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2006/06/09, 10:19 AM
I hired a nutritionist once and was very dissapointed!! I knew evertything she had to offer and then some. I think you probably already have all the info you need, but I'd search some diabetic or hyperglycemic web site and see what they suggest as far as blood surgar goes. I found it difficult to find prior info on nutritionist in my area, so i just called one up. I didn't have the time to interview a bunch of them, so just went with the first one. Mistake, but I still don't know how I would have screened a bunch of them. If I was to do it again (which I wouldn't) I'd probably check with a sports nutritionist.
Probably not much help, just my opinions.
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2006/06/09, 11:54 AM
I hear you Mystic. I am recently diagnosed Type II and have been to diet/nutrition 2 sessions this year. It is quite tough to locate "reliable" expertise in fitness and the knowledge around managing blood glucose levels, losing weight to prevent those nasty things uncontrolled diabetics face down the road.
The first was a consultant dietician I found. I didn't learn too much, we discussed the usual, analyzed a weeks worth of food consumend, portion size, eating to the Canada food guide, the "right" number of choices from the various food groups. I was hoping for infomation on the sports nutrition, starting protien whey shake PWO. Well she wasn't sure but had a friend who was into weightlifting and would ask the quesitons. The ultimate let down was "Here is a list of suppilements, I'm a representative so you can order through me." I have little patience for games like that. Summary, my $125.00 initial consultation was next to worth less.
Earlier this year my MD booked me into a full day diabetes/nutrition session for newly diagnosed diabetics. It is sponsored by the Edmonton Health Region. While both sessions were very good, the nutrition session was awsome! I learned practical information i.e the proper portion size for protien- about the size of a deck of cards. Eating to the Canada food guide (gender dependant anywhere from 1400-2000 calories per day), and how to read a nutritional label! But more importantly, access to extremely knowledgable sports dieticians. Maybe it was the luck of the draw, I have had several talks with the dieticians about losing weight while minimizing blood glucose spiking and keeping within normal ranges. Summary, net cost $0.00, I would have paid a whole lot more to access this resource.
So I took their advice, added information from F/T and developed something that has worked for me. My 2 main guides are; my blood glucose readings and how I feel. Here is what I've done. Test sugars 4X per day. Count calories-limit to 1700-1900 per day (still trying to lose weight), follow the Canada Food Guide (food groups, portion size), take limited suppliments: daily vitamin, omega 3 (ground flax seed thanks bb1fit and menace), low carb no sugar protien whey (Interactive). My knees say they want to try a glucosamine sulphate, but NO as there is a diabetic warning on the label.
So, maybe start with your MD, see if they can refer you to a local resource knowledgable in both subject areas. Contact your local health authority see if they have a diabetes education branch, speak with the nutritionist to see about their sports nutrition knowledge (I really lucked out here). If you are interested I can send you a few links that were provided to me.
As for questions you might want to ask, do you understand diabetes? Are you knowledgable in sports nutrition.
Anyway I hope this helps a bit, this is an area that seems to have very limited resources....
Iain
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The whole of science is nothing more than a refinement of everyday thinking.
Albert Einstein (1879–1955)
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