Saturday, 13 June 2009

Keeping your regular check ups with your doc

Been a little over 2 yrs since I was diganosed with Type 2 diabeties My AC1 tests are 6.1 . I take statin (crestor) for high cholesterol, and I take Tricore and 1 other med for high triglycerides. What on earth can a person eat that has all these problems.

Have you had a consult or two with a nutritionist who's also a CDE (certified diabetes educator)? Most folks with insurance are "allowed" at least one consult a year (my insurance actually will pay for as many as I need, which is nice, but that might be because I use insulin, I odn't know). So if you have coverage, by all means, go see a nutritionist and get a custom meal plan.

Naturally, a nutritionist can fine tune anything for you, once she knows your likes and dislikes, your calorie and carb level requirements, etc. Be careful about going to a nutritionist who's not a CDE-- I've heard those folks often will just hand you an ADA "diet" sheet that will allow you 60 carb grams per meal and won't be a good fit for you. Your diabetes is in good control, so you're doing something right there. What's your doc say about your recent lipid tests? Are you doing well there?

IMO if you stay away from processed foods, junk food, and most fast food, as well as going easy on the starchy foods (bread, cereal, rice, potato mostly) you're home free. Fill your meals with protein (low fat meat, fish, eggs, low fat cheese, low fat cottage cheese, beans), veggies (make salad your friend), whole fruit, whole grains. Eat a handful of unsalted, dry-roasted nuts every day. Drink a couple of small glasses of milk a day. When you need "sweet" reach for Splenda and fruit. Avoid added fats except for a bit of olive oil or one of those "heart-healthy" margarines. Drink pure filtered water, as much as you want. Avoid alcohol, completely if you can.

If you can forget that pre-packaged/ convenience crap foods exist, you're probably at least 90% of the way there. The rest is about portion control, exercise, taking your meds on time, and keeping your regular check ups with your doc.

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