Kock Pouch with pre-diabetes: Anyone tips on lowering A1c?

Posted by jean4 @jean4, Nov 18 9:28am

Hi Everone! I’ve had a Kock Pouch for 47 years and am now pre-diabetic. Anyone tips on lowering A1c? AI is giving conflicting answers on whether I need to include grains and if they should be whole or refined. Thanks

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susan_f | @susanbfoster | Nov 23 5:18pm

I think a consult with a nutritionist who is familiar with how a kock pouch functions would be your best bet. You have to intubate the pouch to empty, correct? And manage the consistency of you output?

I believe conventional advice is to decrease processed carbs and increase high fiber foods, but I'm not sure that would work for you.

Colleen Young, Connect Director | @colleenyoung | 1 day ago

@jean4, it is always challenging when dealing with 2 separate issues - separate in terms of consulting specialists. There are dietitions who specialize in diabetes and those who specialize in ostomy care. But you need guidance so that both work well together.

I found this online:
- I have a stoma, now I have diabetes – what can I eat? https://www.colostomyuk.org/wp-content/uploads/2023/06/dear-nurse-diabetes.pdf

Have you had a consult with a dietitian?

jean4 | @jean4 | 20 hours ago

Thank you so much for going to the trouble of helping me out! I haven’t had a consult with a registered dietician yet. Not sure how to go about finding one knowledgeable in both areas.