Real Life Diabetes Success Story

Setting and meeting goals can lead to lifestyle changes.

Lara Rondinelli By Lara Rondinelli, RD, LDN, CDE

Occasionally, when I meet someone and tell them that I'm a dietitian and diabetes educator they say something like, "I feel bad for you, people can't really change their eating and lifestyle habits." Wrong! Yes, it can be challenging to change habits that you've had for years, but it can definitely be done with hard work, education, support, and planning. Here is a real life success story of a patient that I've seen (name has been changed to protect privacy).

Meet Jack
Jack is a 42 year old bachelor, newly diagnosed with type 2 diabetes. He is 5'11" and weighs 348 pounds. His hemoglobin A1C is 8.1 and he came to me in denial that he had diabetes, despite his doctor telling him he did. He was started on Metformin, 500 mg twice a day. Patient is not currently exercising, but has belonged to a health club in the past. Patient works in sedentary job for 8 to 10 hours per day. His diet history revealed:

Breakfast — often skips or grabs an "apple crunch" muffin and banana with black coffee from coffee shop (110 grams carbohydrate)

Lunch — double cheeseburger, large fries, and 1 medium regular coke (146 grams carbohydrate)

Dinner — Italian footlong sub on white bread, potato chips, and 1 medium regular coke (160 grams carbohydrate)

Snacks included apples, cookies, and peanuts

Patient drinks 2 regular sodas per day and consumes 3 to 5 regular beers and 2 to 3 vodka and cranberry drinks per week.

At our first visit we discussed criteria for diagnosis of diabetes and patient accepted his diagnosis. General healthy eating recommendations were given. Patient was educated on simple carbohydrate counting and label reading. Meal and snack suggestions were given. Patient was instructed to aim for 60 grams of carbohydrate or less per meal. Patient set the following goals:

  1. Stop drinking regular soda — all drinks will be unsweetened.
  2. Take lunch to work 2 days per week.
  3. Eat 3 meals per day (no more skipping breakfast).
  4. Walk 15 minutes — 3 days per week.
  5. Track food intake via "Lose It" on his iPhone

I continued to see Jack monthly over the next 4 months. He did well meeting goals and even started making breakfast at home. He was having the most difficulty meeting his exercise goal. He stopped drinking regular soda, decreased alcohol consumption, and changed to light beer. He ate 3 meals per day and took his lunch to work almost daily. He did very well tracking his food intake on his iPhone.

Page: 1 | 2

Last Modified Date: June 14, 2013

All content on is created and reviewed in compliance with our editorial policy.

Sign up for FREE dLife Newsletters

dLife Membership is FREE! Get exclusive access, free recipes, newsletters, savings, and much more! FPO

You are subscribed!
You are subscribed!
You are subscribed!
992 Views 0 comments
by Brenda Bell
Years before I was diagnosed with type 2 diabetes, The Other Half came out of a doctor's appointment with a diagnosis of "borderline diabetes" and an ADA exchange diet sheet. His health insurance agency followed up on the diagnosis with a glucometer and test strips. After a year or so of trying to follow the diet plan and test his glucose levels, things appeared to be back in "normal" range, and stood there until a couple of years after my own diagnosis. Shortly...
  • Watch dLifeTV online now!

    Click here for more info