Why dont I visit a RD or a Nutritionist? I did when I was first Dx with T2DM. Heck, I was terrified. I wanted to learn everything I could.
I’m retired USAF, and hence, go to the VA for my medical care. The VA nutritionist had a two hour long class all about eating as a diabetic, and selecting proper portion sizes. It was basically a point system, where the only points you count are carbs, as long as you kept it low fat. Basically a 40% protein, 50% carbs, 10% fat.
She kept mentioning 45~60 grams of carbs per meal. Thats upwards of 180 grams of carbs a day. Thats not low carb at all. After six weeks of trying to follow their advice, I decided to go back to Keto (I had tried it for 3 months a few years earlier, but I liked my pasta, french fries and pizza too much, so I went back to S.A.D.)
Not just Ketogenic diet, but zero carb. Cold turkey. Carbonongrata.
At my two month follow up, the nurses were ecstatic with my blood glucose control, and needed to know every detail. My PC and my Endo were both ‘meh’ got to much to do than talk to a healthy patient. Got another hundred patients behind this one to write scripts for.
Im my opinion, the nutritionist only know what they were taught. The dont think outside the box. The dont question what they learned. Thats a biggie for me.
In the USAF, I worked with aircraft weapons. We would often hear, “This is the ONLY way to do this”, so then I ask “why?” Why cant I put that explosive cartridge in my pocket? “Because its sensitive to static electricity, and that can set it off”. Then next time lead with the static safety concern, [as I lean over and ground myself at a grounding terminal, now paranoid in a good way]. Compared to “Diabetes is a BG control problem” the follow up question should be “why?” to which the answer should be “because eating carbs raises BG and they have an issue with insulin resistance”. But I think they just dont ask the “why’s” enough.