…well, that’s what I was expecting anyway!
The nutritionist actually ended up being a two-eyed, real, live, normal (as normal gets?) person! She was kinda quarky and clearly much better at Math than I, and I liked her very much. In my experience, I have not met so many encouraging, helpful diabetic support people. Is Pennsylvania like a utopia of healthcare professionals? Is Wisconsin a burying ground of sour-puss endocrinologists? Maybe, just maybe, fault falls to the hearer–not the various tellers of information–for the previous negative experiences. That hearer, of course, is this girl right here! It is refreshing to be at a place in my heart where I can hear. I know that this is the result of God’s loving, constant pursuit of my heart in this area. I am truly thankful that He continues His work until it’s done! (Phil. 1:7). Thank you, Jesus!
Well, now that I am listening, what did I hear? Is life as I know it done, or what? Will I never look a chocolate cake in the face again? —- “Nutritionist” what a horribly super-negatively-charged title to have.
Dun.. dun… dun!
After I kinda laid out for her my history and my self-diagnosis, she proceeded to be very helpful. YAY! This is what we came to. My doctor does not yet have a proper carbohydrate-to-insulin ratio for me. When I eat food, my body has a special “sweet spot” (pun intended, I guess) when it comes to what I eat and how much insulin it takes to cover any given amount of carbs. Carbs are like the holy grail to diabetics. We live and die by this number. What Lynn (this is how I will refer to my nutritionist for the remainder of the post) said was if I could make some changes until we get that specific ratio figured out it would be very helpful. At this point, she lost me a little with a lot of sciency-talk. The goal is to eliminate as many variables as possible. I cannot necessarily control stress or other contributing factors to glucose variation, but I can control the amount of carbs that I eat. (Sometimes, I feel like I CAN’T, but I’m going with her theory on this!) So, the game plan is this: for the next 2 weeks to a month I am going to eat the same amount of carbohydrates at each meal: 45. This eliminates that variable. As I follow this plan, my doctor and Lynn will be able to find my body’s specific ratios. Then, whether I’m eating 20 carbs or 120 carbs, the ratio will be correct (theoretically). This is not a forever thing, but it may be an until-the-end-of-the-year thing. Of course, I’ll probably take a few vacation days during Thanksgiving and Christmas, but for the most part, day-in and day-out, I’m going to be eating 45 carbs at each meal. (If for some reason you find yourself in possession of some great 45-carb per meal recipes, comment!)
This will not be easy. It seems simple enough–but, oh boy, this will not be easy. To break it down for you, my daily eating looks like this: small, if that, breakfast. Lunch is kinda my dinner meal with Ben. Dinner is usually those Lipton cup-o-soups, if anything. Then because I don’t eat or eat little, 9:30 pm is a mad (bad) dash to the pantry to find anything salty and/or sweet. Not a perfect break down, but sadly, accurate enough.
I told Lynn this and she gave me some pointers. Since I don’t like to cook dinner for just me, and I don’t always make lunch, (lots of soup here, people!) she suggested making two BIG meals a week that I can re-purpose later in the week. She said, “Buy a rotisserie chicken; buy rice in the bag that you can throw in the microwave for a minute; buy those steamer bags!” She added, “Anything you make can be dressed up the next day as a salad, a pizza, or a sandwich!” Creative leftovers, I can do that. The biggest concern for her is that I can go days without multiple food groups. I stick to lots of yogurt and soup. I went months without buying bread. I thought the goal was no/low carb, but she said people should have 130 carbs a day at least. I don’t want to burden you down with all the food nitty-gritty (not nutter-butter) details. Big picture: I need to try to include 3 food groups at least at each meal and each consistent carb totals.
– make a list of 3 breakfasts @ 45 carbs
-make a list of 3 lunches @ 45 carbs.
-make a list of 3 dinners @ 45 carbs.
~~This is a BIG one~~
–ACTUALLY EAT THOSE MEALS
We are still waiting to hear back from the Dexcom representative that I accidentally gave the wrong insurance information to. I’m sure the end of the year is busy for them because people want to purchase equipment before the new years’ deductible rolls over, but that’s exactly what we’re looking to do as well. Would you pray with us that this could be figured out soon and I could have a Dexcom before January?