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	<title>ToniLyn18 &#187; Nutrition/Diet</title>
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		<title>ToniLyn18 &#187; Nutrition/Diet</title>
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		<title>Diabetes, Celiac, and Cell, oh my!</title>
		<link>http://tonilyn18.wordpress.com/2008/12/06/diabetes-celiac-and-cell-oh-my/</link>
		<comments>http://tonilyn18.wordpress.com/2008/12/06/diabetes-celiac-and-cell-oh-my/#comments</comments>
		<pubDate>Sat, 06 Dec 2008 19:30:23 +0000</pubDate>
		<dc:creator>tonilyn18</dc:creator>
				<category><![CDATA[Health & Fitness]]></category>
		<category><![CDATA[Nutrition/Diet]]></category>
		<category><![CDATA[blessings]]></category>
		<category><![CDATA[caffeine]]></category>
		<category><![CDATA[carbs]]></category>
		<category><![CDATA[Celiac]]></category>
		<category><![CDATA[challenge]]></category>
		<category><![CDATA[dairy]]></category>
		<category><![CDATA[Diabetes]]></category>
		<category><![CDATA[diet]]></category>
		<category><![CDATA[Dr. Kittley]]></category>
		<category><![CDATA[exercise]]></category>
		<category><![CDATA[faith]]></category>
		<category><![CDATA[fitness]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[fruits]]></category>
		<category><![CDATA[gluten-free]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[healthy]]></category>
		<category><![CDATA[NASH]]></category>
		<category><![CDATA[natural foods]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[nuts]]></category>
		<category><![CDATA[Obesity's Answer]]></category>
		<category><![CDATA[pizza]]></category>
		<category><![CDATA[surprises]]></category>
		<category><![CDATA[veggies]]></category>
		<category><![CDATA[weight loss]]></category>

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		<description><![CDATA[I thought I would post this, and if you aren&#8217;t interested in reading this one, I understand!  It will be categorized appropriately, so you can skip to those posts that do interest you&#8230;.however, if you choose to read it, thanks!  And don&#8217;t forget to leave comment, particularly if you deal with any or all of [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tonilyn18.wordpress.com&blog=5178306&post=127&subd=tonilyn18&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p>I thought I would post this, and if you aren&#8217;t interested in reading this one, I understand!  It will be categorized appropriately, so you can skip to those posts that <strong><em>do</em></strong> interest you&#8230;.however, if you choose to read it, thanks!  And don&#8217;t forget to leave comment, particularly if you deal with any or all of these.</p>
<p><strong><em>Dietary change #1:</em></strong></p>
<p>Last May, I was diagnosed with Type 2 diabetes.  For those unfamiliar with diabetes, Type 2 is the insulin-resistant form of the disease, therefore, I do not take insulin daily.</p>
<p>Of course, with this, I was force to cut out most refined sugars, simple carbs, etc.  No big deal, actually.  In fact, diabetics can still have those sugary treats&#8230;.but in small quantities and on few occasions.</p>
<p><strong><em>Dietary change #2:</em></strong></p>
<p>Later in May, I was also diagnosed as having N.A.S.H. or Non-Alcoholic Steato Hepatitis.  No treatment, but needed to follow a very healthy, low-fat, diet, and get plenty of exercise (yep&#8230;.needed that!).</p>
<p>So, these are pretty simple to follow&#8230;.diets for these are what a healthy diet should consist of anyway:  whole grains, fruits, veggies, lean meats, milk (limited due to the carbs), etc.</p>
<p><strong><em>Enter Dietary change #3:</em></strong></p>
<p>I went to see a new doctor on the recommendation of a friend.  This doctor has co-authored a book, and is very good at treating diabetes, and at treating other conditions without always resorting to drugs.  The first appointment was a long one, as she took a very detailed medical history, and talked with me about all my concerns, as well as my recent diagnoses.</p>
<p>After hearing everything, including some symptoms I&#8217;d had prior to my May visit, and then prior to my visit with her, she gave a new diagnosis:  Celiac.  (She did keep the diabetes, too&#8230;woohoo!)</p>
<p>Ok, this newest dietary change is, so far, the hardest&#8230;.it means I can&#8217;t eat gluten.  Do you what gluten is in?  Pretty much everything!  Breads, pastas, pancakes, donuts (ok, I know I&#8217;m not supposed to have them, but we all cheat occasionally, right?), baklava (my FAVORITE), etc&#8230;.yes, even the whole grain ones that were good for me to eat with diabetes.</p>
<p>However, the silver lining is that she said that the last 3 patients she had who were previously diagnosed with NASH were actually Celiac.  Now, the silver lining there is that NASH, if left untreated (by diet &amp; exercise) or simply ignored, can eventually progress into cirrhosis.  So, as a friend (the one who recommended this new doc) pointed out, it is a very simple answer to what could be a very big problem.</p>
<p>So, for the last 2 1/2 weeks, I&#8217;ve been doing my best to eat a diabetic (ok, not so much diabetic), gluten-free, low-fat diet.  And then&#8230;.</p>
<p><strong><em>Dietary change #4 (I don&#8217;t think there are any restrictions left to add!):</em></strong></p>
<p>NOW, I go back for my 2 week checkup.  Dr. Kittley has written a book called <em>Obesity&#8217;s Answer</em> (check out the website at <a href="http://www.obesitysanswer.com">Obesity&#8217;s Answer</a>) and in it, has laid out a diet plan &#8211; no, lifestyle eating plan &#8211; for people who have struggled with weight loss.  This was me&#8230;this was one reason I went to see her &#8211; I have had years worth of trying to lose, and nothing worked.  Anyway, back to the point: </p>
<p>I was thrilled when Dr. Kittley told me yesterday that my A1C was down to 6.2 (in May, at my original diagnosis, it was 10), and that she didn&#8217;t see any evidence of NASH.   So, I thought, &#8220;AWESOME!!&#8221; </p>
<p>Then her nurse practitioner (who is so sweet!  In fact, I can honestly say her entire office staff is a pleasure!  That is so rare in doctor&#8217;s offices these days!) told her I had asked if I was supposed to be following the CELL Program Dr. Kittley had laid out in the book, or simply eating a diabetic/gluten-free diet.  The verdict:  CELL needed to be added.</p>
<p>(Can you hear the grim reaper song playing in the background now?)</p>
<p>Now, if I were a single woman with no children, this may be a little easier.  But, by the grace of God, I am married to a wonderful husband, and have two adorable little girls.  So, implementing this NEW restriction is going to be tough&#8230;here&#8217;s the basics:</p>
<p>14 days of a very restricted diet following the guidelines below, then 1 free day.  From that point on, its a 6 days restricted, 1 free day plan.  Once on maintenance, you can, if you choose, have 2 free days a week.</p>
<p>Basics (there is a little more to it than this, but Dr. Kittley was gracious enough to lay it out this way for me so it didn&#8217;t seem so daunting):</p>
<p>Meat:  nothing battered or fried (easy enough, right?)&#8230;no beef except on free days&#8230;no processed meats (lunch meats, hot dogs (not a big fan of wienies anyway), etc.)</p>
<p>Veggies:  7 servings a day&#8230;that is a LOT of food!</p>
<p>Fruit:  4 servings a day&#8230;.ok, tastes good, but harder than it sounds</p>
<p>Nuts:  1 serving a day of almonds, cashews, walnuts, pecans, Brazil nuts, etc.</p>
<p>Eggs:  2 per day including in cooking.  (Gee, I wonder where I can get some fresh eggs&#8230;.maybe my back yard??  Or, these days, my front porch&#8230;lol)</p>
<p>Starch:  1 per day (including rice, sweet potatoes, tapioca rice bread (gluten-free, and acutally very good toasted), oatmeal, etc.)</p>
<p>No dairy!  (Ouch!  I LOVE milk!  I come from a long line of avid milk drinkers!  But, I can adjust there&#8230;soy milk is good.  Rice milk is good (but have to watch for gluten)&#8230;.haven&#8217;t tried almond milk yet&#8230;)  And the cheese I&#8217;ll be missing 6 out of 7 days is another whole blog post!!!!  (Did I mention that pizza is my favorite food??)</p>
<p>No caffeine!  (Not a big coffee drinker, but you always want what you can&#8217;t have, right?  However, I do love a glass of ice-cold sweet tea.)</p>
<p>No artificial sweeteners!  (Ok, this pretty much wipes out any sugar-free stuff that would otherwise be good for diabetics.)</p>
<p>No potatoes (white/yellow), corn (or derivative), onions, white rice, white breads, etc.  No white stuff.</p>
<p>So, I ask you, what does this leave?</p>
<p>Well, it leaves me with the foods God has given us:  lean meats, fruits, veggies, nuts, eggs.  It takes out nearly all processed foods.  So, is that really a bad thing?</p>
<p>Well, convenience-wise, yes.  Although, preparations can be made to prevent it from being an issue.  I think it means I need to readjust my taste buds to enjoy healthy, life-giving foods more than those that will be harmful to me.  Again, all fairly simple to do in a household of one.</p>
<p>But, this is a household of  four.  In her defense, my nine-year-old is sharing the load with me, so to speak.  She told me yesterday that she would follow this new diet with me&#8230;..what she doesn&#8217;t know, is that we will all be following it&#8230;.</p>
<p>I can&#8217;t have those things that are no-nos even in the house, or I will want them.  So, whereas I used to teach my children that it was better to eat whole wheat or whole grain breads and pastas, etc&#8230;now I have to retrain them (and my husband!  LOL) to eat, enjoy, and even crave more healthful choices than that:  fruits, veggies, nuts, soy milk, tofu!</p>
<p>Change is hard&#8230;.but inevitable.  Some changes are good, and others not so.  I believe this will be a good change.  I have already noticed that I feel a little better eating gluten-free&#8230;not so weighed down, I guess is the best way to describe it. </p>
<p>So, I&#8217;ll be journaling my thoughts, ideas, maybe some recipes, triumphs, and failures here on my blog.  They&#8217;ll be categorized accordingly in a new category labeled &#8220;Health &amp; Fitness.&#8221;  I&#8217;d love to hear from anyone out there facing similar challenges, or just anyone who could offer a little encouragment!  This is going to be a very daunting task!</p>
<p>See you soon, with more DGFC (diabetic, gluten-free, cell) thoughts!</p>
<p>Preparing for the adventure!</p>
<p>Toni</p>
<p>PS &#8211; Your prayers for strength and willpower and wisdom are ALWAYS welcome, and <strong>much appreciated</strong>!</p>
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