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RUSSELL_40 Posts: 16,826
2/28/14 7:41 P

You should of course talk to your doctor before you do anything, but I am diabetic, and low carb has gotten me off my meds for 4 years now, and my A1C is 5.3.

Your biggest problem is your thyroid. My brother has issues with his, and has finally got his medication right, and starting to lose slowly. The most popular med made him nauseous, and he couldn't sleep well, so they got a different one, but it didn't work till they upped the dose.

So I would recommend a lower carb diet for the diabetes, but the thyroid issue can throw a monkey wrench into your plans. I had CHF, diabetes, high cholesterol, high BP, and gout. Multiple medicines have a lot of side effects when combined, and dietary changes can have other side effects too. Low carb is diuretic, and I was on Lasix, so I got dehydrated.. not good for a heart

So today, I am off all but my heart pills, and 1/4 dose of my BP meds with a BP of 95/65. No meds for diabetes, cholesterol, or gout at all. The diabetes one is why I suggest lower carb.

However you may need to do a more moderate diet, if thyroid won't allow you to eat this way. I'm guessing the ADA diet did not work, or you could try that.

Get one under control, and the other one is usually easier to manage. Less pills, less side effects, less reasons why what you are doing isn't working.

Talk to your doctor about all your options. Maybe your doctor will put you on a liquid diet, and you can get details from them. Get a plan that allows you to lose weight, and everything gets better, as the weight drops. It seems that the diabetes, and required Insulin is what is putting weight on. If you could eat lower carb, maybe South Beach for example, and get A1C down to 6.0, you would find that the weight would start to come off much easier with stable blood sugars. Whether Insulin is high due to diet, or shots, it adds weight. That is Insulin's job.. storing glucose, excess as body fat. Less glucose = less Insulin = less weight = less health problems.

I would think that liquids would spike the glucose more, since it can be digested quickly, so you would need more Insulin.

Your doctor and you need to come up with a plan that works for both problems, and takes the other issue into consideration. Tell the doctor what your goals are, and see if the doctor has a plan to reach those goals. I personally wasn't doing bariatric surgery, even though at 350+ lbs. I was a perfect candidate. I also didn't want Insulin

If you gave the ADA diet a fair try, and it did not work, I would ask your doc about lower carb levels, and see if the doc thinks it will help. The doc may even just send you to a dietitian and move certain foods around. You need them to give you a plan that gets results, and they aren't doing it. Go back and ask for a different plan. Don't just start a new one. For all you know a liquid diet could cause other issues, or make these worse.

FLORADITA SparkPoints: (63,888)
Fitness Minutes: (41,058)
Posts: 541
2/28/14 6:30 P

My girlfriend (Jean)lost 60 pounds in 9 months on a medically supervised liquid diet consisting only of pre-prepared drinks that cost her a LOT of money. She felt fine on the diet, had lots of support from her husband, friends and family and she was able to stay on the diet for the full 9 months. She did not consume ANYTHING else except a multi-vitamin. Seeing her results, another friend (Carol) of ours tried the same diet and found it very difficult to maintain for more than a few weeks. Different people, very different results.

That being said, Jean struggles daily trying to maintain the weight loss, she gained 10 pounds just over the Christmas holidays and says that she feels she still needs to starve herself every few days just to maintain. She feels she was not given the tools to manage her weight once she lost all the weight. Her other big complaint is lots of loose skin which she thinks would of been less if she had lost the weight more slowly. These are only what she has said to me about her own experience, I am sure everyone has a different outcome based on individual situations.

I want to be able to maintain a healthy lifestyle forever, I have lost and gained and lost and gained back weight time and time again. I think the liquid weight loss might be good for quick weight loss but watching my friend continue to struggle daily makes me doubt the sustainability of such a program.

2/28/14 3:38 P

Back when people were still taking phen/fen, I did the Medifast diet. I lost about 90 pounds...but you guessed it, I gained it all back plus another 50 pounds.

A dietitian is much more healthy and beneficial.

I have looked into LapBand and gastric sleeve myself, so I understand where you're at. I have a lot of years experience losing and gaining weight.

MISSRUTH Posts: 4,232
2/27/14 8:35 A

I would strongly agree with Coach Jen's suggestion, to get your doctor to refer you to a registered dietician (or a certified diabetes educator). Most insurance will cover this since you have a condition that is directly affected by the way you eat. And then the key thing is to weigh/measure your food, and track it all. Everything. You could even use the Nutrition Tracker to track your food, and then print those out to take along when you see the dietician-- that way they can make specific suggestions about substitutes.

Spark also has a special section for diabetes

and you may find that really helpful, as well.

SPARK_COACH_JEN Posts: 65,451
2/27/14 6:57 A


I would recommend asking your doctor for a referral to see a registered dietitian who can create a meal plan specific to your needs. That way you can create a balanced diet that is something you can live with long term, instead of something like a liquid diet that doesn't teach healthy habits that will last forever. Those kinds of programs might work while you're doing it, but as soon as you start eating normally again, the weight comes back.

You can do something about this, starting right now. It doesn't have to be drastic changes all at once, but rather small changes that develop a pattern of consistency and give you the momentum to work toward larger goals. Can you think of a few things you can do today to get things moving in the right direction?

You can do this!

Coach Jen

GOLDENGATE777 SparkPoints: (155)
Fitness Minutes: (0)
Posts: 13
2/27/14 4:14 A

I have had ENOUGH! I am ready to try liquid diet or bariatric surgery. I am a diabetic with hypothroid disorder. My A1C test went up to 10.3 (Hugely high for those of you who do not know...) I went back on insulin - which puts weight on... and brought my A1C down to 6.8 in about 4 months. All that is well and good but I have gained another 15 pounds with insulin. I can hardly walk from one end of out apartment to the other without stopping to lean against the wall to rest. I walk outside with my partner but it is a huge struggle. I sleep more and move less and don't feel like I can do much about it. It is time for drastic measures. Bariatric Surgery has a 40% success. Liquid Diet has a 75% success rate plus does not involve surgery. Has anyone experience with the Doctor directed liquid diet?

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