Well, it has been quite a week.
I recently visited the Metabolic center in Montreal. I waited for almost a year in order to see the Endo - and the guy is totally cool. He doesn't take any guff, in a good sort of way.
Now, when I got diagnosed, I spent a lot of time reading, researching. I trawled through here, and many other forums in search of answers. I thought I had a good handle on things.
Part of my day was all about educmacation. You know - the standard given to every new diabetic patient. I found myself getting slightly annoyed at the "training," as I had either read it, seen it, experienced it, or whatever.
Then I asked myself, "what am I trying to get out of this?" In essence, why was I there?
Not just to see the endo, but to learn how to manage my disease better. What I was doing wasn't working out too well.
So, I shut off that part of my brain that resented relearning things I supposedly already knew. I started asking questions.
I got measured for the BMI chart. What an eye opener.
My belly? A hearty 47 inches. The obese rate is 40 and up. Oops.
At that point, what could I say? Sure, I guess I knew it all - but it didn't mean a dang thing. What I was doing was NOT working...
The truth? For the last couple of months, I have been very sporadic in actually taking my insulin with meals. It's not uncommon to have a huge bowl of pasta, no insulin (or maybe a unit or 2) and find myself at 15 mmol before going to bed.
So, after a little kerfuffle with the Dietitian, I was put on the exchange diet - but given the CDA standards. (Which is the same as the ADA...) So, I am on a "weight loss" part, with an exchange that has around 50% carbs a day.
So, my brain is telling me, "Oh no! That's not gonna work!"
Thing is, I was trying the low carb approach - Primal, if you will. REAL food, no grains. Very little insulin requirements.
Problem with that protocol is, I am "weak" when it comes to avoiding those grains. Tell you the truth? I like my rice, breads, and starchy stuff.
One thing that struck me right in the face with the exchange system is how much I was actually eating before. I never really thought about portions before - I did, but not like with the exchange - when you are sitting there thinking about what 1 fruit serving of blueberries looks like. (It's 3/4 of a cup!) I find that when I am eating by the exchange system, I have no problems waiting the 4-6 hours between meals. I am actually not that hungry!
So, I am in the middle zone here. I want to make my health better - but it's not working on the low carb paleo/primal way. The protocol looks good on paper - but it's not working for me so far.
OTOH, I am uneasy about the amount of carbs that I am prescribed. I am actually getting more regimented by my meals/insulin, so now at least I can see what is working. I have been put back on metformin to help me with losing weight, and now the diet is the exchange, with a set amount of carbs. (With a sliding scale based on meter readings before the meal.)
Well, that's my story so far. I am still not down with the 50-65% carb ratio. I slightly tweaked the diet to make the carb ratio more moderate, at 33%. I increased the fats and the lean proteins a bit - but I may be doing this too soon? Should I give the standard a shot first?
How many here are on the exchange diet? Any tips?