I see someone has revived this thread so will give a progress report since I started this the year I was diagnosed. What has proven necessary is testing daily, at least once, but 2 hrs after meals when I try new foods or diet strategies. and writing down every thing I eat, when, and tracking not only sugar but BP
Through trial and error, I am now on metformim 500 1/day, no other diabetes meds, and where I was taking 8 prescriptions am now down to 3, crestor and lotrel besides the met. have lost 30 lbs and kept it off. A1C is 5.6 and has been below 6 for 3 years. I realize I may still be in a honeymoon period but the longer I can stay controlled the better for my future.
Key is exercise, there is no weight loss w/o it.
key to controlling sugar is definitely low carb, the approach advocated by Dr. Richard Bernstein, at least for me, and eating the same total amount of food, no more than 1 to 1/2 cups at a time, same amount of carbs, same time every day. Too much variance throws me out of whack not only that day, but for at least a week afterward. 15-21g carbs at a meal, 5-8 g for a snack, 3 meals and 2 snacks a day, 9-12 oz protein/day, only good fats, little or no processed or packaged foods, no manufactured foods (like jello, cool whip, artificial flavors, sweeteners, colors etc). No more than 1 c. raw veggies, but I make salads of lightly steamed, chilled and marinated veggies.
2/3 by volume of any meal is veggies, most of them steamed, some stir fry, 1/3 good quality protein with a dash of good fat like slivered almonds, olive oil based dressing, avocado etc.
30 min walking and 30 min water aerobics daily, or 1 hour of housework.
w/o exercise nothing else works well.
this is the prescription for me, not for anyone else.
my cardiologist and pulmonologist have said bye bye for now, I only see them once a year, primary care doc does all bloodwork etc. every 3 months. Chol is under 200, triglycerides and ldl are under 130, working on getting them to 100, HDL went from 40 to 60+.
no bread except 1 slice of sprouted grain toast daily, just that simply addition helped stopped night hunger and lows. No sugar, no sweets, no baked goods, no candy, no gum, no soda diet or otherwise. period. No chips, popcorn or snack foods. These things have lost their appeal. 1 oz dark chocolate and 2.5 oz red wine every afternoon, so as not to conflict with my evening meds.
Sugar has stayed between 91 and 97 for the last 7 weeks. illness really throws me off so I try to stay healthy.