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Type 2 who is thin/needs to gain weight. Need help w/ food suggestions.

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#1
Need4Sneed

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I am a n00b here, and am pretty much a n00b to diabetes having only been diagnosed recently.

I am signing up for an diabetes education course at St. Joseph's (a local Atlanta hospital) and when I told the nurse I was type 2 she was shocked. I asked her how many people she sees that are my size with type 2 and she jokingly said . . "well, there's you . . . . "

I am 6 feet and weigh around 145lbs. I lost about 15lbs when I got diagnosed . . mostly from depression, not eating right, fear of eating the wrong foods and having to use more meds, etc (which only made matters worse).

I have since started to realize the seriousness of this disease and am now getting on track with my diet/meds/doc appts/etc. My Mom has been an amazing supporter, helping me A TON with the adjustment, and since her Mom was also type 2, she has a familiarity with it that I don't quite have just yet.

So I was just wondering how other thinner type 2's deal differently considering that we don't have the need to diet, and in my case, need to GAIN weight.

Unfortunately, people like us can't just gorge out on junky food to gain weight, so does anyone have any suggestions for what type of foods are best to add meat without spiking your sugar to a dangerous level?

Eating healthy, for me at least, may keep my diabetes in check, but I definitely need to put on a few pounds since I am noticeably underweight, and healthy eating doesn't really add the weight I need . . or maybe it does and I'm just so n00b-tastic that I don't know what to eat to gain weight in a healthy way.

Any help would be much appreciated.

Thanks!!

;)

#2
samorgan

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I don't have a clear answer for you. I was slightly overweight at diagnosis and am officially "not" now. My weight is still slowly declining so I hope it will stop when its enough or I may be in the same boat as yourself.

But here's a thought: we don't want to be too thin, but is it really good just to add some fat? Perhaps it would be better to exert effort to protect our lean muscle mass with careful attention to diet and add a regimen of regular resistance training to build muscle. It weighs more than fat anyway, so perhaps that's an all-around better way to keep weight from going "too low".
Salim Morgan, T2
58 Years Old
DX: 9/2009 A1C=10.7
A1C 2/2010: 6.7 (DX + 4 months)
A1C 5/2010: 6.0 (DX + 8 months)
A1C 8/2010: 5.7 (DX + 11 months)
A1C 11/2010: 5.1 (DX + 14 months)
Diet: Approximately C:10;P:15;F:75 (as % calories)
Ketogenic (Most of the time)
Exercise: 24 minute bike ride 5 days/wk
NO MEDS, No Highs, No Lows
Grandkids: 11
Edited 6/2011: +1 yr of age, less exercise :(, +2 more grandkids :)

#3
Need4Sneed

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I don't have a clear answer for you. I was slightly overweight at diagnosis and am officially "not" now. My weight is still slowly declining so I hope it will stop when its enough or I may be in the same boat as yourself.

But here's a thought: we don't want to be too thin, but is it really good just to add some fat? Perhaps it would be better to exert effort to protect our lean muscle mass with careful attention to diet and add a regimen of regular resistance training to build muscle. It weighs more than fat anyway, so perhaps that's an all-around better way to keep weight from going "too low".




I hear ya, and I wasn't very clear when I said "gain weight" but I did mean it in the way you're suggesting in regards to lean muscle/healthy weight and not just "fatty weight."

The problem with that, in my case, is that I don't have enough meat to produce enough lean muscle build to make an impact on my weight that would really make a difference. I do plan to excelerate my exercise routine (as of now I walk about 2 miles per day), but I think I need to be eating something fatty that I can turn into muscle.

Or maybe you're right and I'm just not educated enough on the subject.

Either way, I'm dancing on the ceiling because I found this board. I'm so glad there is an online community where I can come ask these kind of questions. This forum is DEFINITELY gonna be a daily stop for me.

And thanks for the reply.

;)

#4
Rekarb

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Thin and type 2 just sucks! Most of the information out there doesn't work so you're going to have to do some experimenting.

Somethings to try:

Lift weights
Drink protein drinks
Keep a tight eye on your blood sugars. Thin type 2's don't typically make enough insulin so you have to watch out for Ketosis, which can make you drop weight.

Paradoxically, eating more eggs, meats and cheeses might make you lose more weight and it's really hard to overeat those foods.

How much carbs can you handle?

Mike
Dx'd 6/04/09 at dx -C - peptide > 1.5, GAD - Negative, BMI - 22, A1C - 9.9, FBS - 300

A1c 9/09 - 5.8, 12/16 -5.2, 3/18 - 5.6, 7/10 - 4.7
Was on Met and Insulin, now just diet (LC/HF)
Ketosis-Prone T2: http://www.annals.or...tract/144/5/350
Sudden onset T2 blog: http://ketosisprone.blogspot.com/

#5
Need4Sneed

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Paradoxically, eating more eggs, meats and cheeses might make you lose more weight and it's really hard to overeat those foods.

How much carbs can you handle?

Mike



WOW!! I had NO IDEA!! Eggs have been something I've been banking on to add some weight . . glad you told me that, I'm definitely gonna start looking into it, because I don't want to be just wasting effort on something that ain't going to work.

I've been eating a LOT of eggs as of late, and granted they are healthy cage free organics, but still.

And could you be more specific regarding the carb question? Are you talking how it affects my numbers, or how much can I put down in a sitting?

#6
Need4Sneed

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Keep a tight eye on your blood sugars. Thin type 2's don't typically make enough insulin so you have to watch out for Ketosis, which can make you drop weight.

Mike



I am very good about keeping a close watch on my numbers, but I'm glad you mentioned Ketosis because I didn't even think about the relation between that and the sudden weight loss.

#7
fooddreamer

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I am a thin pre-diabetic (don't know if Type 1 or 2 as yet) who is a runner and desperately trying not to lose any weight. So far, I've been able to maintain my weight between about 110-115 lbs. Ideal for me. I don't like going below 110.

I think it's really a matter of making sure you get enough calories daily from the foods you are eating. It can be tough. Sometimes I literally stand in front of an open cupboard, wondering what the H*** I can eat that won't send my sugars too high.

I lean on high-fat foods to keep me full. Full-fat greek yogurt, full-fat ricotta, chicken thighs with the skin, lots of omelets, avocados, nuts, etc. I eat about 100g of carbs a day and a lot of the carbs come from fresh fruits (limited) and veggies (lots) with high fiber contents, because that also helps keep me full.

I do take in more carbs before a run, to keep me fueled. I often have a Luna Bar, that seems to be an ideal food for me prior to a run.

In terms of total carbs to take in at one sitting, it really varies person to person (and food to food). Depending on my choice of carbs, I find I can take in about 30g in one sitting without a bad rise...but those carbs have to be veggies and fibery stuff, mixed with lots of good fats. If I had 30g of something sweet (about what is in a regular chocolate bar), or of pasta, I'd be way out of range.

There are tons of good foods out there to help keep you full and maybe even gain some weight, but it's about finding what works for you. For now, work at testing everything you eat, find things that keep you full and satisfied and then, as you figure it out, try adding a bit more carbs/fat to each meal and snack and see what you can tolerate.

You'll get there...eventually. It may take a bit of sorting out!

#8
Tribbles

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I am 6 feet and weigh around 145lbs.

I was the same height and 150lb at Dx having lost 15lb with DKA. Because of that they put me straight onto insulin, but after 3 months I moved to oral meds and my weight promptly started dropping. If I ate enough to maintain my weight my numbers started drifting upwards so I went back on insulin and everything straightened out.

As a lean Type 2 the probability is that your main issue is an insulin deficiency and (luckily for you) not insulin resistance. This is not the case for most people here and as Rekarb said a most of the diet information here will not be particularly useful to you. From my experience I would advise you to go on insulin, eat a normal diet, cover the carbs with insulin, and things will straighten out.

Lean Type 2 is a bit of an oddity with not a huge amount really known about it as you have found out so a lot is an experiment. Just remember that it's the long haul that does the damage, being high here and there doesn't really matter unless it becomes a trend so don't sweat the odd high.

#9
Scout

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Keep posting because if you find your answer, I would be most interested. My husband, who is not a diabetic, is nearly 6'5 and is 165 pounds. He has been that weight since he was 18, give or take 5 pounds, and he's now almost 48. He has always been lean as a whippet and he works physically for a living so although he is very strong & muscular, he isn't bulky in the slightest. The most he has EVER weighed is 170 and that was for about 6-8 weeks after he quit smoking. Then the weight dropped right down again to 163-165.

His body just maintains there naturally. I stuff him as much he can tolerate, and he takes an Ensure Plus every night, plus a whey protein shake every morning, and no matter what, the guy just does not gain! He is what they would call in bodybuilding circles a 'hard gainer'.

John Berardi over at Precision Nutrition has a program for mass gain but I don't know how a diabetic would do on it. It focuses on eating whole foods, etc. but it is certainly going to be carb heavy and most diabetics would not be able to tolerate it. My husband has no interest in bodybuilding - as he says, he lifts heavy things all day long - but there may be some things you can take from the bodybuilding world to achieve your goals. Go cautiously, however, because I said before, it's NOT tailored to diabetics.
Scout
Type 2, Dx'd Fall '09

When I think back on all the cr@pI I learned in high school, it's a wonder I can think at all.
And though my lack of education hasn't hurt me none, I can read the writing on the wall
- Paul Simon

#10
ShottleBop

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Dr. Bernstein has found, in his practice, that (assuming that you're eating a low-carb diet) controlling the amount of protein you eat is the most effective way to affect your weight. If you want to gain weight, try increasing the amount of protein you eat at one meal a day by one-third. If that doesn't work, increase the protein at another meal by one-third, and see what happens, etc. He has found with his patients that adding fat to a low-carb diet doesn't automatically translate to weight gain.

Check out his book, The Diabetes Solution. You can read much of it online, for free; just Google "bernstein diabetes solution readitonline".
Functionally, a Type 2 (missed the label by th-a-a-a-a-t much)
Dx prediabetic 02/08 (FBG 127 and 123), A1c 6.5
So far, controlled without meds.

#11
Tribbles

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Dr. Bernstein has found, in his practice, that (assuming that you're eating a low-carb diet) controlling the amount of protein you eat is the most effective way to affect your weight. If you want to gain weight, try increasing the amount of protein you eat at one meal a day by one-third. If that doesn't work, increase the protein at another meal by one-third, and see what happens, etc. He has found with his patients that adding fat to a low-carb diet doesn't automatically translate to weight gain.


That was the first thing I tried when I realised carbs were a problem. It wasn't a huge sacrifice as it's my preferred food anyway! I find it difficult to eat huge amounts though because I feel uncomfortable. I didn't seem to put on any weight either. :(

#12
deercotn

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Dr. Bernstein has found, in his practice, that (assuming that you're eating a low-carb diet) controlling the amount of protein you eat is the most effective way to affect your weight. If you want to gain weight, try increasing the amount of protein you eat at one meal a day by one-third. If that doesn't work, increase the protein at another meal by one-third, and see what happens, etc. He has found with his patients that adding fat to a low-carb diet doesn't automatically translate to weight gain.

Check out his book, The Diabetes Solution. You can read much of it online, for free; just Google "bernstein diabetes solution readitonline".


True. But it could help maintain weight. Because cutting carbs is going to cut calories and along with exercise, you will lose weight.
Diagnosed 09/2003
BG at diag 324
A1c at diag 9.7
Lowest A1c 6.0 (08/09)
Most Recent A1c 6.4 (06/10)
Glyburide-Metformin 2.5-500mg 3x daily
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#13
Moonpie

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I would add lots of cheese to everything. I keep a big 2# bag of mozzarella handy or cheddar & sprinkle it generously on everything, scrambled eggs, meats, veg etc. But I am no expert, good luck on finding something that helps.
09/15/2009 DX
A1C Sept 2009 7.7 . March 2012 5.2
A1C Nov 2009 6.4 July 2012 5.4
A1C 01/15/2010 5.6 12/12 5.4
A1c May 2010 5.6
A1c July ( 10 weeks no meds) 5.9
A1c Dec 2010 5.6 no meds since May :)
A1c March 2011 5.7
A1C Aug 2011 5.5
A1C Dec 2011 5.2
came off Metformin 500mg on 05/11/2010 to control with diet & exercise.
Previously 50 to 100 carbs now I try to limit it to under 50 per day.

#14
jwags

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In my 40's and 50's I put on a lot of weight. I now have taken 85 pounds off and am close to my high school weight at 118 pounds. I like to keep it within a 2-5 pound range. If I go much below 116 I look like a skeleton. I try to add more fat in my diet. I eat very low carb to control bgs. If I want to gain weight I tend to eat more full fat beef, heavy cream in smoothies, Breyer's ice cream bars. Also I find if I eat those Atkins low carb energy bars they will add weight. Also eating lots of cheese and nuts will add needed fat.

#15
dtherren

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OK. Here's the deal so far. I got to thinking. Back a year or so before I found I truly had issue's the GP told me I was borderline and wanted to know if I ate a lot of sweets. At the time I did.

Anyway, after doing a lot of research and reading checking out what different experts and the like had to say I decided to do a trial run with something.

Starting yesterday, I decided my menu was going to be mainly meat. Proper proportions, but meat. Adding a serving of fat to each meal somehow.

Breakfast would be hamburger steak and eggs, or steak and eggs. Lunch would be pork chops, or meat related meals such as steak tortilla's and the like. Dinner would be steak, pork chops and veggies just to see what happened.

Yesterday for dinner we went to Cracker Barrell. BG was 100 prior to eating from eating really light. I only had 880 calories yesterday trying to keep my Bg down. I was starving.

I had steak, carrots, small baked potatoes (2) and a salad, with half and half tea. 2 hours later my BG 170. Down a 100 points as the norm.

For breakfast this morning for breakfast I had the usual oatmeal, a tsp of syrup, with a tbs of ground cinnamon, and a tbs of organic Jiffy PB before.

I couldn't check my BG after 2 hours, but I was starving by 10AM. Usually I would not even be close to being hungry until noon or after. I had a snack and was starving again by noon.

Wow! What up with this? I may be on to something!

My wife, a wonderful supporter and companion brought me steak tortillas for lunch. 3 of them. Again, I couldn't check my BG (wont do it at work) but starving in 2 hours. Had a snack and starving when i got home at 530.

I had 2 6 oz pork chops for dinner tonight with salad, Alfredo noodles which usually send my BG thru the roof. I ate until I was full (comfortably, not overstuffed). 2 hours later my BG 150.

Any other time, watching the quantity and trying to watch quality of what I ate, my BG over 200.

I am going to run this routine for a few days and if the numbers stay in line like they have, I will start reducing meds (dosage) and see what happens.

One other time, a while back we went for steak. I had an 8 oz with baked sweet potato, bread, veggies, coke and a bourbon and coke. 2 hours later my BG was 150. Blew my mind, but it didn't click that it was the meat.

I will be watching the scale also to see if I see any upward climb.

How was it put that Need4Sneed said? Dancing on the Ceiling! Just at the change in my BG readings just so far? Maybe I will be able to at least cut my meds way back, if not get off them.
Thanks In Advance!
David
"freedoms just another word for nothing left to lose"
Janis Joplin
T1.5 LADA. Brittle
7/15/11 Labs
A1C 7.4 down from 9.0
RLS

#16
Jmv10

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I would question whether you are really type 2.

There is something called latent autoimmune diabetes in adults (type 1.5) which is really a slower onset version of type 1 that occurs in adults, many of whom are thin or not overweight. Essentially your immune system is inappropriately attacking the cells in your pancreas that make blood.

This can be diagnosed often with a few blood tests looking for certain antibodies. How were you diagnosed with diabetes?

#17
NoraWI

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I agree with Jmv10 except for the part about the pancreas making blood. Pancreas do NOT make blood. The beta cells in the pancreas make insulin. I would suggest you ask for a GAD65 antibody test. This is a test for autoimmunity and will probably show that you are a slow onset T1. Many primary care physicians and even some endocrinologists automatically classify a patient as a T2 when they come in with diabetes and are over a certain age. The "juvenile diabetes" label is wrong as there are many adults who come down with T1. You should consider going on insulin right away as that will help preserve the viability of any remaining beta cells in your pancreas. I would also suggest you find a different doctor who understands all this and can guide your insulin use. In my experience there are no thin T2s, only misdiagnosed diabetics.
NoraWI
T1 since 2002, MDI since 2004
Pumping NovoLog with an Animas Ping since May 2010

#18
DBeck

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I too am a thin diagnosed type 2, but question that. I've never been overweight, in fact all my life I've focused more on gaining than losing. When I saw a nutritionist, she advised eating around 90 carbs per meal. She recommended good fats such as Salmon, nuts and avocados. Thin diabetics usually wind up just using a little more insulin which is what your natural body would do anyway.

I started out on just metformin, but that quickly changed and I had to be put on insulin. Recently my endocrinologist has suggested that I might be a split type diabetic. Not sure if that means Type 1.5, but will question her about the test. I would like to know, because my Grandmother had diabetes and was on insulin. My sister who has Type 2 no longer takes medication, (she only took metformin) after losing weight and adjusting her diet. That won't work for me, so I'm questioning.
Diagnosed Type 2 in 2005
IC= 1:8, ISF = 1:20
Pumping Humalog with the Animas Ping since 7/6/10
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#19
Tribbles

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In my experience there are no thin T2s, only misdiagnosed diabetics.

We do exist! Although I have an insulin deficiency I am a Type 2 by virtue of the fact that I have no antibodies, and three different hospitals have tried to find them! This makes me an atypical Type 2 but then a lot of Type 2s are.

#20
dtherren

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I agree there are T2's running around. Mostly from not eating correctly, like me.

I forgot to mention in the previous post, that by noon Friday, after adding fat and protein to my diet, I felt better. I wasn't tired by 2PM as usual and thinking I needed a nap.

I had steak and eggs, with 1 slice of sour dough toast, 1/2 order of hash browns, and small glass of milk for breakfast this morning. 1300 calories, 97 fat, 50 carbs, and 80 protein. My 2 hour BG was 147.

I ate until I was full, comfortable. Not overstuffed and miserable, but not feeling like I was still hungry after I was done eating.
Thanks In Advance!
David
"freedoms just another word for nothing left to lose"
Janis Joplin
T1.5 LADA. Brittle
7/15/11 Labs
A1C 7.4 down from 9.0
RLS




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