OT - Newly diagnosed diabetes - help!

wendylovesdisney

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I know everyone here on this board is smart and thrifty. I need some hints and common sense how-tos for the newly diagnosed diabetic. I am already in shock and need some guiding advice. Where should someone start? Is there a board similiar to this one somewhere? What are some good premade foods at the grocery store? I pick up a so-called "healthy" food and it appears loaded with carbs, sugar! How can a busy Mom tackle this? Where is a good place to start?:confused:
 
I had gestational diabetes and the first thing I did was record what I was currently eating and then sat down with a nutritionist. Different types of diabetes have different requirements so this is what worked for me. Each day I tried to make an additional small change. Schedule a day when you can spend a good 2-3 hours at the grocery store comparing products. Find the bread with the lowest carb count, etc. I love chocolate and found that Lindt's 70% and 80% had very low carbs so I could have a little piece with dinner each day. I also switched from regular milk to soymilk. I now prefer it. As time went on costs went down as I became more experience at shopping for these items at the best prices. Almonds became a staple. It was important to pair protein and fat with carbs so I always had these on hand. Cheese with some almonds and a piece of fruit was a common snack for me. Scrambled eggs are great for breakfast since they are fast and breakfast is the most important day for watching what you eat.
 
I've lived with diabetes most of my life, first with my father and then I was officially diagnosed about 10 years ago. Plus, my wife is diabetic. It's been a struggle, but here are a few things I've learned:

1. The best way we've found to diet is to use Weight Watchers. Their point system allows you to select foods based on calories, fat and fiber. I have found this system to be a bit more preferable than the dietitian because it allows you more flexibility. Plus, I've personally never had luck with dietitians. One told me I was the ideal weight, another told me I needed to lose 30 lbs and cut back to 1200 calories per day (I'm 6'1" 200 lbs. I could lose some weight, but I'm naturally a more muscular guy). It's pricey at first, but once you get the swing of it, it makes dining choices better. Also, there is a helpful website, Dottie's weight loss zone, to help with eating out and point values.

2. Splurge once in a while. Sticking to any eating regimen too long will burn you out. As a diabetic, I must admit sugar is like a drug to me. Sometimes I have to give in and just adjust my medication later.

3. Be careful to avoid the "sugar-free" trap. I see you've already taken note that "healthy foods" are not always such. A lot of the "sugar-free foods" end up substituting carbs for sugar, so in the long-run they will raise your blood sugar more.

4. Learn to "read" your body. Since I grew up with a parent that was diabetic, I learned to tell just by temperament if my dad's blood sugar was off or not. Keep in mind that if it is high, you'll not only be tired but also very irritable. When he was in a bad mood, I would just ask what his sugars were. He'd check and sure enough he was high. I do it now, too. Also, try to see how you feel when you're low. Some people cannot tell, but I can because I'm shaky, disoriented, my heart races and if it happens at night, I'll wake up from a sleep.

5. Don't let it get the best of you. I guess a good way to describe this is that I work with a bunch of diabetics and they all have their testing equipment out and act like they're going to pass out and start foaming at the mouth because their blood sugars are 180. Well, for starters, most of them will chow down on the "sugar free" stuff all day long or eat like it's their last meal, then make a big scene of it. I take an entirely different approach. I watch what I eat (which is REALLY hard since there is no diabetic friendly doughnut) and try not to advertise that I'm diabetic, unlike the drama queens I work with. My co-workers all know I am because they have wondered why I eat a lean cuisine meal and a banana every day for lunch instead of eating "like a man", but I try to make diabetes just a small part of my life, not like some people that want to use it to define their life.

6. Get support from people around you. Fortunately, with my wife being diabetic she has to watch what she eats, but since you have kids they won't have the same dietary restrictions you might. Still, I've found it much easier to take the temptation away by reducing junk foods and such. It won't be fun, but the kids will learn to adapt.

Among other things I changed, I minimize milk because of the lactose in it, but drink fat free or 1%. I won't use salt on anything (hypertension being a complication associated with being diabetic), I have learned to appreciate boca burgers and other "meat substitutes" (fat and calories are greatly reduced), I've learned to substitute ground turkey (Walmart sells a 1 lb tube of 93% lean) for ground beef (again, fat and calories, I eat more chicken and lean meats, I avoid cheese as much as possible (not fun, but adds calories and fat) and try to eat lower calorie, higher grain foods. Another complication associated with diabetes is cholesterol, so the fewer animal products the better, including eggs. For breakfast I often will eat a "better start" English muffin that is sold at walmart. Only 100 calories and although not as pleasant as a real muffin, at least fills me. I use Brown & Brummel's yogurt spread instead of butter and some sort of reduced calorie jelly.

The thing I struggled with the most at first was that other than being irritable and tired, I didn't know how bad being diabetic was. There wasn't pain involved... However, about 5 years ago I nearly lost my right eye to an infection that was exacerbated by high sugar and about 5 months ago a tiny infection from an ingrown toenail resulted in my big toenail actually falling off in a matter of weeks.
 
Look at the websites of your local hospitals and see if they offer diabetic support groups or diabetic education classes. They are often free. If they cost money, contact your insurance company to see if they will pay for it if you have a referral from your physician.

Depending on your insurance coverage, you might have access for Case Management or Disease Management which is a free benefit from the employer. A nurse would contact you and educate you about diabetes. Often times, with some insurance coverages, you might get classes/diabetic education covered if you are in case management.

Here is a website that has great free information:

National Institute of Diabetes, Digestion and Kidney Disease

Click on the "health education" link on the dark blue menu bar. There is stuff you can read online and there are pamphlets you can request to be sent to you.
 

The PP has made some excellent diet suggestions for you to start with. I just wanted to reinforce the idea that this is a serious health problem, and it will exacerbate other health problems you may have.

The PP mentions almost losing his eye and the toenail. My father has Type 2 Diabetes and was diagnosed maybe 20 years ago by now. He has never taken his diet seriously, and while sometimes Type 2 can be controlled or at least improved by diet and exercise. He did not choose to do this.

My father lost one kidney due to complications to his diabetes. Then the other kidney failed due to complications. He was on dialysis for YEARS and had a kidney transplant - then almost lost his eye and his eye sight due to complications to the diabetes. To this day he still sneaks food and has no self control.

I am only sharing this, because as a family member, it has been a nightmare dealing with his medical problems. Now that he is older, it is falling more and more on my DH and myself to deal with his doctors, meds - you name it. Sometimes I swear I should join an Al-Anon group, because he is addicted - to his food and behavior!

Please take care of yourself. Your family will thank you.

OK - I'm off my soapbox now. Good luck. :goodvibes
 
I was diagnosed about 2 years ago. It's a lot to adjust to, but you can't let it get you down. I first started with the Diabetes course offered at the hospital. It was very informative. You would be shocked at what you can have and what you should avoid. Portion size and excersize is key, and the hardest part for me to control. I try to keep to 35g. of carbs per meal. If I have a carb, I also have a protein to slow sugar absorbtion. Here is a site that I have learned a lot from.http://www.diabetesmonitor.com/
Good luck.
 
I am assuming op was diagnosed with type 2. I was diagnosed with same around Christmas of 2006. Coulda knocked me over with a feather.
Type 2 is normally a result of lifestyle behaviors, ie lack of exercise, overweight. And you dont have to be "obese:. I am overweight(isnt everrybody) but by no means obese. I am on oral meds and my doc said if i lose a few lbs he could probably take me off the meds. I will admit i need to be more careful of what i eat even after being diagnosed. Altho everytime i have my A1C checked I am in the good range. The possible damages of this condiiton scare the crap out of me . The bad stuff does not need to happen if you take care of yourself so dont let it scare you. I will say cut out the sugary sodas completely. I drink unsweetened tea and water. very rarely will i drink a small soda and i love OJ so i buy the tropicaan 50 which has 50 percent less sugar. I love pasta and will have it now and then. Eggs and egg beaters are good, protein and no bad carbs. Alot of people say cut out all the white stiuff, bread, pasta, potatoes. I eat multi grain or whole wheat bread most of the time, but sometimes i eat regular good ole white bread. Eat fresh veggies, salads, llean meats, chicken, fish, fruit. Occasionally you can have a cookie, slice of cake, pasta, etc just keep track of how you body reacts to it. See your dr. on a regular basis. I was seeing mine every three months but noow i am down to twice a yr. Diabetes isnt a death sentence or doesnt have to mean you will have a lot of complications. Do get your eyes checked once per yr(dialatedexam). You will learn to live with it. I have.
 
I'm not diabetic, but I was heading for it. I admit I was obese and eating horribly. My blood sugar was 124 and dr wanted to put me on glucaphin, but I refused. I had lost 17 lbs at that point, but that was the swift kick I needed to get the weight off. I agree first thing you should do is cut out all soft drinks and even diet. Artificial sweeteners are much worse than regular sugar since they make you crave more sweets. Besides all that caramel and other junk just aren't good for you. Eat your fruits instead of drinking them. I eat at least 2 pieces per day from kiwi, berries, citrus, and more. I don't eat as many bananas just since I don't really care for them that much. I would increase your veggie intake. I eat 6-8 servings per day and sometimes more. I always eat a big salad but no salad dressing. I don't like it so I squeeze a little lemon juice on mine. I eat green leaf, red leaf, romaine, cucumbers, baby spinach, a little cheese and bacon bits (the real kind), and a handful of almonds. It's very filling and I eat 6 triscuits instead of crackers. It's around 450 calories including the piece of fruit.

Another thing I did was to count calories and cut back on portions. I also don't eat white bread or rice anymore. I LOVE Nature Valley 12 grain bread that has seeds and nuts in it. It's a wide slice and only $2.50 per loaf. Not too shabby. One piece is plenty. I keep my carb intake to around 150 per day. Some days a little more and others a little less. I also eat around 1400-1500 cals per day. I also exercise six days a week. I use the Walk away the pounds DVD's. I love her as it's low impact but you will work up a good sweat. I eat cage free eggs and I only use Olive or Canola oils now. I don't fry foods anymore, and I either bake or saute my meats. I prefer to eat red potatoes and I slice up a couple and put a little olive oil, parsely and seasoning. Then I bake them in the oven. They are delish!

A good friend of our family recently passed away from diabete complications. He had 2 major heart attacks, was losing his eyesight, kidneys were failing, and battled gout. What killed him was he needed a kidney transplant but couldn't b/c his heart was too weak. He was only 67 and it was so sad to watch him wither away. Not to scare you but it really scared me and I don't want to end up that way when I'm older. My dh's co-worker has diabetes type II. He is almost blind and is preparing for a kidney transplant. He gets dialysis right now. He's not even 50 years old yet. So I definitely changed my lifestyle. I have lost 50 pounds in the last 6 months and can't wait to get my sugar and chol levels rechecked in April. I'm following more of a Mediterrean lifestyle. Healthy fats and carbs as well as lots of fruits/veggies. I feel fantastic and love to exercise daily.
 
All great suggestions on here. I didn't consider the insurance disease management program as the one my insurer provides doesn't actually provide any disease management, just discounts on insulin. Someone else also mentioned portion control, which is difficult to adjust to but can make a huge difference.

I won't scare you with a listing of additional complications, but let's say what finally "scared me straight" was when I was hospitalized for the eye infection and my nurse, also a diabetic, made me watch a video of a guy who had complications. He was missing a leg, an eye and overall looked like a science experiment gone horribly wrong. At that point I decided to quit denying my condition. As another poster stated, diabetes is not a death sentence.

And by the way, next time you're at Epcot I recommend the Maple Creme Brulee at LeCelier. Just remember to take a little extra medication that day. :)
 
Is it type 1 or 2? I was diagnosed two years ago with type 2, which has really been a blessing in disguise!!! Know you are not alone in this. Also, don't try to fix "everything at once." Such as making huge dramatic diet changes. Try one or two diet or exercise changes at a time. And it is ok to splurge once in awhile. There is a really cool website called sparkpeople.com. It is a great place to track what you eat, and get diet recommends. I am sure there is a diabetic educator at the hospital who is more than willing to help you!!!! I have gradually learned to eat decent food and feel SOOOOOO much better. Don't wait for tomorrow- enjoy each day!!!
 
I was diagnosed with Type 2 about two years ago. Classes with diabetes educators and nutritionists who talk to you about how to manage your diet, what your favorite foods are and how to work them into a meal plan are a must. If your doctor has not prescribed this already (and some don't know about it) ask for it. Most insurance plans should cover it. If you are not already in possession of a glucometer to check your blood glucose levels, diabetes educators will instruct you in their use. I used mine a lot more when I was first diagnosed to find out the effect of different foods and activities. I don't test as often during the course of a day now but I do get a hemoglobin A1C blood test at least every three to six months so my doctor verifies with me that my blood gucose remains in good control.

Some grocery stores offer tours for diabetics. Whole foods, the less processed the better, high fiber, whole grains are best. I grew up with white bread but I've learned to love whole wheat. Read every label - even things labeled to contain whole grain may not have the fiber they should. And then there's the glycemic index research - oat cereal may not be as good for us as some others.

A diabetic diet is basically a healthy diet with foods as close to natural as possible with balanced amounts of carbs, protein and fats in the proportions recommended by your nutritionist as right for you. For example, I need to lose weight. I'm supposed to have 180 grams of carbs, split up over the course of a day with 30-45 grams at meals, 15-30 for snacks, taken with protein and fat so that my blood glucose level stays relatively even over the course of the day. The protein and fat slow down the digestion of the carbs so there's not a big spike all at once.

Nothing is forbidden, I just have to plan for it and limit quantities. I've had to learn to balance portion sizes. I have Calorie King software on my computer which I use to plan my meals and keep track of what I eat. I was able to set it up with the proportions of carbs, protein and fats I'm supposed to have within my calorie max and also set goals for intake of salt, cholesterol, etc. I carry South Beach Diet protein bars and water with me everywhere. I also like low fat, part skim mozzarella string cheese. I made the switch to skim milk a long time ago, and now whole milk feels strange to me.

What's a busy mom to do? A pantry and freezer helps so you can stock up on sales of canned tuna, chicken breasts and tenders, turkey and fish, and different kinds of nuts. You can freeze casseroles or soups you make yourself from healthy ingredients. I cook a lot of chili with beans as well as bean soup, enough for a couple months at a time, and freeze it. I also have a favorite recipe of a can (or a freezer container) of beans, a can of corn kernels, a can of diced tomatoes, and some shredded cheese layered with tortillas and baked which makes a great quick meal with a green salad. I've also experimenting with making oatmeal cookies with Splenda for Baking.

There are more threads like this one in the DisAbilities section of the forum and sometimes in the Restaurants section.

From my diabetes educators I received samples of magazines such as Diabetes Self-Management and Diabetes Forecast, both of which provide a lot of good info in every issue. Diabetes Self-Management sends me periodic newsletters via email as does the ADA.

Ditto on the book Branv recommends.
 
Look at the websites of your local hospitals and see if they offer diabetic support groups or diabetic education classes. They are often free. If they cost money, contact your insurance company to see if they will pay for it if you have a referral from your physician.

This, absolutely.

The talks we got were invaluable. I knew the stuff already, but sometimes DH has a hard time hearing me, so it was lovely to have someone else tell him these things. He'd already done WW before, but seeing the plastic models of food was excellent.

DH was diagnosed fairly dramatically, but after one week on metformin he nearly tossed the bottle of nasty side effects out the window, and went with diet and exercise. He was also seeing drastic changes in his blood sugar WELL before the diagnosing doctor, family doctor, nutritionist, and then endocrinologist said he would, so obviously it was diet that was changing things nearly immediately, and that was proof enough for him.

Last a1c he was at 5.9, which is most excellent.

As you test, you'll notice that your own personal body reacts to things differently. For DH, he can have cane sugar, and it doesn't do HUGE things to his readings. But if he has corn syrup or HFCS, it shoots the readings sky high. When I cook (or bake) with cinnamon, he hits his lows (he's hit the 70s twice so far...wow his mood is so weird and mellow then!); cinnamon is VERY good for him. So as you go along, it'll be interesting to journal food and your readings, to see what various foods do to you. And maybe you'll notice mood changes like DH and I have...when he's really up there, he starts to pick a fight. If he's just higher than normal, he's really annoying. When he's in the 80s and 90s, he's the lovely man I met and married. When he's in the 70s, it's like he's stoned, LOL.

FYI, at the beginning it's VERY common to do the fear diet...as in, you eat almost nothing because food has suddenly become very very scary. Very common. Can also spur some weight loss to start off with, IF that's an issue for you.
 
I totally agree don't do it all at once. I took small baby steps over the last 6 months. The first thing I did was to give up soft drinks. I switched to black tea (iced tea). I would put half a cup of sugar to a gallon. Then once I was used to it I dropped the sugar more. I now drink it with no sugar or sweeteners but I do add a little lemon juice. I didn't have any nasty side effects as a result. Now I can't even drink a soft drink. They don't appeal to me at all. If you drink soft drinks, then you'll notice yourself not craving sweets anymore. We americans eat extremely sweet desserts. The europeans eat more tart desserts. I have gotten used to it. My taste buds thank me. Fruit is actually very sweet once you cut out all the other things from your diet.

I don't eat oatmeal or most granola anymore. I get steel cut oatmeal since it's unprocessed. The whole key to good healthy grains is to look for unprocessed. Brans are really good for you as well as cracked wheat. I also eat fish 2-3x per week (of course living in South Louisiana it's not very expensive and easy to come by). I also sprinkle a little ground flax seed over some foods like yogurt and steel oatmeal. You can add that if you bake. I switched to organic greek yogurt. I either add raspberries or a little honey for a sweeter taste. I only use honey that I buy from a local bee keeper. I use 1/2 tsp and maybe 1-2x per week. I still use it very sparingly.

I think the key to good health is moderation. I still splurge but just not all the time. I eat much better in the day if I know I will splurge. I had a piece of king cake for Mardi Gras. I scraped off the icing (it's too sweet) and had a small piece. I also still eat gumbo but I use brown rice and don't eat it often. I didn't even start incorporating exercise until the end of December. I started at just 2-3 days per week. I gradually built it up to 6 days a week of walking. I now walk 20 miles per week. I also started doing Callanetics which is basically stretching but it will help tone and shed those inches. I have went from a size 26 to a size 18. I still have a long way to go, but I just feel so much better. Good luck and remember just make small changes slowly. For me it became a snowball effect. I just got so motivated that I can keep adding small changes and refining my eating habits. Hubby even joined me three months ago and he has lost 38 pounds. It's helpful that we both have the same goal of eating healthier and exercising more. :goodvibes
 
My ex-husband is a type 2 diabetic, and one thing I noticed is doing some kind of light exercise after eating, especially if it wasn't an ideal meal, was especially helpful in keeping his blood sugar in the recommended ranges. This is a case when exercise (a walk around the block, for example) really is your friend.

I wish you luck with your adjustment. :hug:
 
Oh my gosh. I am THAT diet right now!! Truer words were never spoken. But in all seriousness, I am petrified.

And don't judge me, but I told my husband that Disney, and the meal plan, etc, will never look the same again. I literally got upset (but of course everything is making me cry right now) that I feel like I can never eat any of the Disney sweets ever again! No Mickey Head ice cream?:sad2:
 
Nothing is off limits, you just have to balance portions, so maybe after you eat your main meal share a dessert, have a small amount and do eat slowly to savor the taste. Last time we went to Disney, before my diagnosis, we had the dining plan and even then it was too much food. That won't work now especially since my husband is attending a convention. I used to eat almost as much as he does, but not anymore. I told him we are going to share foods this trip and I will also purchase CS kid meals for myself.

I've never had one of the Mickey Heads. The ingredients and carb count were posted on here somewhere, and that's more than I can handle as a serving. But many people find with all the exercise at Disney, they can have more treats like that, so your mileage may vary.
 
Even if your insurance won't pay for it, invest in a few sessions with a certified diabetes educator. They can teach you so much about how to manage your disease. I've seen them free through some hospitals.

I developed gestational diabetes 19 years ago and it never went away. I am now classified as a type II diabetic. You learn to cope. I count carbs rather than avoiding sugar. Calorie King has a book widely available that is worth its weight in gold - it has carb estimates for lots of restaurant chains in addition to various other foods. If I want to have dessert, I eat less of the carbs in my main meal. Leaving the rice or potato behind is no sacrifice but I do love bread so I have to really want dessert to give up my bread!

We don't do the Disney dining plan since it is not a good value for us. I sometimes order a child's meal or an appetizer for an entree. Or I will split a meal with my daughter. We do some buffets even though we are way overpaying for me because my husband and daughter enjoy them and they are both hearty eaters on vacation! I splurge and have the occasional Mickey bar, just not every day.

I use artificial sweeteners in my coffee and drink diet soda, Crystal Light, etc. I think that those who say it makes you crave sweets more are wrong. I don't do sugar free desserts. The carb count tends to be just as high as the regular dessert and sometimes the artificial sweeteners used can have some really nasty side effects. I am on metformin which doesn't cause side effects for me. After losing 30 pounds this year and beginning to exercise daily, I was able to cut my dose in half. But I am also on Byetta and Lantus, both of which are injected.

As others have said, a diabetic diet is really nothing but a generally healthy diet with portion control. I do whole grain bread, not white. I do miss having a big plate of pasta, but that just won't be happening. I do indulge in small servings sometimes. I never order pasta when I am eating out since they tend to have huge servings. If I can't get a child's portion, I just order something else.

If your doctor doesn't have you testing your blood glucose, find out about getting a meter. Regular testing will help you to determine what effect various food choices have on your glucose levels. My prescription drug plan covers my test strips, although at a hefty co-pay.

Visit a library and get books on the subject. There are a lot. The American Diabetes Association (www.diabetes.org) has lots of information on their web site. They post a recipe of the day that is sometimes good. And there are discussion forums that can be very helpful to a newly diagnosed diabetic.

Good luck - you can control the disease or you can let it control you. JMHO but life is much better if you choose to control the disease.
 


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