Tag Archives: type 1 diabetic

Thursday 2015 Diabetes Blog Week Magic Changes

Click for the Changes – Thursday 5/14 Link List.
Today let’s talk about changes, in one of two ways.  Either tell us what you’d most like to see change about diabetes, in any way.  This can be management tools, devices, medications, people’s perceptions, your own feelings – anything at all that you feel could use changing.  OR reflect back on some changes you or your loved one has seen or been through since being diagnosed with diabetes.  Were they expected or did they surprise you?

 

Since blurting out “cure!” would make this post too short, I will say that I want management tools, devices, and medications to become accessible to everyone who needs them.  I’m tired of using insulin past it’s date, using expired strips for the past two years, and not affording a CGM.  More than that, I would love for anyone to have all they need to attempt to manage their diabetes well.  Imagine, having all those things still doesn’t guarantee managing diabetes well-that’s how tricky it is. But at least being able to not stress about acquiring tools (including basic ones like um, insulin) would be nice.  So we need better tools and we need better access to those tools.  (I wrote this post a few days ago, since then a similarly themed article popped up that I’d like to refer you to since it’s more articulate than my post: https://myglu.org/articles/a-view-from-the-other-side-of-the-tracks).

I could go the route of saying we mostly need people’s perceptions to change since that may lead us to the mass funding we need for a cure.  So there is that notable thing.

To be honest, I could go on all day about changes I’d like to see.  So I’ll stop there.  :)

How the DOC Helped Me Check Again

Part of a diabetes art showing by Ana Morales

 

There have been times when I’ve slacked when it comes to how often I check my blood sugars.  Sometimes I get down to 4 times a day and I know that isn’t personally enough-not for my aggressive control of blood sugars.  But, I rarely keep that up for long because being connected to the DOC, or Diabetes Online Community, means constant reminders of how important checking blood sugars is along with encouragement and people to really relate to.

In January I ran out of test strips because I had given half of my last shipment to my brother, who was just recently diagnosed with type 1 and then I ran out of money.  I had to put money into paying rent and bills and focused on just getting by while not feeling pity for myself but instead, feeling happy and grateful that I normally am able to afford all that I need for my diabetes.

I made a comment on Facebook about having run out of strips and was shocked by how many fellow people with diabetes suddenly told me they would send me some extras they had.  Several people knew I didn’t have a certain kind of meter and ended up sending me strips and the meter that corresponded.

It has been so heartwarming.  Strips are a precious commodity for us people with diabetes-and they cost a lot  So to me these acts of kindness are HUGE!

I was getting by decently by eating low carb, skipping meals, and trying to constantly guess my blood sugars.  Thanks to certain members of the DOC, I was able to stop the stressful madness and check again.

I can’t thank you enough,.  Thank you, thank you, thank you.

I accepted the help on the condition that if these people ever needed anything they’d let me know.  I hope they know I mean that ;)

Just another reason why being part of the DOC is awesome.

Diabetes Analogies

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A few months ago I read a post by a medical student who experimented with pretending to have type 1 diabetes for a week in order to gain a bit of insight into our world.  She hopes to serve patients better with her newfound perspective.  I was impressed that she even thought to do this and left a long comment adding some things I hope she and other medical students/doctors take away.

Part of my response was this:

“I hope many medical students/doctors read this and take with them your message and this one:

Anyone can do anything difficult for a certain period of time but after a while, a toll does come down on the person.  Can you imagine being in medical school your entire life?  Do you think you might eventually crack under that kind of intense schedule and pressure? That’s kind of what type 1 diabetes is like.  It never ends and there is never a break.  I think if doctors understand this and are sympathetic to this, they can really connect with patients and provide them the compassionate ear they often need before being able to really soak in any medical advice.  It’s a win, win.”

I thought I might use this example of medical school with doctors from now on because I think it’s an analogy they can relate to and make them really stop and think about how exhausting diabetes is.  We’ve got to find clever ways to communicate with them right?

Any other analogies you know of?  Remember George’s?  It’s an excellent one:

“Imagine having to pump your own heart because it didn’t do it by itself. And when you want to sleep you have to pump it slower. For exercise you would have to speed it up. You would have to know the rate of pumping for every activity. Do you think you could do it? Do you think that would be easy?”

What are some others?  Do share.

These analogies are clever diabetes advocacy tools and armor.  And they keep me entertained :)

To the Guy Dating a Diabetic Girl

What Is Love by Ana Morales


 

I wrote a list of 10 Things We Women with Diabetes Want You to Know over at DiabetesMine.com.  I was very honored to post over there.  Do check it out!

Interview with Chris Scully, Adventure Seeker

Chris at the Himalayas right before snowboarding down
Chris at the Himalayas right before snowboarding down

 

Chris Scully writes at her own blog Canadian D-Gal.  I have been following her posts for some time.  After reading I frequently come away with a feeling of “whoa this is girl power and diabetes power’”. You see, Chris, despite being a type 1 diabetic, is very in active outdoor sports.  She caught my attention big time when I learned she had backpacked for 4 months in South East Asia and lived abroad in Taiwan for two years while teaching English. It’s not an impossible feat.  Yet, I feel extremely intimidated just thinking about going off into the wilderness as a type 1 diabetic. Or living in another country, for that matter.  Even for a day.  So her experience means a lot to me.  It says, “you can do it”.  We diabetics can use that reminder every day.  We can’t let it hold us back from what we really want to do.

I’ve asked her a few questions about her experience and here are her answers:

GG: Chris, I’m curious, what are all the outdoor activities you do? How do you manage your diabetes on those activities?

Long distance running and cycling, spin class, stair climbing, mountain biking, rock climbing, rollerblading, snowboarding, snow shoeing, hiking, back-country camping including backpacking and canoe tripping.  I’m sure I’m missing a few things. I manage it all quite differently since the activities differ greatly.   A lot of these things I do alone and that makes some activities harder than others. Since the pump, the Temp Basal Rate option has become my best friend.  I owe all my successes to having that feature.  It requires careful pre/post-planning and constant monitoring throughout.  Protecting my meter also being my number one priority.  Keeping it dry or cool/warm.  Keeping it close and protected while always having spare batteries, lancets and strips just in case.  Without being able to check my blood well then I’d be going at it blind.  Which I’ve done on many occasions and where I learned most of my lessons from.  Always having different kinds of fast-acting sugars depending on the situation.  Most importantly being able to address the situation no matter what might arise.  Contingency plans whether it’s carrying too much glucose or notifying family of a possible phone call is key.  Knowing that things can and probably will go wrong is not something to ignore but something to keep in mind at ALL times.  If I didn’t go out there with the utmost confidence that I will do my best to handle whatever situation arises I would never go out.

GG:  How long have you engaged in outdoor sports?

Since I was a young teenager.  I started rock climbing and back-country camping at 14.

GG: Ok, so you spent two years in Taiwan teaching English.  How did your life take you there?  And how did you do with your diabetes management while there?

My boyfriend at the time and I thought it would be a neat experience to teach English in Taiwan.  As far as diabetes management it was hell at first.  I went with all the supplies I had which was only a few months worth.  Once I got settled I had to find out how the “system” worked. My mum was back home frantically trying to find a way to ship it to me but it was too much trouble requiring import/export licenses.  I qualified for a Taiwanese health card.  I had to go to the hospital (only on Tuesday nights) and wait in up to a 3 hour cue to get my prescription.  They would fill it right there in the hospital and it cost me almost nothing.  There was a language barrier, so once they got used to me coming once a month there weren’t many questions.  They would only ever give me 1 month at a time. I had to buy my test strips at the store for full price.  I never got blood work done the entire time I was there because of the language barrier and I was a pretty irresponsible diabetic back then.

 

One of Chris's Kindergarten classes in Taiwan
One of Chris’s Kindergarten classes in Taiwan

 

GG:  Did you discuss this trip with your health care provider before taking it?  If so, did you receive any help or guidance?

I came home for a visit from Taiwan after the 2 years teaching before I went back to travel.  I met with my CDE at the time.  I had no travel plans set in stone but I told her all the countries we may or may not visit. She then contacted Lily and got a list of which countries had what type of insulin.

Some countries had only the old school “N” stuff where you must wait 30 minutes before eating.  Some countries didn’t have pens or some had only Novo insulins.

Taipei, Taiwan
Taipei, Taiwan

 

GG:  When you backpacked through South East Asia, what places did you travel through?  What was the most “diabetic friendly” place?

Thailand, Laos, Cambodia and India.  None of them were diabetic friendly as far as food options but Thailand was the most diabetic friendly for medical care.  I quickly learned how to read “carbs” in different languages.

Southern Thailand
Southern Thailand

GG: I understand you were on MDI (Multiple Daily Injections) while in Taiwan and during your 6 months backpacking.  How did you keep your insulin?  Where did you buy it?  Did you need a prescription for anything while abroad?

Wow.  This might take awhile to answer, I apologize in advance! Well Bangkok is basically the hub of south-east Asia for backpackers. We used to go to Bangkok for the weekend since it was a cheap 3 hour flight from Taiwan.  Needless to say I knew it VERY well and treated it like my second home.  The first thing I did once arriving was to go to the recommended hospital for foreigners and start poking and prodding around to get some information.  Armed with my “list” from my CDE I knew that Bangkok would be my best bet.  The doctors I saw here were extremely friendly, knowledgeable and helpful.  This is where I was first introduced to Lantus! I received a months worth of supplies.  Pen cartridges, pen needles, bottle of Lantus and syringes.  It wasn’t cheap, I had to pay full price for it. From here I decided it would be easiest to just return to Bangkok once a month for refills. The other countries were much lower class and it was unlikely I would be able to find what I needed. Also, traveling 16 hours on overnight buses/trains/boats and staying in cheap guesthouses with zero luxuries meant that carrying more than a months supply was impossible. We had, however, planned on spending 2 months in India in which getting insulin there was going to be a necessity since Bangkok was now an expensive flight away.  I spent the first two days in New Delhi traumatized by the insanity of the city all the while getting sent on wild goose chases just trying to find where I could buy it.  I couldn’t get it through hospitals like Bangkok (I was led to believe) and although Indians speak a lot of English they were the least bit helpful.  I eventually found some random little apothecary/booth thing that looked eerily untrustworthy and they sold me a disposable Novorapid pen at an outrageous price.  Luckily I never had to use it because I cut the India trip short.  I don’t remember him pulling it out of a fridge either.

GG:  Now that you use a pump, do you think you would have been able to do all this on the insulin pump?  How do you think having a pump would help or hurt experiences like the ones you’ve had?

I don’t think a pump would make it any more difficult except the fear of what happens if the pump malfunctions.  This was also a number of years ago and who knows what’s changed as far as insulin availability in other countries.  I would still need to get vials of insulin somehow.  Pump supplies I would certainly carry them all with me.  It would probably be easier with a pump.  It might even be easier to research it nowadays. It would require a bit more careful attention.  Like when swimming around in waterfalls/oceans or scuba diving.

GG:  What was the hardest thing, diabetes-wise, about your experiences abroad?

Knowing I couldn’t travel on a whim.  Everybody else was just going with the flow and I envied that.  I never got to visit Vietnam like we had planned because of time constraints on my insulin.  I spent an extra two weeks in Cambodia before going back to Thailand because we were having such a good time and we were days away via bus/train/etc.  I had been running my insulin for over 6 weeks in insane heat.  I know I wasn’t feeling so hot. Keep in mind I didn’t know nearly as much as I do now. Oh the other hard parts were having hypos in strange places like the killing fields in Cambodia, or the middle of the night in a sweaty strange grungy guest house.  Oh and its hard to drive a scooter hypo.

GG:  What advice would you give to a diabetic interested in doing something similar?

  1. Have a plan.For example, I used the “shoestring lonely planet guide to South-East Asia”.  So I was following dirty hippy cheap backpacker routes (YAY!) So I knew I couldn’t rely on refrigeration.  I went armed with some decent health insurance also.  Traveling in 3rd world countries as an insulin-dependent diabetic just meant I had to be extra careful which I was.
  2. Have a friend.My boyfriend at the time was always looking out for me.  He understood the dangers of traveling with a type1 diabetic.  Trust me, I needed him on more than a few occasions.  He was often running around in search of sugary drinks when I ran out of whatever I had with me.

GG:  What is your greatest memory from your trips?

Climbing up the Himalayas with snowshoes above the treeline in Northern India and experiencing a touch of altitude.  Then snowboarding back down.

Was diabetes there?  I can’t even remember!  I can’t forget all the adventures of teaching English in Taiwan.  That was an experience I’ll never get again and I loved it all.

GG:  Would you do it all over again, diabetes and all?

Mekong River, Laos
Mekong River, Laos

 

 

MOST DEFINITELY!  These are some of the best memories I’ve ever had. I’ve daydreamed about doing something like this again ever since.  I laugh now at the gallivanting around Delhi in a rickshaw trying to find an insulin pen. Most importantly, I barely remember diabetes distracting me.  It certainly wouldn’t have been the best for my Diabetes management to do this for say a year.  We gotta give in somewhere.  I wouldn’t trade that experience for anything.  Even if I did end up in a strange room half passed out in some mountain village in India with a doctor spending an hour trying to find a vein to insert an IV into me.  I’m happy to forget that experience though.

 

Thanks so much for answering all these questions, Chris!  I never realized how hardcore you are until now.  I’m sitting here quite amazed.

Grey’s Anatomy, Say What?!

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On the popular TV show, Grey’s Anatomy this past week, there was a mention of diabetes.  One that left me a bit flabbergasted. 

Here is how the storyline went: There was a patient getting a surgery to have his tumor removed and during surgery they found a cyst in danger of rupturing on his pancreas.  The surgeon called forth the person who the patient had listed as his emergency contact person, who just happens to be a surgeon (interestingly enough this surgeon married the patient just so he could have life-saving insurance).  The doctor performing the surgery tells her, “We found a cyst on Henry’s pancreas that’s in danger of rupturing, removing it means removing a large portion of his pancreas, which would make Henry a diabetic.  We didn’t discuss that possibility with him.  Do you think that’s something he could live with?”

I slapped my hand to my forehead.  Shish kabobs! Is this for real?

Since the lady surgeon/wife/emergency contact/decision maker for Henry didn’t really know him, she replied with, “I don’t know”.  She gave the doctor performing the surgery to proceed as he saw fit and he removed the large portion of pancreas as needed to save the man’s life.  Phew.

Does this happen in real life?  Does anyone say, “No, you know what? I don’t think my dear [insert loved one’s name] could deal with being a diabetic.”  When the alternative as I understand it is possible or sure death…why is this question asked by a surgeon to someone who may not even know about diabetes?  I understand that they ask because in some cases people don’t have “a support system in place” to help them adjust to a new life as an insulin dependent diabetic, but, in most cases, people can take care of their insulin dependent diabetes all on their own no? 

I’m still shaking my head no…no…this can’t be. 

Ask me right now: “Do you think insulin dependent diabetes is something you can continue to live with?”

With my hand over my heart: “Oh my goodness, yes! Please!”

The Older the Better

 

I say Amen to getting diabetes older rather than younger.  In every case.  Less cumulative damage.  Not to mention, it would have been nice to get to adulthood in one piece before diabetes set in.  Instead, I felt like an adult as a child and had to struggle big time through what should have been the “prime” of life. 

It’s never too late to carry the attitude that “now” is one’s prime.  But, I just don’t understand the discussion regarding when it’s best to get type 1.  Obviously, never.  But, after that, I’d say the older the better.  Wouldn’t anyone?  It’s not like type 1 children ever get used to needles.  So that’s no advantage. 

Maybe it varies from case to case and we don’t know if someone benefited until much later.  The “it’s your destiny” thing.

Maybe it’s just pointless to ask this question.

What do you think?

Ginger Vieira’s Must See Type 1 VS Type 2 Video

 

Ginger Vieira is a fellow type 1 diabetic who happens to powerlift, coach, teach yoga, blog, and the list goes on and one.  She also  has a way with words.  Here she is speaking about the difference between type 1 and 2 diabetes.  I hope you’ll take a moment to watch it :)  Be sure to share it with someone!  And be sure to visit Ginger’s website.

Take it away Ginger:

Book Review: Beating The Odds, 64 Years of Diabetes Health

beatingtheodds

 

Two years ago I began looking online for the first time for diabetes community support.  This is because two years ago I was pregnant and extremely scared that it wouldn’t go well.  Two years ago, this month, I had just learned I’d be having twins and to be honest, I feared the worst.  So I began searching online for some hope.  I was hoping to find stories of type 1 diabetic women who had given birth to twins but I didn’t find a single one. 

Eventually I started posting questions on a diabetes forum and to my surprise a handful of type 1 diabetics were quickly answering my questions and cheering me on at the same time.  Then I saw a long post up about a man who had type 1 diabetes for 64 years.  I was shocked and immediately had to investigate!  Who was this man and how did he do it?  Oh and how was he doing now?

I read about his story and told myself, “I’m going to be ok”.  I continued to worry but, I worked hard to manage my blood sugar levels during my pregnancy and all ended delightfully well for me and my twins.

Recently, I got a comment on one of my posts and I immediately recognized the name, it was that man whose story had given me so much hope!  Richard A. Vaughn.

Turns out he just published a book called Beating The Odds, 64 Years of Diabetes Health.  I bought it and read it and here is my honest review for your consideration:

I grew up and still live in the same small city in Virginia.  The same one Richard Vaughn was born and raised in.  So the first thing that struck me was a sense of awe about how small this world is.  I mean I was born in South America!  Anyway, not having any past here in the US, I loved hearing about how Richard’s family lived.  It was so interesting to read about the work his parents did and the way he grew up on a farm.

Richard begins by telling us about his early years.  He was diagnosed in what some would call the dark ages of diabetes.  He took insulin from pigs and cows which had only been available for 22 years before he needed it.  He used those glass syringes that look monstrous next to today’s syringes.  His urine was checked once a day for the presence of sugar.  Still, he was a “happy and carefree kid”.  Amazing.

Something especially powerful I found throughout the book is an emphasis on family.  By reading this book one gets the strong impression that Richard Vaughn is an easygoing, kind, hardworking, and patient person.  When you read about how he describes his parents, it’s clear how he came to be this way.  I was extremely touched by the way Richard talks about his family.  The word “cherish” comes to mind. 

Richard gives many accounts about his years in school and college.  Frankly, my mouth dropped to the floor as I discovered all he had to go through.  I didn’t finish college because my blood sugars were usually high.  So were Richard’s and he did it.  He did it without glucose tablets or a glucose meter.  He did it without an insulin pump or professors that had ever heard about diabetes.  I feel like I’ve been challenged to do better.  And that is a good thing.

One major thing this book did for me was to make me realize how grateful I should be.  There are pages full of details about how a type 1 diabetic’s life used to look like.  Then Richard goes into how he manages his blood sugars today and the space in between-the difference, is something to behold.  We’ve come a very long way in a short time.  I can’t imagine what it was like for Richard to wear a CGMS for the first time.  Can you imagine going from one vague urine test a day to eventually, a CGMS?  I wonder if I would feel bitterness and anger.  Not Richard.  He doesn’t carry bitterness or resentment or anger around.  Instead, he is grateful for the life he has had and is still having, despite type 1 diabetes.  He has had it now for 65 years!  During all this time he has suffered only minor complications.  He doesn’t brag about this one bit, either. 

There are chapters in the book which have to do with diabetes causes, statistics, and other related matter that are so insightful and interesting, I’m going to be thinking and researching on them for a long time. 

I found this book a wonderful balance between heartfelt personal accounts and detailed diabetes accounts.  This book is written with humor and a solid, humble character.  I wonder if part of what has kept Richard Vaughn so healthy is his positive attitude and outlook on life? 

There is so much to gain from this book.  You might not imagine, but this book would be a wonderful Christmas gift for someone with diabetes.  It won’t depress them, on the contrary, it will inspire them to work hard for their health and be grateful for the technological advances we’ve made.  I would have really loved this book as a teenager.  Even though you might think a teenager wouldn’t get into a book written by someone so much older than them, the truth is, a teenager with type 1 diabetes just might not be telling you how worried about their future they are.  Trust me, they’re worried.  I believe hope is the greatest motivator so I highly recommend this book to any diabetic.

Thank you Richard, for taking the time to tell your wonderful story and for the hope your story has given me and countless others.

You can get this great book at Amazon, just click on the link:

 Beating the Odds, 64 Years of Diabetes Health.

The Science Behind Type 1 Diabetes and Weight Gain

 

It’s understandable that any community would prefer to say, “To each his own” when it comes to personal choices like eating preferences.  So I frequently hear diabetics say that they can eat whatever they want and advocate for other diabetics being able to do the same-as long as each person is successfully able to manage their blood sugars.

And this makes sense to me.  It’s true that every person’s diabetes varies from the next. 

Something that also makes sense to me is what Dr. Bernstein calls “The Law of Small Numbers”.

It’s something I figured out before hearing about Dr. Bernstein.  Since a certain percentage of insulin going in us isn’t being absorbed each time, there is a varying error margin.  The more insulin we need to give, the higher the error margin. 

For example when I lost weight, my blood sugars improved, in part because my insulin resistance was lower and I then needed less insulin than before.  When I changed my eating to lower carb intake, I again noticed better blood sugars because I took less insulin and therefore saw a lower margin of error every time insulin was given.  This lower margin of error is nothing short of miraculous on blood sugars.

If I eat a bowl of pasta, I’m personally, going to give about 7 units of insulin.  A certain percentage of this insulin will inevitably not be absorbed efficiently.  This means that after eating, I will most likely have to correct blood sugar with insulin or some sugar. 

If I eat a steak, I give about 1/2 a unit of insulin.  Again, a certain percentage of this insulin will not be absorbed efficiently.  An “X” percentage of 1/2 a unit of insulin is surely to be less than the same “X” percentage of 7 units right?  This means that with the steak, my chances for having a low or high after eating are minimized AND it means that if I do get a low or a high, the low won’t be very low and the high won’t be very high.  So I’m more likely to stay within a better range. 

This is why I don’t feel that a pump necessarily equals better blood sugar control.  If someone is eating all the carbs they want and just correcting with boluses and sugar as needed, then the likelihood for a higher A1c goes up-because of “the law of small numbers”.   

My lowest A1c test result was over 2 years ago and was a 4.6.  My doctor automatically assumed I was having too many lows and should let my “blood sugars run higher”.  “Really? Higher than yours get to be?”, I thought.   I had to explain to him that I had fewer lows during the time reflected in that A1c test than I had during the time my A1c was a 6.8.  I just had more consistent numbers.

The months prior to that 4.6, I was experimenting with low carb eating to see how my A1c would turn out.  Not only did I lose weight, but the greatest thing was how my blood sugars stayed even keel.  The swinging blood sugars stopped, as did my swinging moods.  Of course, there are still plenty of things that affect blood sugars but, for me, eating low carb made post meal 40’s turn into 70’s and 250’s turn into 150’s. 

It’s so much easier to get a 150 down to 100 than it is to get a 250 down to a 100.  Plus, correcting for a 250 means again that because you’re giving more insulin than if you were 150, there is a higher margin of error and a high risk that in a few hours you’ll need more insulin or more sugar. 

This brings me to my next point.  For type 1 diabetics eating a lot of carbs, weight management becomes difficult.  Most of the thin type 1 diabetics I’ve known of are either adults eating low carb diets or children who are still growing. 

How many type 1 diabetic children don’t start struggling with some weight gain once they turn 18 or 21?  Of course there are exceptions to every rule but, for the most part, I’d say that a way to minimize weight gain in type 1 diabetic adults would be to eat fewer carbohydrates.  The yo-yo on blood sugars that a higher margin of error exacerbates translates to more insulin and more sugar correcting.  This directly translates into weight gain. 

I know it’s not what you want to hear.  After all, we diabetics can eat anything we like and just cover with insulin!  Sure…but, I don’t know about you, I like to be thin.  It means less insulin resistance and better glucose numbers and an easier time exercising.  It also means there is less stress on the body in general.  Such as our feet.  What about knees?  10 pounds of weight loss equals 40 pounds of pressure off of your knees.  So the benefits continue on and on.

I’m making a case here because I wish someone had made a case to me when I was in High School.  I was on the Varsity Soccer Team and so I exercised at least 2-3 hours a day.  I was heavier than all the other girls on the team even though I ate less.  Not fair!  I could have been spared a lot of heartache and frustration. 

Back to today.  Currently, major financial restraints have me eating more carbs than I’d like to (more brown rice, less meat) and my daughter being allergic to eggs means I can no longer rely on an egg’s cheap, low carb, and perfect nutrition.  It’s probably why I’m not losing weight right now.  I eat 40% more carbs than I did 2 years ago.

But before all this, here is what used to work great for me:

Breakfast:  One or two eggs

Lunch:  Chicken salad or tuna

Dinner:  chicken/beef/fish and a side of veggies

Snacks:  Beef jerky, raw veggies, nuts, dark chocolate

Several times a week:  small servings of lentils or beans, fruit, green vegetable juice, Ezekiel Sprouted Grain bread.  (I try to make these my low correcting foods if I’m not too low)

Drinks:  Water, herbal teas, coffee (diet soda would work only it tends to make me really hungry)

I admit it isn’t easy or very cheap to eat this way (especially not cheap if buying all this in the organic section).  You get used to it though and dropping pounds and feeling healthier makes it more than worthwhile.  I’ll say it again.  It’s not easy.  You may feel something is missing from your diet.  Yet, if you are having trouble losing weight or if you are trying for a lower A1c, this is the best way I know of to do both.

I share this info because it proved invaluable to me and my health.  You take it or leave it or take a little of it, whatever you like. 

Salud!

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