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The Question
12/28/08 09:43 PM

"Is "avoid everything white" enough advice from a PCP? I feel worse now than I did 3 months ago. "
Asked By: ladypooka  
Category: Newly Diagnosed

Background Info Hide
2hr gtt- 200, A1C test 7.5. Doctor said if I didn't get it under control in 3 months I would be on insulin. It has been three months and I feel worse. I see double a lot. Feel really disoriented a lot. I can eat an apple and cheese or some other protein and my eyes clear up but I get an awful headache. The only advice I got from my doctor was avoid "white," as in sugar, white bread etc. I just saw your program on TV--there must be more to do than that.

Expert Answers (1)

12/30/08 02:38 PM

There certainly is more that you can do! Every person with diabetes should be referred to a Registered Dietitan, preferrably one with experience in diabetes. There is no "diabetes diet" today. People with diabetes should eat exactly like everyone in our country SHOULD be eating. The exception is that if you are on certain diabetes medicine, you need to balance your food intake with your medication intake, meals, and exercise. Foods made with white flour and sugar and/or foods that are highly processed are usually not tolerated well by those with diabetes. They can cause a surge in your blood sugar, yet leave you still hungry hours later. This does not mean that white food or any other food should be eliminated completely. Food does not cause diabetes, but people with diabetes benefit from making wise food choices. This may include the following: eat a variety of foods, watch portion sizes, calories, eat more fiber, eat less fat/sugar/processed foods. The trick is to learn how to do this and to maintain the pleasure of eating. Again, seeing a Registered Detitian is an essential part of learning how to mange your diabetes. Referral to a Certified Diabetes Educator is also an extremely valuable tool. Many hospitals have diabetes classes that are covered by most insurance programs. Also local diabetes support groups are a terrific resource. Every year my diabetes support group provides intense sessions on meal planning, including topics such as carb counting, dining out and grocery store smarts. Be persistent in locating these essential resources and good luck!
Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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