of your current plan to confirm that you are not going too far above or below this range.

November 26, 2012 at 12:48 pm