RE: HELP !!! Insulin dependent
Posted Friday, April 11, 2014 at 8:27 AM
Here is a response from PCRM's director of diabetes management and care:
While we cannot give specific information, it might be useful to be aware that insulin is growth hormone, and it can stimulate hunger. So can low blood sugar. I recommend reading John McDougall's evidence-based article on how he treats type 2 diabetes (using only enough insulin to prevent symptoms of hyperglycemia, available at www.drmcdougall.com under Hot Topics, Diabetes), and if this approach appeals, share it with health care provider to determine what are reasonable, individualized blood sugar goals. For some, aiming for an AVERAGE of 150-180 might be reasonable, and allow for lower doses of insulin, less risk of hypoglycemia and less chronic hunger.
I did not do a calorie count on the sample food intake provided, but I also wonder about too few calories. Using the rule of 10 to determine the minimum number of calories to prevent metabolic slow-down, multiply target weight by 10. So, if your target weight is 150, don't eat less than 1500 calories. And eating early in the day, eating a larger portion of calories in the morning, and being sure to get ample sleep are other strategies to rev up a sluggish metabolism. But a sixteen pound weight loss over 2 months is a lot, so a month of maintenance is fine. This is described in more detail in the book, Breaking the Food Seduction, by Neal Barnard, MD.
Keep it up - slow and steady wins the race.
Caroline Trapp, NP, CDE, FAANP
Susan Levin, MS, RD
PCRM Director of Nutrition Education