Thursday, 18 June 2009

Have any ideas for high caloric/low or relatively low carb foods

>I've managed to get it under control, at least for now, and am off the metformin and zocor. As of the end of May I had normal readings across the board. And I'm down 40 pounds, from a size 16 to a size 8. I am having trouble getting enough calories. I've averaging about 1200 per day, but at my height/weight/ activity level I need to be eating somewhere nearer 2000 to maintain<

So then we can assume that you're continuing to lose weight at the 1200 calorie a day level, so that's why you need to eat more? 2000 calories a day for a woman of average height and normal weight would be quite a lot of calories-- are you a distance runner or something?

>I called my DNE yesterday, and she said to add foods across the board ie all meals should now include a starch as well as a protein. She said I could go as high as 60 carbs per meal but that seems insanely high to me. For three meals that would be 180, throw in a snack or three and I'm over 200 per day. She said that if they were added "equally to all meals/snacks" it shouldn't affect my bg.<

This is standard advice. It makes standard "sense" that if someone needs to increase their daily calories that they do it across the food groups, not just loading on the fat or carbs or protein at the expense of everything else. 60 carbs per meal is standard dietary advice for people in general at the 1800-2000 calorie a day level, not necessarily just for diabetics, and a lot of diabetics would have trouble eating that much or handling that many carbs.

Is your DNE also a nutritionist?

I mean, it sounds as though you need a nutritionist, and you might need to work extensively with him or her, maybe seeing her once a week for a month or so, keeping careful food and blood sugar logs, etc. Anything but careful attention, record-keeping, and consultation with an expert is going to feel like making dietary potshots in the dark to you, which would be pretty scary.

>Anyone out there have any ideas for high caloric/low or relatively low carb foods.<

High calorie/low carb is protein and fats, but... you need to carefully test around any changes. If you're losing weight at 1200 calories, it might be as simple as adding butter to your toast or eggs in the AM, a couple dollops of real salad dressing or mayo to your lunchtime meal, eating 8 oz of steak for dinner instead of 4 or instead of fish or chicken, with an olive oil dressing on a salad and gravy or butter on a potato. IOW, adding more protein and more fats might do the trick without a lot of carb increase.

Hie thyself to a DNE nutritionist, find someone you can work with, and try to implement any recommended changes with an open mind, lots of testing, and careful record-keeping. It'll take a little while for you to find your best place of balance, but you'll get there.

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