Feeling full as a diabetic

Posted by bulgebattler @bulgebattler, May 8, 2019

I am a Type 2 diabetic on Metformin, short and long acting insulin currently working on improving my lifestyle including nutrition, physical activity and mindset. I notice "intuitive eating" in the literature which talks about eating when hungry (physiologically not emotionally) and stopping when full. For the latter I have even read about stopping at 80% full! (Is it even possible for anyone to know when they are 80% full?) I also recall reading that diabetes can affect our stomachs ability to sense when it is full, possibly due to neuropathy. I like the idea of intuitive eating but maybe I need to stick with other methods such as portions or tracking. Does anyone have any information on the ability of people with diabetes being able to tell when they are full?

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@retiredteacher

Hello and welcome, @bulgebattler. This is a good topic to make us think about overeating. I found early on after i was diagnosed as having Diabetes 2 that diet was so important. In a complete lifestyle change from a Southern gal cooking Southern soul food, that rethinking almost everything was not easy. I don't like the idea of measuring 1/2 cup of this and one cup of something else. It was aggravating enough to cook foods a different way. So, I decided that my way was through portion control. To do this and make it easy, I bought some Rubbermaid divided food containers. They have one large section and two smaller sections. I usually have two leafy green vegetables, a different veggie (squash), and maybe beets or butter beans. That's it. I cook meat either chicken or a pork tenderloin and my husband has a meat and three veggies and I have four veggies. I try to stay away from meat except maybe once a week. In place of a leafy cooked veggie, we might have a salad. The sections in the dish are small, so there is no chance of overeating. That's my method to control what I eat. Knowing poirtions and eating only that is what we have for lunch. For supper we have a sandwich of some sort, and for breakfast just a piece of toast and coffee. I find this easy to do and I can cook for more that one day and store in my divided plates and be ready to go when it's lunch time---just heat and eat. I don't think this should be complicated, so I make it as simple as possible, and it works for my husband and me. I don't take any meds but have been able to control my diabetes through eating this way and exercising.
Does this sound like something you could do?
Carol

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@dorisena too. When diagnosed with Type 2 diabetes, I was told to hold to 30 carbs per meal and 15 carbs for a snack twice a day. When I returned home the first thing I did was Google carbohydrates to find out what they were. My appointment with the dietician isn't until the end of May, more than two months after my diagnosis. I feel like a fish flopping around on the beach! The divided dish idea is good - I've never been an exact-measurement cook! Sooo, in the meantime for breakfast I have two tbsp cottage cheese, some green pepper, one-half can tuna, small slice of Italian bread wtith applesauce or cheese (brie or Swiss) Lunch is two more slices of bread, one egg, some snap peas, nuts or fruit. Dinner is whatever ending with romaine, tomatoes, cucumbers, and a tbsp of blue cheese crumbles, which seems to help my IBS. Who knew. I also have chronic kidney disease (one kidney). An understatement would be to say I don't know what I'm doing. Husband has gotten strange about food, which I attribute to his dementia. My sympathy to all, especially dorisena. I may give up in a while and go to assisted living place. Tonight I will try again to figure out how to use my blood glucose tester. One question I do have is does everyone have to diet with diabetes? My weight has been the same for many years, but because I've lost two inches in height I've now got a BMI just over 25, a first for me at 80! Seems like every thing a diabetes diet talks about is losing weight, so I don't know if the item in question is bad for my glucose or bad for my weight! Your comments have really helped me. I wish you well.

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I hope you are reading about carbs which are actually partly a sugar in the diet and some have a higher sugar value than others. So read about glycemic values of carbs and choose the ones with the lowest glycemic value. Since the insulin in the body is not doing its job well, the sugar produced from high carb foods and sweets collects in the blood stream and you go to the bathroom trying to get rid of the excess sugar. It is not so much about dieting to lose weight but changing your food intake to eat less sugar producing nutrients. Most people lose weight on a low carb diet and in most cases this is beneficial. I must correct my typo in my last message. 10 to 12 servings of carbs and sugars each day is plenty and now nutritionists are recommending less than that which brings up the keto diet. It is really very low in carbs and works for some people. I don't intend to starve myself so I can live a year longer with stomach pain, I'll admit because I don't plan to see how long I can stay alive and be miserable. I have managed to give up most snacks but I eat meat, mostly fish, and it lasts longer between meals. Once you get advice for your diabetes situation from the nutritionist, you will not have a difficult time, I hope. Dorisena

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My experience with diabetic meals at three different nursing homes while recovering from surgery has not been good. The third time I wrote down what I needed for my diabetes and couldn't make it happen because even though the chef said she understood, a young aide made up the trays according to her instructions and it was a constant battle, even to get a cup of hot tea. Every meal they brought me lemonaid and I wouldn't drink it. I had too many carbs and not enough vegetables, mostly green beans. I managed to get my granddaughter and son to bring me food, including fresh romaine from my garden which I ate plain, just to get the food I needed. I did get a glass of milk at bedtime and that helped me get to sleep. But it was an eating nightmare. Dorisena

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@dorisena

My experience with diabetic meals at three different nursing homes while recovering from surgery has not been good. The third time I wrote down what I needed for my diabetes and couldn't make it happen because even though the chef said she understood, a young aide made up the trays according to her instructions and it was a constant battle, even to get a cup of hot tea. Every meal they brought me lemonaid and I wouldn't drink it. I had too many carbs and not enough vegetables, mostly green beans. I managed to get my granddaughter and son to bring me food, including fresh romaine from my garden which I ate plain, just to get the food I needed. I did get a glass of milk at bedtime and that helped me get to sleep. But it was an eating nightmare. Dorisena

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@dorisena Thanks for your help - I appreciate it
What is it with nursing homes and green beans, a most useless vegetable. Had to finally buy my mother a multi-vitaminmulti-mineral because she was so undernourished. If ever I have to go to a nursing home, I want a small cooler in which to keep my fresh vegetables! While not good with diets, I have a system I use for exercising, in that I can't go outside in the winter. I walk in my house - at the very minimum, I do five minutes of brisk walking six times a day. Now, it's better to walk steadily for longer periods of time, but five minutes works! What does your doctor say the pain is from? Oh, and surprise - none of my problems was causing me to be tired and "foggy" all the time - turned out I was low on Vitamin B-12, a vitamin available over-the-counter. Seems as we get older, our bodies don't retain it well! Who knew!

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@bulgebattler Not sure if you are much of an information seeker, but if you are, research Leptin. It is our satiety hormone, telling our brain that we have enough fuel in our body. Most people equate being hungry to our stomach telling us it's time to eat. From what I can tell, that's not true. The issue that many people have is that they lose their leptin sensitivity. Just like insulin, there are ways to improve leptin sensitivity. If you have time and interest, there are a number of great YouTube videos on the subject.

Over the past year or so, I have completely changed what I eat and how I eat. I don't eat any added sugars or refined grains, essentially no processed food. I eat 2-3 meals/day and don't snack. The result has been that I'm never hungry, never full, HbA1c at 4.6, and I have never felt better. I never new such a world could exist. What I do won't work for everyone. We're all at various stages of aging with various conditions. But I can guarantee that eliminating sugar and refined carbs won't hurt anyone and can only help.

An idea for you to give leptin a chance to get to your brain is to eat slower. I've always been a fast eater, but not any more, and it's not really due to a concerted effort. Instead, the food I eat simply takes a long time to eat. Maybe sprinkle in 3-4 sticks of celrery or some fresh carrots with a meal. Or an apple. Things like that are both healthy and will slow you down, as they take a while to chew. Just a thought.

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@mickj

@bulgebattler Not sure if you are much of an information seeker, but if you are, research Leptin. It is our satiety hormone, telling our brain that we have enough fuel in our body. Most people equate being hungry to our stomach telling us it's time to eat. From what I can tell, that's not true. The issue that many people have is that they lose their leptin sensitivity. Just like insulin, there are ways to improve leptin sensitivity. If you have time and interest, there are a number of great YouTube videos on the subject.

Over the past year or so, I have completely changed what I eat and how I eat. I don't eat any added sugars or refined grains, essentially no processed food. I eat 2-3 meals/day and don't snack. The result has been that I'm never hungry, never full, HbA1c at 4.6, and I have never felt better. I never new such a world could exist. What I do won't work for everyone. We're all at various stages of aging with various conditions. But I can guarantee that eliminating sugar and refined carbs won't hurt anyone and can only help.

An idea for you to give leptin a chance to get to your brain is to eat slower. I've always been a fast eater, but not any more, and it's not really due to a concerted effort. Instead, the food I eat simply takes a long time to eat. Maybe sprinkle in 3-4 sticks of celrery or some fresh carrots with a meal. Or an apple. Things like that are both healthy and will slow you down, as they take a while to chew. Just a thought.

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Yes, I have read about leptin but not what to do to improve the situation. It has taken me years to get to three meals a day with no snacks, so I tend to eat dinner early which makes me nauseous by morning sometimes. I have worked hard to slow down and get rid of years of stressful eating, stressful workload, stressful life in general, with little pleasure involved. Life is good now but I am alone until the grandchildren call or stop by. That is my pleasure and inspiration in life now, to see them learn, grow, and succeed as young adults.
I exercise in my huge house by walking fast down two long halls, exercising in the shower, and trying to remember to not sit for more than half an hour. No doctor has ever said anything about my pain with an empty stomach, so I just live with it. They don't really know and they must be careful about the testing because insurance may not pay. I agree, processed food is not on my diet, mostly because I have always eaten from my garden, and did not shop often, to save time and money. Now I can afford any food, but I prefer fresh, unprocessed food and avoid sugar like the plague. It really aggravates my family and friends but I care about my health and do better than most my age. I also think better than my friends most of the time and am grateful to maintain my mentality. I just don't like declining as the years go by, and know that keeping independent and active is the most important part of these years of my life. I never wanted to be just like everyone else, and know that I can be exceptional in a few things if I study and work at it. It is o.k. with me to be different in my choices and my efforts. These days I am watching the robin outside my window sitting on four blue eggs. Very refreshing! Dorisena

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Just read your post and will be following up on leptin. Your post caused me to rejoice about this Mayo Clinc resource along with the many others I can access on the internet. Sure it can be confusing and overwhelming at times but oh so useful compared to other options. Thank you and encouraging that you are having such success
Bulgebattler

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@capausz

@lisalucier, I also have diabetes 2 and am working on being healthy, I recently read about the “Pause” and it has worked well for me. In a nutshell, the concept is that as we eat, we always reach a “pause” in our eating, and we usually miss it. It is that moment during a meal when we might slow down, perhaps even put our fork down briefly. That PAUSE is our body’s signal that we have had enough — but most of us ignore it. We might even verbalize that we are getting full, or we might talk about how good the food is — but then we go back and eat the rest of our meal. The key is to listen for the pause and then honor it. I have found that by watching for the pause, I realize sooner that I have had enough food. It feels so good to know I have made a good decision and left something on my plate or asked for a doggie bag. The pause has really made a difference for me, and I encourage others to try it. And the bonus is that you don’t feel stuffed after a meal.

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Intriguing idea. I will watch for that occurring. Do you have references for this idea?

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@dorisena

Yes, I have read about leptin but not what to do to improve the situation. It has taken me years to get to three meals a day with no snacks, so I tend to eat dinner early which makes me nauseous by morning sometimes. I have worked hard to slow down and get rid of years of stressful eating, stressful workload, stressful life in general, with little pleasure involved. Life is good now but I am alone until the grandchildren call or stop by. That is my pleasure and inspiration in life now, to see them learn, grow, and succeed as young adults.
I exercise in my huge house by walking fast down two long halls, exercising in the shower, and trying to remember to not sit for more than half an hour. No doctor has ever said anything about my pain with an empty stomach, so I just live with it. They don't really know and they must be careful about the testing because insurance may not pay. I agree, processed food is not on my diet, mostly because I have always eaten from my garden, and did not shop often, to save time and money. Now I can afford any food, but I prefer fresh, unprocessed food and avoid sugar like the plague. It really aggravates my family and friends but I care about my health and do better than most my age. I also think better than my friends most of the time and am grateful to maintain my mentality. I just don't like declining as the years go by, and know that keeping independent and active is the most important part of these years of my life. I never wanted to be just like everyone else, and know that I can be exceptional in a few things if I study and work at it. It is o.k. with me to be different in my choices and my efforts. These days I am watching the robin outside my window sitting on four blue eggs. Very refreshing! Dorisena

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I like your philosophy of life very much! I live by myself as well so need to work at keeping involved with others. I meet for coffee every Thursday morning with other guys my age in a seniors residence (not my home) where they supply the coffee and some baking free of charge. I have learned that seniors residences with personal services are a much better option than I thought and that is constantly changing for the better. I have a idea floating around in head about working with other seniors to promote enjoyment of life including being an active part of a community which seniors residences lend themselves to very well

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@johnbishop

@hopeful33250 and @capausz -- My wife used to tell me to stop eating before you are full many years ago but I don't know where she heard it - probably from one of her nurse sisters ☺ I did see an interesting article discussing the tip here:

Hara Hachi Bu: Eat Until You Are 80% Full
-- https://www.huffpost.com/entry/not-overeating_n_969910

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I like this idea. Now to see if I can do it. The posting on leptin in this thread seems gives me an excellent jumping off point. Also Nick and Dan Buettner have some interesting videos on "Blue Zones" which are providing me with an overarching framework for my healthy lifestyle aspirations

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