Friday, 24 July 2009

Diabetes Education and an update

I think that for us, Diabetes Education was really good. I learned alot about what I can and can't control. I also learned about portion sizes (I had been trying to figure it out on my own). We have been working with the principles of South Beach and they are not low carb. South Beach is about good carbs and good fats and yes it is appropriate for Diabetics. I think that part of our issues was the portion size and I think my husbands pancrease is just not working well. I went for a one day session as that is what my insurance paid for. I got alot of information very quickly so I was glad I took lots of notes and brought home alot of usefull information.

The CDE that taught our class was very much agains low carbed diets but she did admit that some people are successful on them. She wanted folks to have a general understanding about how the body worked and what the body needed. I am not saying that low carb doesn't work or is danagerous in any way. I am saying that I think in order to be well informed you will have to make that decision yourself and the only way to do that is to go to the classes and glean from them what you will. There were 2 people that taught our class. One was on the damage that happes to the body because of diabetes (especially when uncontrolled) . She also talked about medications and some of the side effects of those. She gave us lots of options that even my dr didn't know about. It was very informative. The afternoon was all about the food portion. The lady that taught that talked about how to control diabetes with food and exercise and while I admit my husband can't eat 60 carbs a meal he can eat around 45. He can also eat a couple snacks. Oh and I learned it's okay if I don't have totally control over everything he eats. He has to control his food and I have to control mine. I can only offer the better options. Now for the update....
I am back on Metformin. I take 250 mg a day. It's a low does but so far it's helping. I also am facing surgery soon for a problem with my bile duct. I am hoping to not have to do it but we will see. My husband is finnaly below 200 in the morning. He is at 47 units a day of Lantus and I suspect he will probably stop between 55 and 60 units. (This is the reason I don't think his pancrease is producing as much insulin as she thought). The dr thought it would be good at around 35 - 40 but he is passed that and still needing a bit more. During the day it's gotten to around 150 so we have seen alot of really good progress. He is also exercising more consistanly and the snacking is getting under better control so all seems to be going well. thank you all for your help. Take care

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