Hi Jen ( original comment)
I am interested in your comments and one of the biggest problems with the dietary information given for people with T2 diabetes and weight management it is always about a DIET and information is not often given how to use real food in many different ways to get good BGL levels. It is often rigid. We have the low fat, low carb, high fat, high carb, Ketogenic, no sugar and the list goes on. Unfortunately we also hear very simplistic approaches to T2 diabetes which works for educating the public in this area but when Dieticians help people a more individualised plan is established addressing the specific areas for you. And can be very successful. As Dung ( Dietitian) said there is no Diabetic Diet.
The main goal for you is to achieve better blood glucose levels and this can be achieved in many ways, certainly weight loss can help but start with BGL first. I always start with what your BGL readings throughout the day are and then manipulate the food to manage this part of the day where the BGL are too high. This is often with understanding of how your different medications are working ( not just insulin but many others) and how best to use these for good BGL control for you. Getting a better HBA1C is the goal.
The goal from your doctor to get your fasting BGL below 6mmol/l before breakfast and again at night would also come with a real risk in increasing hypoglycaemia and this itself can increase your average BGL (the HBA1C). This requires some understanding on how to eat, portion control, timing of meals and how to make up meals to prevent hypoglycaemia and reduce the rise of BGL after meals.I also do not think your Doctor will be in a rush to start more insulin as this will make it harder to lose weight and hopefully they will help you look at many ways to help get your BGL down. However if you are unable to get your BGL down having more insulin may be the best for you. Seing a Diabetes specialist team or endocrinlogist may be helpful to see all the options available to you.
Because of the good/bad food approach with T2 diabetes you often get to feel bad when you eat any perceived bad food. And with all the stuff around this area in the media and the social space just about any food can be seen as bad. What is required is an understanding on how to include any food into your diet when you choose to, but know how to do this in a way that you still get good BGL. This is a journey where you will move to a better lifestyle but understand why, but not feel deprived but also get the rewards you are looking for.
As Dr Kevin Lee ( Endocrinologist) said diabetes is a progressive disease so you are not able to control everything only some things. You often personally blame yourself when you control is not as good as you would like, maybe you haven't been given the information to manage this better yourself, maybe you need a different combination of medication. And with this maintain a good quality of life as you age.
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