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  #1 (permalink)  
Old 07-03-2009, 06:01 PM
Junior Member
I am a: Pre-Diabetic
 
Join Date: Jul 2009
Location: Ontario, Canada
Posts: 76
Question

My endocrinologist would like me to be on a low carbohydrate diet. However she never specified how low.

How many carbohydrates should I eat a day if I need to lose weight?

I'm having a very difficult time losing weight and I'm very overweight for my height. I'm only 4'6" and I weight 232 lbs.

I'm feeling very frustrated and unmotivated. If anyone has any advice it would be very much appreciated.


ligawab (life is good and we are blessed)
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Old 07-03-2009, 08:20 PM
ShottleBop's Avatar
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I am a: Pre-Diabetic
 
Join Date: Jun 2008
Location: Greater San Diego area
Posts: 1,421
Much of Dr. Richard Bernstein's book, The Diabetes Solution, is available online. Look at the available chapters in Part Two.
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Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
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Old 07-04-2009, 07:24 AM
Senior Member
I am a: Type 2
 
Join Date: Feb 2009
Location: Vancouver Island B.C.
Posts: 569
Good advice, Shottlebop. You will need to be at a low enough level to keep your bg levels normal, and your hunger in check. This varies a lot, but you should probably start out very low, and work up to whatever level works for you.
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Susan
DX Dec4/08 FBG 19(342)
Dec4 /08 A1C 10.9
Feb.4/09 A1C 7.6
may4 /09 A1C 5.2
Sept 4/09 A1C 5.4
Current meds: 21/2x 500g metformin, 5 mg ramipril, multivitamins, Ca, 500g alpha lipoic acid
Low carb- started at < 50 , now can handle 100
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Old 07-04-2009, 07:59 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,422
Wow -- lucky you for having a SAVVY Endo!
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Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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Old 07-04-2009, 04:09 PM
shiftzor's Avatar
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I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 875
Well there has been a lot of debate around here about carbs and loosing weight. I can quote you books and your bmi etc but I think what is more important is lowering your total daily dose as we all know the effects of insulin. The reasons I suggest lowering your dose is because it's harder to give higher doses i.e. increased margin of error and you shouldn't feed insulin taking only enough for the carbs you consume. You have several ways you can do this one is eating less carbs say around 50-200 its up to you how low/healthy you want to be, in my opinion I don't think it's very healthy to eat 15gs of carbs a day but neither is eating 400gs of carbs. Make sure you adjust your dose when/if you begin to low carb to avoid lows.

Your other option is exercise which I personally think is the best as it increases your insulin sensitivity which ultimately reduces your TDD (total daily dose). Find an exercise you enjoy even if it's just walking the dog every day, you could then build up to twice a day and keep pushing yourself at your own pace. There is no rush slow and steady wins the race.

Doing both in my opinion is really worth while however whatever you do make sure it's a life choice and something you can stick to. Yoyo dieting won't help you in the long run and neither will playing a sport for only a day. The key to all of this is being motivated and turning them into habits that way it's not a question of shall I workout today or shall I test today it's just something you do like taking the dog for a walk. Sounds hard? I thought the same but it all gets easier once you get into the thick of it. Keep asking questions and be positive.
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Pumping since 20/05/2009:Animas 2020

Standard Deviation:
02.08.09-01.09.09 SD: 2.4mmol/L or 43mg/dl
02.08.09-01.09.09 SD: 2.2mmol/L or 40mg/dl
02.07.09-01.08.09 SD: 1.8mmol/L or 32mg/dl

HbA1c:
28.01.09: 6.1 (7.7mmol/L or 140mg/dl)
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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Old 07-04-2009, 04:18 PM
Mothernature's Avatar
Member
I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
It is really not the carbs as much as the calories. I eat 100-120 carbs and 1100 calories a day. I've lost 10 pounds in one month.

Exercise is a must. It helps speed up metabolism.
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  #7 (permalink)  
Old 07-04-2009, 04:32 PM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,422
For me, it really is the carbs. I am losing weight more slowly, but I am still losing and as long as I keep my carbs in their (NB) moderate range, I am not counting my calories.
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Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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  #8 (permalink)  
Old 07-04-2009, 07:08 PM
Junior Member
I am a: Pre-Diabetic
 
Join Date: Jul 2009
Location: Ontario, Canada
Posts: 76
Thank you everyone for you advice and support.


ligawab (life is good and we are blessed)
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  #9 (permalink)  
Old 07-04-2009, 11:34 PM
CountYourselfIn's Avatar
Member
I am a: Type 2
 
Join Date: Dec 2008
Location: Vancouver, BC
Posts: 481
Quote:
Originally Posted by ligawab View Post
How many carbohydrates should I eat a day if I need to lose weight?
*calories.

If you eat fewer calories than you burn in a day, you will lose weight.

Fat has 9 cals per gram, carbs have 4.

How many carbs you should eat would really depend on your metabolism, which is directly related to your exercise level. 20mins of intense cardio (walking up a hill, out of breath, can't talk while exercising) will give you a 12hr metabolic spike, where your body will be burning extra calories.

Carbs are good fuel for bodies burning lots of it.

If you're like me, your perception of portion sizes is probably totally out of whack - start by trying to decrease the amount of food you eat. That alone may be enough to help you acheive your weight loss goal.
__________________
DX: Dec 21 07 @ 12.4%

NPH 18u PM, 18u AM
Humalog (sometimes)
Crestor 10mg (hey, it works)
Met 1000mg twice daily

Vitamins n Supplements:
B100, D (4000iu daily) , E, CoQ10 (for the Crestor), Cranberry, Chromium (500mcg daily), omega 3 poisson caps (3g daily, spread out as I see fit), multivitamin

Latest A1c
6.9 (Apr 09)


Cholesterol
Total: 3.7 (144)
LDL: 2.2 (86)
HDL: 1.0 (39)
Trigs: 1.2(107)
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  #10 (permalink)  
Old 07-05-2009, 07:25 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,422
Quote:
Originally Posted by CountYourselfIn View Post
If you're like me, your perception of portion sizes is probably totally out of whack - start by trying to decrease the amount of food you eat. That alone may be enough to help you acheive your weight loss goal.
Sage advice. I weigh just about EVERYTHING carby ... and I also weigh salads and veg to make sure I eat ENOUGH of them, LOL ... As someone noted in another thread, if you are consistent it becomes automatic and you do not have to htink about it after a while.
__________________
Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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  #11 (permalink)  
Old 07-05-2009, 07:44 AM
Junior Member
I am a: Pre-Diabetic
 
Join Date: Jul 2009
Location: Ontario, Canada
Posts: 76
Being the weight I am most people would look at me and say: OMG all this person does is eat. My problem is that most of the time I don't eat enough of the right foods. Exercise wise I have to be careful because I have balace problems.

When I go to the gym I normally do about 30 minutes on the treadmill at a comfortable walking speed and move on to the seated step machine for about 30 minutes. Then I work on the weight machines.


ligawab (life is good and we are blessed)
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