Jump to content
House Price Crash Forum

Archived

This topic is now archived and is closed to further replies.

Rave

Type 2 Diabetes / severe calorie restriction?

Recommended Posts

To cut a very long story down to well over TL;DR length, my wife and I got back after a fairly disappointing holiday in Marrakech on Friday.

On Saturday she started feeling nauseous. Yesterday she developed a nasty pain in her abdomen. Today it got bad enough that NHS 111 told me to take her to A&E.

Anyway, they still aren't sure what exactly is wrong with her, and there's certainly the possibility that, given we've just been to Morocco, and that we took public transport back from Gatwick, she's got some sort of nasty bug. But when they first tested her blood sugar, it was something like 13.4 in whatever standard units they use, which is properly high, especially for someone who hasn't kept any food down for over 24h. When I left her at close to midnight she'd been on an insulin drip and was down to 10. When they got the first blood test results back a couple of hours after she arrived the suggestion was diabetes and nothing I've seen since suggests otherwise, as frightening as that is.

She's 42 and by my estimation about 10kg over having a BMI of 25, which is at the lighter end of the weight range she's fluctuated through in the 13 years we've been married- she's put that down to her diet going well, but apparently it might be down to her blood sugar being high.

So anyway, I've read various threads on here with posts talking about how going on a proper 800 calorie a day diet for a few months stops Type 2 dead in its tracks. Anyone got any proper studies I can wave under her nose? I've always maintained a supercilious uninterest in her diet plans as I really couldn't care less how big she is- and if she properly cared, she'd put up with being hungry a bit better.

But if a shock diet enforced by me from this week was enough to stave off all the crap Diabetes can cause then that would be a much easier sell. So if  anyone's got any studies, please hook me up.

Share this post


Link to post
Share on other sites

Sorry to hear that Rave. The good news is that lots of people are managing to fight back type 2 diabetes without being particularly reliant on medication. I know a lady in her mid eighties who was diagnosed as diabetic, she lost five stone in weight and was able to come off the blood sugar medication entirely. I don't want to push anything but some people swear by high fat low carb diets to cut their blood sugar, to the point of reversing glucose induced kidney failure. Others are using high carb low fat vegan diets. Almost everyone agrees that getting off the standard western diet is vitally important. Best of luck to you and your wife.

Share this post


Link to post
Share on other sites

Is she vegetarian, or near vegetarian?

Only reason, I ask, is a lot of women are and it seems to lead to eating a lot of the wrong stuff where diabetes is concerned,

 

Share this post


Link to post
Share on other sites

Thanks all. In answer to the questions, she's continually flirted with whatever fad diet is doing the rounds without ever doing any of them properly as far as I can tell. The fact that I have always eaten whatever the hell I want and never got fat is because I'm some sort of genetic freak apparently. The rarely eating until I'm at least 8 hours into my day somehow doesn't compute....

Share this post


Link to post
Share on other sites
5 hours ago, Rave said:

Thanks all. In answer to the questions, she's continually flirted with whatever fad diet is doing the rounds without ever doing any of them properly as far as I can tell. The fact that I have always eaten whatever the hell I want and never got fat is because I'm some sort of genetic freak apparently. The rarely eating until I'm at least 8 hours into my day somehow doesn't compute....

Be careful how you project this.  There are compelling theories that suggest that 'overeating' (which is what it normally is down to) is caused by a broken appetite mechanism, which results in an irresistible compulsion to eat.  Ok, it is down to you not eating, but you're not the one with the broken system.  Note, it isn't because you're better at ignoring the signals, or that you're trying harder, but because you don't have the compulsion to ignore.  IMO medicine really doesn't understand this.

Anyway, don't treat this as some sort of indication that you're (both) going to have to have a crazy diet now -- it is the 'normal' diet which is wrong for humans, and a restricted calorie  diet  physiologically more normal.

And your 8 hour delay before eating is probably very physiologically normal -- despite all this 'breakfast is king of the day' stuff, there is increasing evidence that a >12 hour fast in every day is good for you... 

Share this post


Link to post
Share on other sites
13 minutes ago, SarahBell said:

That is probably a diet close to what our metabolism was evolved to cope with...  Don't think of it as a 'diet for diabetes', but the sort of diet we should all have.

Your wife is probably more 'addicted' to carbohydrates than you and will likely find it more difficult at first.  Be sympathetic.

Share this post


Link to post
Share on other sites
Just now, dgul said:

That is probably a diet close to what our metabolism was evolved to cope with...  Don't think of it as a 'diet for diabetes', but the sort of diet we should all have.

He might even say that in the book.

Share this post


Link to post
Share on other sites

I'm pretty certain regular exercise is meant to help too. And it's hardly something bad to get her into either way - unless she does already ? 

Share this post


Link to post
Share on other sites

If she has bought in to the low fat BS that isn't going to help. Banish anything that purports to be low fat since it will be packed with sugar to compensate. Low carb, moderate protein and plenty of fat is the way to go.

Share this post


Link to post
Share on other sites

Re scientific evidence/papers...

Regarding the restricted calorie diet, the main ref has been given, but beyond this, it is interesting to look into the history of 'diet'.  It is incredibly interesting to look at the conflict in the 50's & early 60's between the low sugar (and carb) / high fat approach, led by a guy called Yudkin, and the low fat approach (Ancel Keys).  Google both those names for papers about where our current obsession with the low fat diet came from.  After that the low fat approach became canonical and we've been suffering the consequences ever since.

 

Share this post


Link to post
Share on other sites
8 hours ago, ccc said:

I'm pretty certain regular exercise is meant to help too. And it's hardly something bad to get her into either way - unless she does already ? 

This.  

10 kg over a BMI of 25 rather depends on her height - if she's tiny, then that is a lot, if she's 6 foot, it is naff all.   Also depends on her level of exercise already - I had a BMI of something like 30 when I was cycling 300 miles a week and as fit as a butchers dog.  

Once she's back to health - go running.  Its cheap, simple and very effective.  I've gone from being unable to run 200 yards in August to doing 7 miles without it feeling like I am going to die (did 6 miles this afternoon).  It's knocked my blood pressure on the head - it was verging on becoming a problem.  My brother in law has knocked early Type 2 on the head by doing the same thing.

 

Share this post


Link to post
Share on other sites

I don't want to invest time arguing about it but i think the advice to eat a high fat/high protein diet is wrong and will make her more sick.

Look at a plant based diet; don't restrict carbs but get your carbs from unprocessed sources. Eliminate all added oils, salts, sugars.

Start working your way through the information here:

http://nutritionfacts.org/topics/diabetes/

Exercise-wise, go for a half hour walk with her every evening. That's enough for now, cleaning up the diet is more important.

Share this post


Link to post
Share on other sites

Best advice I've seen is not to eat any pre-packaged food which has more than five ingredients.

Had a health scare last year when a routine check-up discovered that despite being marginally overweight on the BMI scale (25.4), I had cholesterol levels somewhere in the stratosphere (14ml per litre of blood - five is considered dangerous...). I have since started paying massive amounts of attention to the food guidelines published on pretty much everything. It's really helpful that information is there. Lost ten kilos too.

Share this post


Link to post
Share on other sites
6 minutes ago, rantnrave said:

Best advice I've seen is not to eat any pre-packaged food which has more than five ingredients.

Had a health scare last year when a routine check-up discovered that despite being marginally overweight on the BMI scale (25.4), I had cholesterol levels somewhere in the stratosphere (14ml per litre of blood - five is considered dangerous...). I have since started paying massive amounts of attention to the food guidelines published on pretty much everything. It's really helpful that information is there. Lost ten kilos too.

 

Share this post


Link to post
Share on other sites

Sorry to hear what's happened.

I spent some time looking into diabetes as the possible cause of my odd symptoms, which actually turned out to be wheat intolerance.

That blood sugar reading is high, but I can't help but think that there would have been other signs of diabetes before then (fatigue and thirst in particular) and if none were present, then the blood sugar reading might well be purely coincidental and is being caused by something else. Have they made any progress on a diagnosis?

Share this post


Link to post
Share on other sites

Thanks all. Just got back from the hospital. Unfortunately I never got to interrogate a doctor about what's going on, and my wife isn't very good at dealing with them in general, even when she's not sleep deprived and feeling ill! She's on antibiotics, so I guess they think she has some sort of infection, but obviously I don't know what it might be. It is possible that if she has one it's stopping her pancreas functioning properly, which would be the absolute best case scenario, I guess. But she did say that they'd mentioned getting the diabetes specialist in to teach her how to inject insulin, so it doesn't sound as if they think the high blood sugar is temporary. She was off the insulin drip for a few hours tonight and her blood sugar went up from 8.4 to 11.7 in that time...not sure what that suggests?

She's going in for a colonoscopy at 11am tomorrow, as apparently the CT scans they did yesterday have given them cause for concern. She's had a pretty unpleasant evening on the Picolax to prepare for it. All the nurses are really nice and helpful but they do seem either stretched or badly organised, I'm not sure how well she'd be doing if I hadn't been there to get them in to change the sheets and get her some disposable knickers; and it was me who investigated why the insulin pumping machine was bleeping, and found that it apparently wasn't switched on! I daresay that would have been noticed when they checked her blood sugar and found that it was still going up, but still. In general there seems to be a culture of not telling anybody anything unless they ask. I already knew that you get given Picolax before a colonoscopy, but had to Wikipedia what it was and why it's needed, seems to me that it would have taken literally 20 seconds to explain to my wife that you need an empty and clean colon for a colonoscopy; as it was I had to persuade her of the importance of drinking the lot, apparently it tastes disgusting!

Share this post


Link to post
Share on other sites

Putting the symptoms into an online checker suggests the most likely is pancreatitis which can indeed be caused by, commonly, gallstones, but also a number of infections both viral and bacterial: so, food poisoning is possible which may tie in with your holiday. Gallstones would be a big coincidence. Hence the antibiotics whilst the same time trying to control the blood sugar. Overwhelmingly, a short stay in hospital leads to complete recovery.

 

 

Share this post


Link to post
Share on other sites

  • Recently Browsing   0 members

    No registered users viewing this page.

  • Next General Election   90 members have voted

    1. 1. When do you predict the next general election will be held?


      • 2019
      • 2020
      • 2021
      • 2022

    Please sign in or register to vote in this poll. View topic


×

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.