They sent me on a whole preventing-diabetes course when I was pre-diabetic - spoiler: it didn't work.
Turns out the advice when you *are* diabetic is pretty much the same. There are several factors not just your weight to take into account (and like you - not everyone type 2 is overweight!):
As you say *what* you eat, and when. Basically keeping bulk carb sources to mealtimes and spreading them out nicely across the day can help a lot here. You can get guidelines of exact numbers of recommended carbs per meal/snack if it helps, which it doesn't much for me :) I certainly haven't been worrying at all about squash or carrots, but limiting spuds and rice/pasta/bread - or going more wholegrain.
But also exercise, stress and sleep were also key factors to try and improve if you can (though I've not found a way to improve much on any of those myself).
I don't know if you can get metformin for pre-diabetes in NZ - here they like to wait until you've gone over the magic you-are-now-diabetic line before they're allow to prescribe it, which seems silly to me, when in my case it's keeping my blood sugar much better even when I'm not being terribly careful. And when your blood sugar is better controlled, and your tissues are actually *getting* the energy they need, then you're less likely to crave the carb-rich foods which make it worse.
I genuinely think for a lot of type 2 diabetics the weight gain over time is part symptom, not just all cause!
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Date: 2022-04-27 12:16 pm (UTC)Turns out the advice when you *are* diabetic is pretty much the same. There are several factors not just your weight to take into account (and like you - not everyone type 2 is overweight!):
As you say *what* you eat, and when. Basically keeping bulk carb sources to mealtimes and spreading them out nicely across the day can help a lot here. You can get guidelines of exact numbers of recommended carbs per meal/snack if it helps, which it doesn't much for me :) I certainly haven't been worrying at all about squash or carrots, but limiting spuds and rice/pasta/bread - or going more wholegrain.
But also exercise, stress and sleep were also key factors to try and improve if you can (though I've not found a way to improve much on any of those myself).
I don't know if you can get metformin for pre-diabetes in NZ - here they like to wait until you've gone over the magic you-are-now-diabetic line before they're allow to prescribe it, which seems silly to me, when in my case it's keeping my blood sugar much better even when I'm not being terribly careful. And when your blood sugar is better controlled, and your tissues are actually *getting* the energy they need, then you're less likely to crave the carb-rich foods which make it worse.
I genuinely think for a lot of type 2 diabetics the weight gain over time is part symptom, not just all cause!