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December 2nd, 2008
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How can you tell when you've tried too many different diets? When you can't keep the rules of them straight any more. This month, I'm following the Atkins diet. I'm doing it because my doctor took me off meds and I know from experience (and trial and error) that I cannot keep my blood sugar in healthy ranges without meds if I eat any carbohydrates. It isn't right, it isn't fair and there isn't anything I can do about it.

So Atkins it is this month. I started out the year on Weight Watchers. I've always considered Weight Watchers to be one of the healthiest, sanest, most practical diets. Unfortunately, it wasn't working for me this time around. The leaders keep saying the Core plan is great for people with diabetes, but I couldn't lose weight on it. Besides, I was eating mostly whole grains, fresh veggies and lean proteins. I think my portions sizes were too large. I did better counting points, but still that was a struggle to keep my blood sugar in line.

When counting points on Weight Watchers, you want to get the most food for your points value. So things like nuts and full fat cheese end up on the do not eat list. (I know the goal is moderation, but still some foods end up as banned in my mind at least). I could justify eating 1/4 of an ounce of sliced almonds with oatmeal, but anything more than that and I'd be out of points in no time.

On Core, you're allowed all you need to feel satisfied of several different healthy foods. Nuts and full fat cheese are not included. Things like whole wheat pasta, brown rice, fruits, veggies, fat-free cheese and dairy, and lean proteins are free. You also get extra points to use for non-Core foods, like nuts and wine, but there never seems to be enough points. You can earn more points with exercise. But again, I run out of those extra points quickly.

My next attempt at weight loss was a liquid diet, which worked great, until I ate solid food again. Besides, I felt horrible on it. I had zero energy and actually thought I might be suffering from lactic acidosis, a potentially deadly (and extremely rare) side effect of metformin.

Yes, this month it's Atkins. I'm having a hard time adjusting to the switch, mentally, anyway. Other than not eating any carbohydrates (with the exception of non-starchy vegetables), I don't feel like I'm on a diet at all. I get to eat full fat cheese (no more than 4 ounces a day though). I don't have to weigh or measure my meat. I can have real sour cream (although, what non-starchy food can you use it on I cannot tell you). I can eat eggs with butter for breakfast. I can eat steak with butter too (but not ketchup, unless it's that expensive One Carb variety). I'm enjoying a cup of coffee with cream in it every morning. Heck, I can even eat whipped cream if I want. It hardly feels like a diet at all, except for the part about no bread, fruit, milk or starches, that is.

I do seem to be losing on Atkins, but I'm not sure what price I'm paying for it. I'm fortunate that my cholesterol levels have always been healthy, but I worry that they won't stay that way for long on a steady diet of steak, butter and cheese.

I do tend to feel pretty baffled about this diet too. The rules are easy enough to follow, but I still find myself getting confused. Like I feel like I'm cheating eating a handful of walnuts. Or I go to grab my trusty food scale to weigh my chicken. At the end of the day, I guess I've just been on too many different diets to keep them all straight.



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Try spreading sour cream on a cube steak after putting greek seasoning on it to cook with. It's pretty good stuff. & as for too many diets, try rearranging your oder. Atikns is one of the easiest to follow but beware of the nocarb shock to your body.


Hi! I have never done this before. I was diagnosed with type 2 almost 2 years ago. I had dieting for several years and had managed to lose 75 pounds and then I get this diagnosis. I was so depressed because I thought I was doing everything right for the first time in my life.

I had started out on Atkins and really thought it was the answer. My cholesterol actually dropped during that time, but was not completely where it was suppose to be.

After the diagnosis, the doctor sent me to a class at a local medical center since I was diabetes-illiterate. They said at that time that Atkins wasn't approved by the ADA. They recommended Weight Watchers. Lately I have read that the ADA has begun to rethink the Adkins Diet and it may be better for us than previously thought.

I have had the best results from Adkins and have been thinking seriously about going back.
Since my diagnosis, I have pretty much been at a standstill when it comes to losing weight. I have been very discouraged the last few months. I have had to start taking a larger dose of my meds and my triglycerides have been elevated as of my last blood test.

I guess I need to re-read the Adkins book and see what happens.


Atkins worries me because it does not differentiate between healthy and unhealthy fats, and because we need carbs for energy.

The American Diabetes Association , along with the American Diatetic Association created a system of "exchanges" by which one can gauge portion size, and lists by which one can categorize many different types of foods by macronutrient (protein, carb, fat) content. I find this a useful general guide for food planning. Some people pay more attention to the USDA Food Pyramid, which recently got revamped to be more complex -- but at least now it emphasizes fresh produce and exercise instead of refined grains.

Now, each of us is different, and what works for me may not work for you, and so on. My general dietary bias is to minimize my exposure to refined starches, refined sugars, and animal fats, and to avoid completely high fructose corn syrup and transfats. While I admit to this not being 100% feasible all the time, it's a good basic rule of thumb for me.

Within those general guidelines, I look for daily consumption of at least five vegetable exchanges (5 g carb each, mostly complex carbs and fiber) and three to four fruit exchanges (15 g carb each, mostly simple sugars and fiber) -- or at least 9 servings of produce daily (which is in the current USDA guidelines). In theory this will give me 10-15 grams of incidental protein. I also look for about five to seven protein-or-dairy exchanges: another 35 g protein, plus about 12 g carb for each *dairy* exchange. I also aim for about 5 servings (15 g carb each) of whole grains and legumes (beans, lentils, soybeans, etc.). Most legumes are high enough in protein to count as both starches and partial proteins.

Usually this will add up to somewhere between 1500 and 1800 calories. If I'm being really strict, I can do it in 1300-1400; usually it ends up coming in a bit high (closer to 2000).

There are a couple of different keys to satiety (feeling full), depending on the individual. For some, drinking enough fluid creates satiety with small amounts of volume; for others, large volumes (such as a salad with lots of dark greens and very easy on the olive-oil-and-vinegar dressing) will do the trick. Some people need a certain amount of protein to feel full; others need a certain amount of fat or starch, or a particular taste (sour, sweet, or salty). Play with ingredients and tastes to find which works best for you.


Thanks for sharing. I used to follow a similar eating plan, however, since my doctor decided to take me off meds, I just cannot eat any carbs and keep my blood sugar in line. I'm really starting to jones for some brown rice too!!


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Rebecca Abma
What happens when a health writer develops a chronic illness? As Rebecca K. Abma can tell you, it turns into an obsession. Since being diagnosed with type 2 diabetes in December 2003, 90 percent of her non-work computer time is spent researching the disease and chatting with fellow diabetics. (Read More)

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Michelle Kowalski
Michelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)

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