Visit 1 Rep Max Clothing - Heavy duty, high quality and stylish gym wear for the hard training athlete. Clothing designed with bodybuilders and weightlifters in mind!

diet ideas for my overweight diabetic mum

Author
stealthy
Pro-Member
  • Total Posts : 2495
  • Reward points: 5488
  • Joined: 2009/04/08 18:04:52
  • Location: North London, Hackney
  • Status: offline
2011/03/23 17:28:43 (permalink)

diet ideas for my overweight diabetic mum

hi everyone, not sure if anyone has any experience working with diabetics, but basically my mum is 64 years old, overweight, and has a bad hip which limits her exercise to pretty much nothing. i put her on a calorie defecit diet and has lost quite a bit of weight in the last couple months which is excellent and she feels very happy, ive limited her carb sources to low-med GI foods because of insulin response, medium protein intake and medium fats intake, but im not experienced in what diabetics need/dont need in their diet??
 
a average day for her food wise would be:
 
meal 1:
about 50g oats with skimmed milk and some berries/apple
mug of coffee
 
meal 2:
mixed salad (toms,lettuce,celery,baby spinach)
cottage cheese
1 egg
dollop of salad cream
 
meal 3:
mackeral or smoked salmon
cous cous or basmati rice or sweet potato
 
meal 4:
a few berries mixed with 0% greek yoghurt or low fat fromage frais
 
there maybe other stuff but this is what im aware of that she eats :)
#1

15 Replies Related Threads

    Pasty
    Pro-Member
    • Total Posts : 1501
    • Reward points: 2444
    • Joined: 2009/05/28 10:13:29
    • Location: Leeds
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 18:12:22 (permalink)
    Glad she's lost weight, good job :)

    Do you know what medication she is on?

    Any idea what her most recent blood tests showed? (HBA1c would be superb).

    Her diet appears ok, if she is on any medication that affects her insulin levels (pioglitazones, rosiglitazones, gliptins, insulin, Sulphonylureas) she should be under the care of a dietitian through her doctor, to ensure she has appropriate diet advice for her condition.

    We can't do that on the boards without a complete medical history. There is some superb information at diabetes UK (they have a website) if you need to brush up on the condition.
    #2
    stealthy
    Pro-Member
    • Total Posts : 2495
    • Reward points: 5488
    • Joined: 2009/04/08 18:04:52
    • Location: North London, Hackney
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 18:18:22 (permalink)
    Hey rick, just asked her, her medication she is on for the diabetes is Metformin slow release (glucophage)

    Last sugar level reading at the doctors came in ok apparently

    She's gonna have a look on that website now, thankyou for the recomendation :) she was just worried that the diet she's on now wasn't appropriate for a diabetic so was just abit confused
    #3
    swordfish
    Pro-Member
    • Total Posts : 4074
    • Reward points: 9459
    • Joined: 2006/12/10 15:33:14
    • Location: Bournmouth
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 18:41:06 (permalink)
    if i were some how diabetic i would eat how i do now and have no carbs except veg, but if she cant cut carbs completley dont have "low fat" products have the normal ones, and swap fruit for more veg.
    also if she likes it, cinnemon is good at regulating blood sugar, sprinkle it in tea etc
    #4
    Big Les
    Moderator
    • Total Posts : 13667
    • Reward points: 10422
    • Joined: 2001/08/16 23:55:42
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 18:46:17 (permalink)
    RickMiller

    Glad she's lost weight, good job :)

    Do you know what medication she is on?

    Any idea what her most recent blood tests showed? (HBA1c would be superb).

    Her diet appears ok, if she is on any medication that affects her insulin levels (pioglitazones, rosiglitazones, gliptins, insulin, Sulphonylureas) she should be under the care of a dietitian through her doctor, to ensure she has appropriate diet advice for her condition.

    We can't do that on the boards without a complete medical history. There is some superb information at diabetes UK (they have a website) if you need to brush up on the condition.

    I will second that: in general weight loss is weight loss - however for diabetics the medication and current level of control are hugely important in determining what and what is not appropriate.
    #5
    Pasty
    Pro-Member
    • Total Posts : 1501
    • Reward points: 2444
    • Joined: 2009/05/28 10:13:29
    • Location: Leeds
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 20:01:13 (permalink)
    swordfish

    if i were some how diabetic i would eat how i do now and have no carbs except veg, but if she cant cut carbs completley dont have "low fat" products have the normal ones, and swap fruit for more veg.
    also if she likes it, cinnemon is good at regulating blood sugar, sprinkle it in tea etc


    You could do that, but depending on the extent and type of diabetes involved, you'd risk Ketoacidosis, slipping into a coma and dying :( let's hope you don't get diabetes eh? ;)

    Apart from the possibility of the cinnamon suggestion, that advice is dangerous for individuals with diabetes. Sufficient carbohydrate intake is paramount, although it sounds like the OP's mother's diabetes is well controlled at present and carbohydrates are sufficient.

    I'd look into water based activity after liasing with her doctor as well, less pressure on the joints and allows more energy to be expended.



    #6
    Nigeepoo
    Pro-Member
    • Total Posts : 8075
    • Reward points: 12084
    • Joined: 2002/11/29 15:31:48
    • Location: Yateley, Hants, United Kingdom
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 20:49:34 (permalink)
    Rick, are you being serious? People with Type 2 diabetes don't get ketoacidosis. The O/P's mum clearly has type 2 diabetes, as she is overweight and on metformin. Type 1's get ketoacidosis when they don't take their insulin shots.
    Some exercise is essential to type 2's for increasing insulin sensitivity.
    #7
    Pasty
    Pro-Member
    • Total Posts : 1501
    • Reward points: 2444
    • Joined: 2009/05/28 10:13:29
    • Location: Leeds
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 22:35:03 (permalink)
    Nige - Diabetes is a chronically progressive condition. Type II Diabetic patients can easily be put on insulin through a process called pancreatic fatigue due to the ever present insulin resistance and chronic hyperinsulinaemia. Under this type of medication, one could quite easily become hypoglycaemic (through abstinence of carbohydrate) and slip into ketoacidosis. 
     
    My response was to Swordfish for his possibly misguided low carbohydrate advice which would not appropriate if one was a diabetic (of either type) on any sort of insulin secretagogue or insulin itself, perhaps I should have posted more clearly. I completely understand that the OP's mother is on biguanide (not possible to hypo on this).
     
     
    #8
    stealthy
    Pro-Member
    • Total Posts : 2495
    • Reward points: 5488
    • Joined: 2009/04/08 18:04:52
    • Location: North London, Hackney
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/23 23:47:32 (permalink)
    Thanks for all the input guys, to swordfish- my mum needs carbs present in her diet and at a constant and steady rate throughout the day other wise her blood sugar level goes funny and she doesn't feel well

    At the moment her blood sugar levels are ok as I mentioned but the doctor has said that if it does get worse that she will need to be put on insulin injections

    I've mentioned swimming to her but she can't swim lol I am a swimming coach tho and have offered many times to teach her, just gotta get her in soon!! Lol
    #9
    Nigeepoo
    Pro-Member
    • Total Posts : 8075
    • Reward points: 12084
    • Joined: 2002/11/29 15:31:48
    • Location: Yateley, Hants, United Kingdom
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 01:30:46 (permalink)
    RickMillerNige - Diabetes is a chronically progressive condition....
    Only if you follow Diabetes UK's dietary advice. If you do something completely different, it's reversible. See Diabetes-Warrior.net
    #10
    swordfish
    Pro-Member
    • Total Posts : 4074
    • Reward points: 9459
    • Joined: 2006/12/10 15:33:14
    • Location: Bournmouth
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 08:01:01 (permalink)
    the reason i said if i were to have it was because i wasnt suggesting that for her, but rickmiller i think you think you know more about it that you actualy do, plus i didnt say no carbs i said lots of veg which are carbs, but a healthy fat and high veg intake can in some cases make people not diabetic anymore.
    too much carb intake is of course one of the main reasons for getting diabetic in the 1st place
    #11
    swordfish
    Pro-Member
    • Total Posts : 4074
    • Reward points: 9459
    • Joined: 2006/12/10 15:33:14
    • Location: Bournmouth
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 08:02:45 (permalink)
    and see niges post above, if you follow the norm of you got to have carbs and all that yes it will get progressivly worse but not if you do something about it,
    #12
    swordfish
    Pro-Member
    • Total Posts : 4074
    • Reward points: 9459
    • Joined: 2006/12/10 15:33:14
    • Location: Bournmouth
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 08:05:17 (permalink)
    http://www.diabetes-warrior.net/category/paleo-stories/
     
    basicaly what i advocate is caled paleo diet, and look at that link nige posted.
     
    #13
    JimRat
    Pro-Member
    • Total Posts : 4178
    • Reward points: 10519
    • Joined: 2002/10/30 18:49:22
    • Location: Brighton
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 15:57:21 (permalink)
    RickMiller

     one could quite easily become hypoglycaemic (through abstinence of carbohydrate) and slip into ketoacidosis. 




     
    Great advice from Rick, but just thought i'd pick you up on this. I assume you mean hyperglycaemic. DKA (diabetic ketoacidosis) occurs in type 1's as mentioned above, type 2's get HONK (hyper-osmolar non-ketosis). As type 2 DM progresses, beta cells lose their function, and although this means an apparent lack of insulin you generally never see type 2's in DKA. 
    #14
    Pasty
    Pro-Member
    • Total Posts : 1501
    • Reward points: 2444
    • Joined: 2009/05/28 10:13:29
    • Location: Leeds
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 19:50:30 (permalink)
    Nigeepoo

    RickMillerNige - Diabetes is a chronically progressive condition....
    Only if you follow Diabetes UK's dietary advice. If you do something completely different, it's reversible. See Diabetes-Warrior.net

     
    Hi Nige,
     
    I'm not in some ivory tower and open to different methods of dietary intervention. It's one of the reasons I like posting on these forums as it's less dogmatic (to an extent) than medicine, you make some great posts and I believe I misread your previous one. You and Jim are correct, under hyperglycaemic conditions it would be HONK as opposed to DKA. 
     
    The main issue at hand is reducing waist circumference, hence why diabetic post-bariatric surgery patients are completely relieved of all medication (sometimes permanently), if one wants to trial a palaeolithic approach it could be done but I personally wouldn't recommend it unless under clinical supervision.
    #15
    Nigeepoo
    Pro-Member
    • Total Posts : 8075
    • Reward points: 12084
    • Joined: 2002/11/29 15:31:48
    • Location: Yateley, Hants, United Kingdom
    • Status: offline
    Re:diet ideas for my overweight diabetic mum 2011/03/24 20:45:54 (permalink)
    stealthyThanks for all the input guys, to swordfish- my mum needs carbs present in her diet and at a constant and steady rate throughout the day other wise her blood sugar level goes funny and she doesn't feel well
    By "goes funny", do you mean goes low?
     
    See The problem with Diabetes.  Using the steering wheel analogy in my blog post, taking Oral Hypoglycaemic Agents (OHAs) pulls the wheel to the left. Eating sugary/starchy carbs pulls the wheel to the right. Reducing sugary/starchy carb intake whilst taking a full dose of OHAs is likely to result in low blood glucose (even Metformin can do this). OHA dose should be reduced in line with sugary/starchy carb intake.
     
    P.S. As type 2 diabetes is mostly due to severe insulin resistance, I would strongly advise that your mum does some form of exercise. See Insulin Resistance: Solutions to problems.
    post edited by Nigeepoo - 2011/03/24 20:50:36
    #16
    Jump to:
    ©2017 All content is copyright of MuscleTalk.co.uk and its use elsewhere is prohibited. (posting guidelines | privacy | advertise | contact us | supported by)
    © 2017 APG vNext Commercial Version 5.5