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I am "barely classifi
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10/31/09 06:40 PM

"I am "barely classified as Type II diabetic as of Sept. 2009". I also am very, very thin - need to gain weight badly. 5'9", 127. How can I find info"
Asked By: cavalieratl  
Category: Weight Issues

Background Info Hide
Diabetes is result of medication taken for a long time for a chronic serious medical condition. My A1C test showed 202 at the first blood draw. Recently suffered from a very serious stomach virus or food poisoning and lost 9 pounds. This is unacceptable to my physician and to me. Due to the probable diabetes diagnosis, I am very hesitant to eat almost anything. I know I need a nutritionist but HOW DO YOU FIND ONE THAT CAN BE TRULY HELPFUL? Should I be referred to an endocrinologist first? Have five stents in my heart. I could be approaching the end of my life but I feel I should try to correct any dietary problems. I TRY TO BE EXTREMELY CAREFUL AND TRY TO TAKE VERY GOOD CARE OF MYSELF. VERY CLEAN LIFE, PERIOD. Any suggestions as to a very reputable dietician/nutritionist in Atlanta? (do not mean to sound desperate but I do need guidance.) I live alone and am responsible for my own food prep.

Expert Answers (1)

11/04/09 06:57 PM

Thanks for writing dLife. Your question very good and your frustration is very understandable, as so much information for those with diabetes focuses on weight loss or weight control. But it is very important for those who are underweight or who have problems maintaining their weight to get good and accurate nutrition guidance. Be sure to contact a registered dietitian who is also a certified diabetes educator. You may want to contact your local hospital for recommendations and referrals. An endocrinologist may also be helpful as blood sugar and metabolic issues are very tied to weight status. Remember, food is your only source of fuel and nutrition and you should not be afraid to eat. If diabetes is present, a diet in normal portions and with variety is essential and often medication for blood sugar control is often necessary in order for blood sugar stability and weight repletion. Weight gain recommendations are different for everyone because calorie needs depend on your medical condition, activity level and other factors; food preferences and eating habits also must be considered. Often, it takes many more calories than we expect to gain weight because your body also needs to rebuild tissue and maintain body temperature which is often difficult with extreme thinness. Malnutrition is a very serious issue and you are very wise to seek out expert advice. Best of luck to you!
Answered By: Janice Baker
Accreditations: B.Sc., MBA, RD, CDE, CNSC
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Community Answers (1)

11/05/09 03:05 PM

You said your draw was 202 at dx but that is high not just a little diabetic. Do you test on a regular basis, testing tells you how food affects you.l Best thing to do is eat fresh foods and avoid any refined carbs. Just remember fresh is best its hard to go wrong with that thinking.
Answered By: furball64801
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