Exercise R Us » Workout » Some questions and a minor rant
Question:
I finally got to talk to someone today, one of the nurses I guess. She did indeed say that the doctor had determined that I had impaired glucose tolerance. That part sounded perfectly reasonable, but it sort of went downhill from there. Apparently, the doctor is going to send me some diet info, some 1200 cal/day plan. The only time I could survive on that was when I was severely hypothyroid, before I got treated. Now that I’m treated for that, and also planning to get back in the gym starting this weekend, there is no way that that is enough food. Back when I was a real gym-bunny workout freak, I maintained my ideal weight of 140-145 lbs on about 2500 cal/day. I don’t think I’ll get back to that point anytime soon, but somewhere around 1800-2000 sounds reasonable. I find that calorie-deprivation just makes me cranky, sick, and even fatter, and I don’t think that’s just me. I thought the medical establishment had started figuring that one out. She also said the doctor wants me to make an appointment to see the dietitian. I’m wondering what this dietitian is going to tell me, as I’ve been doing some research and I’m more confused now. From what I could gather, the ADA has been recommending a low-fat, low-protein, high-carb diet, on the theory that fat makes you fat and protein is bad for your kidneys and what’s left is carbs. However, everything else I’ve seen, the stuff that makes sense to me, is that all carbs become sugar pretty quickly and are to be avoided. That was the logic I followed at the grocery store last night when I bought all that cheese and turkey. (I had no idea there had been such vast improvements in turkey pepperoni – it’s really good now.) BTW, I stopped by what seemed to be the diabetic section and found nothing useful – mostly sweets sweetened with stuff other than sugar, and some overpriced whole-wheat pastas. She said that the doctor would probably want to have me tested once or twice a year or something like that, which didn’t sound like enough to me. I asked about the doctor prescribing a meter, and she seemed a little surprised, but said that if my insurance would cover it she didn’t see why the doc would refuse to prescribe it. Is it unusual for a person with impaired glucose tolerance to want to keep track of BG’s? Should I wait until I’m actually diabetic? Maybe I’ll cancel my dermatologist appointment and not get those moles checked out until they’re big and crusty and bleeding and I’m absolutely sure they’re cancerous. Why bother with preventive care? Well that’s my rant. It was kind of fun for me, how ’bout you all? Sarah
Response:
Sarah you are too cute. LOL now go get those moles checked and get your meter and do what YOU know is right for your own body. Yes do as the doctor says but you have been this route before it seems and know what you can tolerate. I think testing is a wise decision and then maybe start out with what your doctor suggested and work up to a higher content because of your gym activities. Whatever you decide know we are always here to listen to you. Don’t think you are ranting either. Had fun reading it as you did writing it. Take care and be good to yourself Di
: I finally got to talk to someone today, one of the nurses I guess. She : did indeed say that the doctor had determined that I had impaired : glucose tolerance. That part sounded perfectly reasonable, but it sort : of went downhill from there. : : Apparently, the doctor is going to send me some diet info, some 1200 : cal/day plan. The only time I could survive on that was : when I was severely hypothyroid, before I got treated. Now that I’m : treated for that, and also planning to get back in the gym starting this : weekend, there is no way that that is enough food. Back when I was a : real gym-bunny workout freak, I maintained my ideal weight of 140-145 : lbs on about 2500 cal/day. I don’t think I’ll get back to that point : anytime soon, but somewhere around 1800-2000 sounds reasonable. I find : that calorie-deprivation just makes me cranky, sick, and even fatter, : and I don’t think that’s just me. I thought the medical establishment : had started figuring that one out. : : She also said the doctor wants me to make an appointment to see the : dietitian. I’m wondering what this dietitian is going to tell me, as : I’ve been doing some research and I’m more confused now. From what I : could gather, the ADA has been recommending a low-fat, low-protein, : high-carb diet, on the theory that fat makes you fat and protein is bad : for your kidneys and what’s left is carbs. However, everything else : I’ve seen, the stuff that makes sense to me, is that all carbs become : sugar pretty quickly and are to be avoided. That was the logic I : followed at the grocery store last night when I bought all that cheese : and turkey. (I had no idea there had been such vast improvements in : turkey pepperoni – it’s really good now.) BTW, I stopped by what seemed : to be the diabetic section and found nothing useful – mostly sweets : sweetened with stuff other than sugar, and some overpriced whole-wheat : pastas. : : She said that the doctor would probably want to have me tested once or : twice a year or something like that, which didn’t sound like enough to : me. I asked about the doctor prescribing a meter, and she seemed a : little surprised, but said that if my insurance would cover it she : didn’t see why the doc would refuse to prescribe it. Is it unusual for : a person with impaired glucose tolerance to want to keep track of BG’s? : Should I wait until I’m actually diabetic? Maybe I’ll cancel my : dermatologist appointment and not get those moles checked out until : they’re big and crusty and bleeding and I’m absolutely sure they’re : cancerous. Why bother with preventive care? : : Well that’s my rant. It was kind of fun for me, how ’bout you all? : : Sarah : :
Response:
hear hear! – Hide quoted text — Show quoted text ->I finally got to talk to someone today, one of the nurses I guess. She >did indeed say that the doctor had determined that I had impaired >glucose tolerance. That part sounded perfectly reasonable, but it sort >of went downhill from there. >Apparently, the doctor is going to send me some diet info, some 1200 >cal/day plan. The only time I could survive on that was >when I was severely hypothyroid, before I got treated. Now that I’m >treated for that, and also planning to get back in the gym starting this >weekend, there is no way that that is enough food. Back when I was a >real gym-bunny workout freak, I maintained my ideal weight of 140-145 >lbs on about 2500 cal/day. I don’t think I’ll get back to that point >anytime soon, but somewhere around 1800-2000 sounds reasonable. I find >that calorie-deprivation just makes me cranky, sick, and even fatter, >and I don’t think that’s just me. I thought the medical establishment >had started figuring that one out. >She also said the doctor wants me to make an appointment to see the >dietitian. I’m wondering what this dietitian is going to tell me, as >I’ve been doing some research and I’m more confused now. From what I >could gather, the ADA has been recommending a low-fat, low-protein, >high-carb diet, on the theory that fat makes you fat and protein is bad >for your kidneys and what’s left is carbs. However, everything else >I’ve seen, the stuff that makes sense to me, is that all carbs become >sugar pretty quickly and are to be avoided. That was the logic I >followed at the grocery store last night when I bought all that cheese >and turkey. (I had no idea there had been such vast improvements in >turkey pepperoni – it’s really good now.) BTW, I stopped by what seemed >to be the diabetic section and found nothing useful – mostly sweets >sweetened with stuff other than sugar, and some overpriced whole-wheat >pastas. >She said that the doctor would probably want to have me tested once or >twice a year or something like that, which didn’t sound like enough to >me. I asked about the doctor prescribing a meter, and she seemed a >little surprised, but said that if my insurance would cover it she >didn’t see why the doc would refuse to prescribe it. Is it unusual for >a person with impaired glucose tolerance to want to keep track of BG’s? >Should I wait until I’m actually diabetic? Maybe I’ll cancel my >dermatologist appointment and not get those moles checked out until >they’re big and crusty and bleeding and I’m absolutely sure they’re >cancerous. Why bother with preventive care? >Well that’s my rant. It was kind of fun for me, how ’bout you all? >Sarah
– dx as Type 1 in Mar 00, joyfully pumpin’ since October! "I’d rather be loved by only me, than create a facade and be loved by no one." — wombn "Never give up", Winston Churchill www.mindspring.com/~wombn On ANY "advice" I give here: I expect you to research it and confirm it independently
Response:
>It was kind of fun for me, how ’bout you all?
You go, girl! It’s your body and you should be the one to make the final decision. Educate yourself about he no-carb vs. low-carb vs. ADA diets and then ask the dietitian about them. That’s my plan for Tuesday anyway. I don’t know what insurance you have, but call them and ask about glucose meters. I asked my insurance – Blue Cross of California and they gave me an 800# to call and whoever was on the other end of that line, sent me a free lifescan onetouch profile (there were others to choose from, but that one sounded best for me) and a box of test strips and lancets. Sonya
Response:
Depending on your height and weight, the doctor usually puts people on a diet of from 1200 to 1600 calories a day and you would be surprised how much food that is. if you eat 1200 calories a day your weight loss would be about two pounds a week and if you are very active in the gym. then you would probably lose more. I wish I could lose weight so that I could be off meds and if you are given an option of not being on meds, if I were you, I would try to reduce my calories. If you cant do 1200 ask the doctor if you can do 1500 because you would otherwise feel deprived and therefore, not be on an way of eating. You might lose slower with the higher carbs but you wont feel deprived. loretta If life is such a bowl of Cherries, why am I aways in the pits: Erma Bombeck
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