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The Question
07/03/09 03:09 AM

"I am so confused!!!"
Asked By: helens64  
Category: Type 2

Background Info Hide
Diagnosed in Jan. 2009. A1C was 6 and in three months dropped to 5.? Dr. was pleased with outcome and said to continue w/diet and exercise. Dietician had put me on 45 carbs per meal and 15 carbs inbetween. Most times I need that snack to relieve the light-headness. I was told on another web site for diabetics that the number of carbs was way too much; it should be 20-25 gm carbs per day. The support group? also, said the ADA way is not the way to go. I check my blood once per day, and vary the times I do it each day, ie fasting and 2 hrs after ea. meal. My numbers are within the normal range almost always. When it goes up a bit, it is because I've had a little more of something that is higher carb, and I know I should not have. This support group has me so frightened and I am thinking about talking to the dietician again. I do not want to go on the pills and am trying real hard to control my diabetes with just diet and exercise. What do you suggest that I do?

Expert Answers (1)

07/07/09 07:33 PM

RELAX! Stress makes your blood sugar go up. There are those who use very restricted carb intake for blood sugar control. 20-25 gms per day is difficult to maintain for the long term and may be nutritionally deficient. I highly recommend a visit w/ the dietician to review and modify your meal plan. You may find you just need more activity when you increase your carb intake. It is a balancing act. Diabetes is also a progressive disease. You can do all the right things but then the blood sugars creep up as the pancreas loses its ability to make adequate insulin, or there is weight gain that increases the insulin resistance. Your goal is target blood sugars to prevent complications - that may mean medication or changes in your meal plan and activity or all of the above. Take "should" our of your dietary vocabulary - it is about choices. I teach that you can have whatever you want - it depends on how much and how often. You cannot always have as much as you want! You are to be commended for your proactive approach and seeking continued information. Work with your physician, check out all the information on dLife and find a good CDE (certified diabetes educator) to partner with you.
Answered By: Beth McKinzie
Accreditations: RN, BSN, CDE
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