Type 2 Diabetes - Looking For Advice

My father and most of my mom's side have Type 2 diabetes. So, I don't have personal experience myself, but I grew up listening and seeing everything about food, insulin and glucose monitoring.

You already have great advice so I'll just say: pay attention to the areas where sugar is added or doesn't seem like it would be so high. Milk has a lot of sugar. Some people love to drink milk.

I'd also suggest starting slow to switch certain foods around and see what works. Ask his doctor as many questions as possible - that's their job!

Good luck!
 
A little over a year ago I was diagnosed as per-diabetic by my doctor. He wanted to put me on medication. I was already on three meds at that time for BP, high cholesterol and triglycerides. Something in me said "this is enough" and I asked him to give me time to try something else. His response - I'll check you again in three months.

Fortunately a program available through work gave me guided access to learn and adapt to eating in a ketogenicfashion. For a meat & taters guy this was a noticeable change. I decided to give it a try.

The results first. I never went on diabetes medication. Of the 3 medications I was taking before I'm down to one. Body weight down about 20% as a side effect as I did not start this for weight loss. All this with minimal exercise. The ONLY significant change was how I ate.

To put it in the simplest terms - high fat , moderate protein and vegetables and low carb ( < 30 per day ). Ideally what you eat should have one or two main ingredients - if the nutrition label is a paragraph long it's probable not good for you. Another way to describe it - eat around the perimeter of the grocery store. That's where you meats, fish, veggies and other things are.

I still eat well. I eat at the same favorite restaurants with my co-workers as I did before - I just choose different foods. I have fewer choices than before so I make choices that are tastier than before so in some ways I enjoy eating more. On recent trips to WDW I've eaten at Boma, California Grill, Jiko, Steakhouse 71, Earl of Sandwich, Blaze Pizza and other places and stayed in ketosis. I don't count calories or carbs because I know what's good for me and I eat till I'm satisfied. For decades I told my body what I wanted. Now I listen to it telling me what I need.

I hope this helps.
 
I'm 48 and have been managing type 2 by eating very low carb for over 4 yrs. I lost 50 lbs and got down to the healthy bmi range for my height. My a1c was 7.6 at diagnosis, down to 5.1 within 3 months and have maintained in that range since. I used metformin for the first 6 months, but it's been all diet since. I do walk occasionally, but my job and life is very active, so I don't stress if I don't get my daily walk in. I know this is not what is taught by most nutritionist and doctors, but my gp and cardiologist are thrilled with my results using a low carb diet. My numbers don't lie!

Is it hard? Definitely at first. I wasn't a binge eater, but life was stressful and I definitely ate too much fast food and drank too much soda. It's been pretty easy to manage since I got things under control, though, especially with my goals. I watched my mom suffer all the consequences of uncontrolled diabetes: heart attacks, stroke, kidney failure, complete blindness, immobility, never healing sores. She was headed towards amputation when she passed. Through research, I learned that this did not have to be my destiny and I decided that diet and exercise was my best chance at living a long and healthy life to see my 4 children grow. Diabetes is a dietary disease and yes, genetics plays a part (and a few other things). But diet plays a much bigger part for the vast majority of diabetics.

Good luck to you and him! I know it seems overwhelming, but whatever path you choose, it will become second nature pretty quickly. And I couldn't have done it without my DH's support. He loves to cook and learned new recipes and ways of preparing foods right beside me!

No idea on the salmon, though! DH is allergic to seafood, so we just don't bring any in the house. I do love a blackened salmon when I go to a restaurant, though, so maybe look for a recipe that you can prepare at home.
 
I can only weigh in on the salmon, but it's one of my favorite things to cook, and it's quite easy. I do salmon in the air fryer, baked in the oven, and in a frying pan on the stove (not fried in oil, though.) The air fryer gives it a really nice crispness, and that's my favorite. Oh, grilling works too- place in a foil packet on the grill.

I change up what I put on the salmon, but I don't use any pre-packaged sauces or mixes. I like Cajun seasoning (I make my own), or a simple squeeze of a lemon or orange and then cook with slices of the fruit, or whatever seasoning I'm in the mood for that night (sometimes just some garlic, sometimes an Italian seasoning mix, etc.)

For sides, I Just do whatever veggies we want/have on hand that night, nothing in particular every time. If I make salmon with Cajun seasoning, I often do a mango cucumber salsa to go with it (I can't remember the exact recipe and I simplified it, typically using diced cucumber, diced mango, fresh lime juice.) Salmon nights often include frozen or fresh steamed broccoli, snap peas, green beans, or a zucchini/summer squash/grape tomatoes/whatever else fresh I have on hand air fried with a bit of olive oil and balsamic vinegar. To be honest, I don't do complex side dishes... we do a lot of plain veggies, air fried sweet potatoes, riced cauliflower, sometimes quinoa (especially in the spring, that's when I make a lemon garlic fiddlehead quinoa dish.) Leftover salmon is great on a salad.

Oh, and since it has been mentioned a few times in this thread- I only use frozen salmon. I know many people will only do fresh, but I can't get fresh Kosher salmon around here, and I can't risk salmon that is in a case near shellfish or was packaged around shellfish/by people who touched shellfish/etc. My shellfish allergy unfortunately affects my ability to eat finned fish, even though I'm not allergic to them. I live in a coastal area known for seafood, and most of it is unsafe for me.
 

As someone who has lived with Type 2 for 15 years,
and is now insulin dependent, I can tell you that EDUCATION IS KEY!

It's great that you are asking here among friends,
and everyone has given their own advice,
but I cannot emphasize enough that you cannot just
start "eating healthy" or "doing Keto" etc.
What may have worked for one will not work for all,
and can cause damage to your DH's health if you & he
just start willy-nilly trying to incorporate so many things into his diet.

Your Dr. should have pointed your DH in the direction
of your local hospital and the "ABC" Diabetes education classes.
Unfortunately with Covid it seems to mostly be online now,
but here is a link to the American Diabetes Assoc. to start your search:

https://diabetes.org/tools-support/diabetes-education-program
* This is the official link

Your DH needs to know what his goals should be re: weight, BP, bloodwork, etc.
not just lowering his A1C.
He also must be instructed on how many carbohydrates and calories
he should be eating each day, including each meal + snacks.
Especially because he is using an Rx to lower/regulate his blood sugars!


I will be praying for you both as you now have a "new normal" as they say.
Feel free to PM me with any questions.
 
Once you know what veggies and fruits he can have, I recommend keeping a "snacking ready" form of it on hand. I find that even though I know what I should eat, sometimes when I'm in a rush to get out the door, traveling, etc., I'll just "grab something" and that often turns out to be a high-carb something- crackers, a bagel, etc. NOT GOOD. I learned to keep peeled, cut carrots (which are high-glycemic index so probably not good for your DH) and celery ready to go, low-glycemic index berries always on hand, individually cut/wrapped cheese, etc. in the fridge all the time. I can still grab-and-go with no prep time, but I'm grabbing the right stuff, not the easy stuff.
 
Thank you to everyone that posted since my last thank you post.
My time is limited (I’m leaving for the gym in a few minutes - I like to be on the bike or treadmill by 7:00am), so I can’t reply to everyone individually, but I have read every post and will be rereading them (when I reread all the posts from this thread I’ll be doing it with a notebook).
You guys are the best - you always come through with great advice :goodvibes
 
Thank you to everyone that posted since my last thank you post.
My time is limited (I’m leaving for the gym in a few minutes - I like to be on the bike or treadmill by 7:00am), so I can’t reply to everyone individually, but I have read every post and will be rereading them (when I reread all the posts from this thread I’ll be doing it with a notebook).
You guys are the best - you always come through with great advice :goodvibes
Being a 72.5yo retired geezer, I got out at 12:02AM this morning for 29 miles of blissful bicycling. If the stars and planets were any brighter I would have needed a pair of sunglasses. p.s. - it helps living in SW FL :thumbsup2


Unlike others, my 1,700mg/day of METFORMIN is a treatment protocol for my PCa Prostate Cancer so can't help with Type 2 but can suggest my easy way to cook Wild Caught Alaskan Sockeye Salmon.

Warm a Non stick skillet on Low/Med
Place fillet flesh side down on skillet, I like it crusty so 6 to 8 minutes
Flip to skin side, I like the skin crispy so 6 to 8 minutes
Put on plate to cool a bit then pick it up and eat!!!! Utensils', seasonings, sauces, onions --- whatever just ain't needed.
 
Last edited:
  • Like
Reactions: slo
my type 2 diabetic DH has had very good success by eating keto.

My husband was on a metric ton of insulin and oral meds. I went keto/carnivore at the suggestion of my physician, and the husband came along with me on this adventure.

He is completely off everything.

I really recommend using a CGM. They can be pricy, but I like knowing how I react to things and finding trends in my blood sugar. I was pushing my way towards pre-diabetes but diet change combined with continuous monitoring has been a game changer.
 
My husband is a Diabetic, as are most of his family members. My siblings are all Diabetics. I am a Pre-diabetic. Anyway, I definitely know about this topic. The hard thing is that you have an idea of what "healthy eating" is, but Diabetic eating (while it has overlaps) is not the same thing; for example, an apple is healthy, but a whole large apple would send my numbers sky-high. Whole wheat bread is healthy, but a Diabetic can't have too much of it.

- Most of us consider meat + veg to be an excellent meal, so focus on that: For a weeknight, consider a hamburger patty covered with mushrooms, a nice piece of fish, BBQ chicken + veg ... that's good eating. But skip the rice /potato and bread that we usually include.
- Be careful of condiments, particularly BBQ sauce, which can pack a big carb punch in only a couple tablespoons. You can find low-sugar ketchup, honey-mustard, or BBQ sauce, or you can make your own.
- Breakfast is easy, as eggs are carb-free. If time is difficult for you, consider boiling up a bunch of eggs.
- I find lunch difficult, as it usually includes sandwiches, and bread is a killer for me. A lettuce wrapped sandwich works well, as does a salad topped with sliced chicken or steak.
- One of our favorite "special meals" is a charcuterie board with deli meat, cheese, olives and a bit of good chocolate. If we include crackers or bread, it's only a small bit each. But it's not an everyday thing because the deli meat isn't the healthiest choice. This is also a wonderful meal for travel.

As for salmon, I don't particularly care for red fish -- but we eat white fish often. I didn't grow up eating fish (my mother grew up in a house with a fish-allergic grandfather, so she never learned to cook it -- so she never taught me), but here's a recipe I use often -- I like Tilapia or Cod.

Cast Iron Fish: Place a cast iron frying pan on a burner and bring it up to medium-heat. Meanwhile, slather your fish in mustard (it will not taste like mustard at the end -- promise). Sprinkle with a bit of Panko Breadcrumbs, Parmesan Cheese and whatever spice you prefer -- I like Dizzy Dust Tsnaumi. Place the fish in the pan and move it immediately to the oven. Broil it on high 5 minutes, and you're DONE. I like Tartar sauce on mine, and it's low in carbs.

I'd say NO to treats right now ... not while your husband's A1C is still high, but once he's stable /has his numbers down, then he can afford the occasional treat. Treats and snacks are, honestly, the hardest thing for me. Some ideas:

- Sugar-free gum
- Sugar-free Jello with a bit of whipped cream
- Sugar-free Jello pudding whipped with a mixer with cream instead of milk ... this can be made into popsicles
- Nuts, olives and cheese
- DO NOT be fooled by ready-made foods that are labeled Keto, Low-carb or Low-sugar. If you read the back of the packaging, you'll see that they often are high in carbs.

Some of the best advice I've received:
- Thanksgiving and Christmas are one day, not a season. That is, give yourself a break and eat whatever you want on special days ... but don't allow holidays to become an excuse to go overboard for a week.
- Read the back of the package, not the front.
- Eat to your meter. That is, test your blood sugar before /2 hours after meals to learn what works /doesn't work for you.
I can't help with the salmon, but my dad's had Type 2 diabetes for over a decade now. I STRONGLY suggest your husband take a diabetes education class ...

ETA: One of the biggest changes my dad had to make was learning to like diet soda, along with learning to drink way more water. It's shocking how many carbs are in most beverages, and they all count. So if your husband learns to enjoy zero carb drinks, he'll have a lot more room to play with his diet and eat the things he loves.
Oh, yes, yes, yes -- you must take a Diabetic education class. And you must go talk to a Nutritionist. I learned SO MUCH from the class, and I filled pages and pages with notes from my Nutritionist -- by the way, insurance paid for both.

Another good support resource is https://www.diabetesdaily.com/ ... you can see loads of recipes and can ask help on the message board. But don't expect lovey-dovey yes-yes-yes answers; those people are tough and always tell the truth.

Pinterest is also a great place to search for Keto recipes.

As for drinks, I'll admit that it was probably sugar-filled drinks that pushed my numbers up to become a problem. I've embraced diet sodas -- don't even like full-sugar any more. I've learned to drink unsweet tea with Stevia, but -- a good Southerner -- I don't love it like Sweet Tea. I've never been a coffee drinker, but I now like Iced Coffee with cream (no milk -- milk has carbs) as a treat while I'm running errands. Ridding your drinks of sugar is absolutely essential.
His number was 7.something (I don’t remember exactly)
7? That's Pre-diabetic, isn't it?
See the chart I've included at the end of this message -- it came from Pinterest, and you can find plenty of similar things.
I recently started making what I call my soup of good intentions. After buying fresh vegetables I mean to prepare, and don’t, I sauté carrots, garlic, celery and onions, then add herbs, tomato paste and all of my vegetables, and broth, and make a big container of soup. It’s pretty good!
Consider that fresh vegetables, though tastier, have no nutritional value over frozen.
I make a BIG pan of roasted veg twice a week, and we all enjoy the leftovers. It's easier to comply with a low-carb diet if the veg is already cooked. It's easy: I mix up several bags of frozen veg, brush it with olive oil and sprinkle it with whatever spice I like at the moment. I roast it at 450 degrees for 30-40 minutes and sprinkle it with parmesan cheese after it's done.
I would suggest concentrating on real foods…those with no ingredient list. Focus on lean proteins and lots of vegetables. Use only extra virgin olive oil or avocado oil. And exercise. Taking a walk after meals can help keep insulin levels from spiking. Best of luck to both of you!
Exercise makes such a difference. 10 minutes of vigorous exercise can lower my blood sugar numbers by as much as 40 points ... but the result is temporary.

Does your husband have a Glucose Meter yet? If not, it's essential that he gets one. You should check with your insurance, but -- for me -- it was cheaper to buy a Target-brand meter + test strips than to use my insurance and buy the items my doctor recommended. You need enough strips that you can test before /after meals and learn how various things affect you; for example, popcorn is okay for some Diabetics, awful for others.
You all are amazing!!
I am overwhelmed with all your posts.
I have read every one and will actually be rereading them again when I have more time to really absorb them all.
Thank you!
Thank you!
Thank you!!!!!
You won't absorb everything at once, so don't beat yourself up about it. Take your time and learn how to manage this new condition -- as long as you do better each day, you're doing well.
 

Attachments

  • Screenshot 2023-01-19 11.33.12 AM.png
    Screenshot 2023-01-19 11.33.12 AM.png
    189.4 KB · Views: 17
I'll find inconsistencies with what I eat and what my numbers are. For example, last night dinner was cauliflower, mini meatballs (no sauce) and a sugar free soda. I walked after dinner. My numbers this morning were higher than they've been in weeks. There's a number of days I think "why bother?".
Sam,

That sounds like the "dawn effect" and it got me for a while too. I became non compliant because - why bother. I was doing everything right but my morning numbers were crap.

I finally became compliant and educated. It turns out that the better I am the night before, the more likely my morning number would spike. That is because your body thinks it is starving so the liver releases glucose to get you ready to start your day. YMMV but the solution for me was to have a high protein snack such as a cheese stick or a lice of deli meat shortly before bed. Now I wake up with beautiful numbers.

It sucks how little information about the disease is relayed by primary care physicians. There are so many things I would have done differently over the years.
 
Sam,

That sounds like the "dawn effect" and it got me for a while too. I became non compliant because - why bother. I was doing everything right but my morning numbers were crap.

I finally became compliant and educated. It turns out that the better I am the night before, the more likely my morning number would spike. That is because your body thinks it is starving so the liver releases glucose to get you ready to start your day. YMMV but the solution for me was to have a high protein snack such as a cheese stick or a lice of deli meat shortly before bed. Now I wake up with beautiful numbers.

It sucks how little information about the disease is relayed by primary care physicians. There are so many things I would have done differently over the years.
Thanks. I've found it is very frustrating sometimes. I'll eat "garbage" one night and have low numbers the next day, eat "well" a different night and have crap numbers. That's when I get to the "why bother".

I'll be honest, my motivation & will power is all but gone. People say "you'll feel better when you start eating well". Unfortunately, like when I was diagnosed with sleep apnea and told "you'll sleep and feel better with a cpap", I don't. I DON'T "feel better". I didn't feel bad before. With the diabetes, I'm hungrier more (because I try to watch how much I eat, and I'm big on "boredom eating"). With the apnea, I'm waking up multiple times a night to adjust my mask (I move around a lot at night). I hope people are right that taking care of things now will benefit me in the future. If I die "early", I'm going to be pissed. :crazy:

@slo, I wish you and your husband the best of luck. One thing I didn't see mentioned (or don't remember) is drink lots of water. I will occasionally have a diet root beer, or unsweet tea (with artificial sweetner). Other than that, water, water, water.
 
  • Like
Reactions: slo
Thanks. I've found it is very frustrating sometimes. I'll eat "garbage" one night and have low numbers the next day, eat "well" a different night and have crap numbers. That's when I get to the "why bother".

I'll be honest, my motivation & will power is all but gone. People say "you'll feel better when you start eating well". Unfortunately, like when I was diagnosed with sleep apnea and told "you'll sleep and feel better with a cpap", I don't. I DON'T "feel better". I didn't feel bad before. With the diabetes, I'm hungrier more (because I try to watch how much I eat, and I'm big on "boredom eating"). With the apnea, I'm waking up multiple times a night to adjust my mask (I move around a lot at night). I hope people are right that taking care of things now will benefit me in the future. If I die "early", I'm going to be pissed. :crazy:

@slo, I wish you and your husband the best of luck. One thing I didn't see mentioned (or don't remember) is drink lots of water. I will occasionally have a diet root beer, or unsweet tea (with artificial sweetner). Other than that, water, water, water.
Great advice on the water!

I'm sorry you aren't feeling better with the CPAP. It did really help my DH's energy levels, but he is currently having a problem with the mask causing a rash on his face some mornings, so I get that it's definitely not a magic solution. :hug:

As for being hungry, my DH also found he needs to snack more, but that's OK - he concentrates on protein-rich things thing nuts and cheese, and it works out most of the time. I've also been following a nutritionist on Instagram for a couple weeks who emphasizes that it is not all about calorie restriction, and I'm intrigued. I haven't checked out her credentials yet, so please don't take this as an endorsement, but here is the website if you want to read more: https://www.megankoehn.com/
 
Yes, the "Dawn Effect" is big -- the internet will explain it way better than I could. You might manage it by having a snack with a bit of protein and carb just before bed.

As for your numbers being inconsistent -- yes, that's a problem, but consider that it isn't JUST what you eat:

- Liquid carbs (i.e., sugary drinks) are treated differently by the body
- It's awfully easy to eat more carbs than you realized; for example, through breaded foods or condiments
- Exercise, stress or illness can all play into how your body processes carbs
 
I'm genuinely happy for those of you who are doing well eating keto or whatever. But I do strongly encourage the OP not to lock onto anything like that without talking to the doctor/nutritionist/diabetes educator. My dad would literally die of low blood sugar if he did that. Even before they added a medication, his numbers yo-yoed. If he didn't eat enough carbs, his sugar would drop dangerously low. Nothing's more fun than a blood sugar crash when you're driving down the highway. Thankfully he had his glucose meter and some candy with him, and was able to safely pull over, test, eat, and test again. After that episode, his doctor told him straight up: high blood sugar will kill you slowly. But low blood sugar will kill you fast.

It's SUCH an individualized disease. What works for one person will NOT necessarily work for another. OP, you have a lot of trial and error in your immediate future. And it can change over the years. If your husband's overall activity level changes, so will his numbers. As he ages, his numbers will change. Sometimes I think things change with the phases of the moon or something, because sometimes they make zero sense. But the good news is, once you guys get familiar with all the different aspects of diabetes management, you'll be able to recognize if something seems off. And you'll develop a sense of how to adapt to different changes. But you definitely need a support system in place, because it can be frustrating as heck.
 
I'm genuinely happy for those of you who are doing well eating keto or whatever. But I do strongly encourage the OP not to lock onto anything like that without talking to the doctor/nutritionist/diabetes educator ...
My doctor put me on the Keto diet to get my carbs "back on track", but he admitted it isn't something he'd want me to do long-term. I was allowed only 30 carbs per day; it worked, but I honestly spent every minute of the day thinking about how many carbs I'd had, planning what I'd eat for the rest of the day, and I was always a little hungry. I did it for 10 weeks and didn't cheat a single bite. Again, it worked, and I lost 20 pounds in the process. Now -- as long as I maintain -- I don't need to go that extreme again.
... If he didn't eat enough carbs, his sugar would drop dangerously low. Nothing's more fun than a blood sugar crash when you're driving down the highway ...
Absolutely true. I had a crash the other day ... passed out, in fact. I'd not eaten, and we were delayed waaaay longer than expected at a restaurant. I woke up lying on the floor in Red Robin's waiting area, and I thought to myself, "This is inappropriate. I'll just stay a little longer." In all honesty, my body gave me plenty of warning about what was about to happen ... but I foolishly thought, "We'll be seated in a moment, and I'll drink a soda immediately." I broke the rules; I paid the price.

Fortunately my RN daughter was nearby to help me. She advised me to keep ketchup packets in my purse, saying a bit of ketchup under the tongue will shoot a bunch of carbs straight into your system and give you an "oomph" that'll last long enough for you to eat something real. You can also put ketchup into the mouth of someone who's unconscious /could not drink.
It's SUCH an individualized disease ...
So true! That's why it's important to have a glucose meter /monitor your own responses to various foods.
 
Absolutely true. I had a crash the other day ... passed out, in fact. I'd not eaten, and we were delayed waaaay longer than expected at a restaurant. I woke up lying on the floor in Red Robin's waiting area, and I thought to myself, "This is inappropriate. I'll just stay a little longer." In all honesty, my body gave me plenty of warning about what was about to happen ... but I foolishly thought, "We'll be seated in a moment, and I'll drink a soda immediately." I broke the rules; I paid the price.
Wow, that is so scary! Thankfully my dad hasn't passed out yet, he goes through an angry phase first and everyone who knows him even a little knows if he starts yelling, force some carbs on him. Fortunately he has a sweet tooth, so even if he's mad he'll accept a "gift" of candy lol.

That's brilliant about the ketchup packets! I used to always carry a tube of glucose gel when I was with my dad for the same reason. But now the mood check and candy seems to work. It's so funny really, because my dad's normally super chill.
 
Thanks. I've found it is very frustrating sometimes. I'll eat "garbage" one night and have low numbers the next day, eat "well" a different night and have crap numbers. That's when I get to the "why bother".

I'll be honest, my motivation & will power is all but gone. People say "you'll feel better when you start eating well". Unfortunately, like when I was diagnosed with sleep apnea and told "you'll sleep and feel better with a cpap", I don't. I DON'T "feel better". I didn't feel bad before. With the diabetes, I'm hungrier more (because I try to watch how much I eat, and I'm big on "boredom eating"). With the apnea, I'm waking up multiple times a night to adjust my mask (I move around a lot at night). I hope people are right that taking care of things now will benefit me in the future. If I die "early", I'm going to be pissed. :crazy:

@slo, I wish you and your husband the best of luck. One thing I didn't see mentioned (or don't remember) is drink lots of water. I will occasionally have a diet root beer, or unsweet tea (with artificial sweetner). Other than that, water, water, water.
Yeah, not sure of the science, but if I have a glass of wine (4 ounce pour) in the evening, my blood sugar will be 15 to 20 points LOWER in the morning.
Good news though, went to the Eye Doctor yesterday and no sign of Diabetic Retinopathy despite my A1C being 7.3. A year ago, when my A1C was 6.3, there were a couple spots. So a year without diabetes medication caused my A1C to soar but my eyes are healthier......go figure.
 














Save Up to 30% on Rooms at Walt Disney World!

Save up to 30% on rooms at select Disney Resorts Collection hotels when you stay 5 consecutive nights or longer in late summer and early fall. Plus, enjoy other savings for shorter stays.This offer is valid for stays most nights from August 1 to October 11, 2025.
CLICK HERE







New Posts







DIS Facebook DIS youtube DIS Instagram DIS Pinterest

Back
Top