Meeting with the dietitian

As a part of my treatment for my diabetes I had to talk to a dietitian! Luckily, I do not need to continue with that since it’s optional.

Dietitian: Are you that fanatic that you even have coconut oil in your coffee?

Me: Yes.

Here in Sweden, almost all dietitians are freaked out over saturated fat, which is a huge part of our Paleo diet. What to do? I just nodded and said I would think about eating more polyunsaturated fats instead… She almost laughed at me when I told I ate a lot of bearnaise sauce the last days since it apparently is unnecessary to have treats like that. Haha.

But since I was clear from the start about how I eat we didn’t discuss that very much actually. It was more focus on how I should manage exercising and sugar levels. She believes that it is very important to keep the glucose level on the same level throughout the whole session, meaning that I would need to fill up with sugar both beforehand and during the training. This seems ridiculously to me, since one of the reasons to exercise would be to lower the sugar levels.

My plan is to ask some other people with more experience of this and then be careful when exercising and measure the glucose levels to see what happens. I have already got some interesting thoughts and comments, from other type 1, that low intensity training have the tendency to lower the glucose levels whilst high intensity training have the tendency to raise the levels due to adrenalin. That is something I will keep in mind when experimenting.

We did also discuss some different techniques to keep the food in the stomach for as long as possible, since that will lead to a slower release of glucose from the food. Seriously? Very weird to use techniques for that. I’d rather just don’t eat the amount of carbs that would cause a problematic raise of my glucose levels.

/Cecilia

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2 thoughts on “Meeting with the dietitian

  1. “We did also discuss some different techniques to keep the food in the stomach for as long as possible, since that will lead to a slower release of glucose from the food. Seriously? Very weird to use techniques for that. I’d rather just don’t eat the amount of carbs that would cause a problematic raise of my glucose levels.”

    I have to say this is pretty strange advice since many diabetics suffer from gastroparesis (delayed gastric emptying). The food can ferment in the stomach and small intestine, leading to all of the gastric issues associated with Small Intestinal Bacterial Overgrowth (SIBO) and make it more difficult to predict the blood glucose and insulin responses to foods you eat. It can cause GERD, esophagitis, and even malnutrition because nutrients aren’t absorbed properly. And this dietitian wants you to ENCOURAGE slow emptying of the stomach??? What planet is this crazy person from????

    Some foods are “fast carbs”–the glucose enters the blood stream quickly and causes a fast, sharp rise in blood glucose and some foods are slow carbs that enter the blood stream in a slower and more controlled manner. So it makes sense to make the carbs you do eat “slow carbs”. But I have NEVER heard of someone trying to slow the gastric emptying to supposedly achieve better blood glucose control. IMHO, it would make blood glucose control much more difficult to predict when it’s going to rise and how much if you are monkeying around with gastric emptying.

    If someone gave me that kind of advice I’d be letting my doctor know. He should not be referring people to her.

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