Really bloody annoyed with pre diabetes/diabetes!! What am I doing wrong???

[icantwaitforsummer]

I am so pissed off with my pre diabetes diagnosis in November.

Nothing is working and I feel like I am heading toward diabetes and feeling really deflated. Can someone tell me what I am doing wrong, feel free to be really honest as I am getting so bloomin sick of it.

Yesterday I had a salad for lunch just chicken and leaves, for dinner made shepherds pie, full of veggies, celery, carrots, peas and made a thin layer of mash on top. With a side of broccoli, peas, cabbage and kale and gravy.

Walked on the treadmill, fast pace for 15mins straight after dinner. At 9pm I had a cup of tea with 1tsp xylitol sugar.

By the morning my blood sugar was 8.1!!

Tonight before dinner my blood sugar was 6:9. Had a roast with mounds of broccoli, kale, cabbage, some roast chicken from the air fryer and 1-2 small roast potatoes. Gravy.
Had 4 squares of chocolate after dinner. Ran on the treadmill for 16 mins. My blood sugar 2 hours after is 8.9!

I cannot get it below 6. I don't eat breakfast, I only drink green tea and water, very occasionally have a cup of tea or coffee with almond milk. Sometimes sourdough with avocado, mushrooms, egg, chia seeds. I feel like I live on salad and vegetables, celery, hummus and occasionally Greek yoghurt with nuts, but nothing is working!!!

I don't drink, don't smoke, since diagnosis I have lost a stone and will try to lost another 5-7lbs. But my weight is in the healthy range now.

After 3 months I feel ready to give up. Can anyone tell me what I'm doing wrong?

Im not sure I would consider Red Pen reviews to be totally reliable.

I am not familiar with the details of Dr Jason Fung’s position on diabetes management, but here is a review from the Journal of the American Diabetes Association, published in the National Library of Medicine, which concludes:

Where this book will challenge some diabetes health care professionals is in its claims that all current evidence-based, conventional treatments are wrong; this assertion is clearly untrue, so skip that part. Rather, consider the code Fung has unlocked in this book and his previous one as potential options for some people with or at risk of type 2 diabetes, and then form your own opinion based on specific patients’ needs.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6640893/

Personally, I often find NHS websites and Diabetes UK confusing or too basic or not up to date, so I tend to look at American websites for guidance, including the Mayo Clinic and the Cleveland Clinic which tend to have concise, easy to understand information. Here is the former’s advice re T2D prevention:

A healthy lifestyle includes the following:

• Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains.
• Be active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as brisk walking, bicycling, running or swimming.
• Lose weight. If you are overweight, losing some weight and keeping it off may slow prediabetes from becoming type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may lower the risk of diabetes.
• Don't sit for long. Sitting for long periods can raise the risk of type 2 diabetes. Get up every 30 minutes and move around for at least a few minutes.

People with prediabetes may take metformin (Fortamet, Glumetza, others), a diabetes medicine, to lower the risk of type 2 diabetes. This is most often prescribed for older adults who are obese and who can't lower blood sugar levels with lifestyle changes.

https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

They looked at the research Dr Jason fung provided and found it inaccurate, from what i gather he is a bit of quack who is just making money out of diets and dodgy tea

A healthy lifestyle includes the following:

• Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains.
• Be active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as brisk walking, bicycling, running or swimming.
• Lose weight. If you are overweight, losing some weight and keeping it off may slow prediabetes from becoming type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may lower the risk of diabetes.
• Don't sit for long. Sitting for long periods can raise the risk of type 2 diabetes. Get up every 30 minutes and move around for at least a few minutes.

that is the NHS and diabetes.org advice. Also stress and lack of sleep and drink plenty of water.

Also there is a difference between Diabetes.co.uk and Diabetes.org.uk

DIabetes.co.uk is a privated company that sells low carb diets. Diabetes.org.uk is the charity Diabetes uk

Dr Jason Fung is an experienced and practising doctor - he's not a quack . Maybe try reading one of his books.

@PaminaMozart Thanks for interesting info. I think the NHS is definitely behind the curve when it comes to type 2 diabetes and provides conflicting advice.

Who exactly is ‘they’… I prefer to rely on peer reviewed research rather than Reddit.

I have yet to read Dr Fung’s books, but he is not a quack. He is an accredited physician specialising in nephrology. Yes, he has commercial interests, but so do many physicians, especially in North America. This doesn’t invalidate his thesis.

No doubt there are aspects in his approach that may be up for discussion, controversial, or even plain wrong, but he has helped many to lose weight and/or improve their diabetes.

They are the scientists behind Redpenreviews who investigated the claims made in Dr Fungs books and similar to see the accuracy of the claims and the research behind those claims. Not sure what Reddit has got to do with any of it.

Dr Fung's claims came out very poorly for scientific acccuracy ie

"he Diabetes Code centers on the argument that T2D is a dietary disease caused by eating too much sugar, reversed by eating a low carbohydrate diet that heavily restricts refined carbohydrates and sugar. We reviewed three relevant claims to overview the book’s scientific accuracy. Those claims were:

1. Medications do not help to reverse type 2 diabetes
2. Type 2 diabetes is caused by eating too much sugar
3. Low carbohydrate diets reverse type 2 diabetes

After reviewing these claims, The Diabetes Code received a scientific accuracy score of 1.3 out of 4, meaning the claims are poorly supported on average. The first claim received a score of 1 out of 4. A couple of glucose-lowering medications considerably increase the likelihood that a person with T2D achieves healthy blood sugar levels (HbA1c below the diagnostic threshold: <6.5%). These therapies have been FDA-approved for treating T2D as an adjunct to diet and exercise interventions. The reason we didn’t score this claim a 0 is that little is known about whether the benefits continue after a person stops taking the medication, which is critical for T2D remission as per its current definition. The second claim received a score of 1 out of 4. If sugar were the main cause of T2D, we’d expect to see in studies that people who eat more sugar would be at higher risk of T2D. However, most prospective studies do not find a significant association between total sugar intake and the risk of T2D. Some sugar-rich foods have a neutral or protective association (e.g. fruit and dairy products) with T2D whereas others (e.g. sugar-sweetened beverages) are associated with increased risk. In addition, based on expert consensus about how T2D develops, and the results of substitution studies (calorie-matched nutrient swaps), the potential for some forms of sugar to cause T2D is mostly due to its ability to push us to eat too many calories, rather than being inherently harmful. The third claim received a score of 2 out of 4. Low-carbohydrate diets have been shown to lower HbA1c and the use of glucose-lowering medications versus control diets, but T2D remission rates are rarely investigated. One low-carbohydrate intervention study has shown some success with T2D remission at 1 and 2 years of follow-up (17–26% of adherent patients); however, these were people with a lot of additional professional support and most did not achieve T2D remission"

We reviewed 10 randomly chosen references in The Diabetes Code and scored how well they support the statements associated with them in the book. The book received a reference accuracy score of 2.1 out of 4.0 (53%). 4 of the 10 references provided moderate-strong support for the associated claim in the book. The remaining 6 references either undermined the book’s claim or offered weak supporting evidence*

Fung may be a doctor , but it doesnt necessarily mean he is a good doctor !

@PaminaMozart Hyman is another one who does not score very highly for scientific accuracy.

https://www.redpenreviews.org/reviews/the-pegan-diet/

According to a review i the Clinical Diabetes Journal and published by pubmed.ncbi.nlm.nih.gov, "The Diabetes Code offers three principles for reversing type 2 diabetes: 1) avoid fructose, 2) avoid refined carbohydrates while increasing natural fats, and 3) eat only unprocessed foods. Intermittent fasting is an extra (fourth) principle."

I do not see how anyone would argue with that. I am more familiar with Dr Hyman who supports similar principles, all of which have helped me lose weight and reverse prediabetes. Whether or not this is due to the weight loss or the dietary measures is of secondary importance. A lot of people find sugar, refined carbs and UPF addictive, therefore reducing their consumption by whatever means works for them must be a positive.

Type 2 is a minefield for eating. Ive been in hospital since Monday and my BS has dropped from 15 on admission to 10 this morning.

I've been having cereal for breakfast. Random crap for lunch. Today was veg fried rice and a cheese sarnie gor dinner.