Three weeks ago I had a really productive appointment with a Dietitian. We talked through my diet, insulin intake and carb counting. She was realistic and we set realistic and achievable goals. The plan was:
Increase my Lantus insulin.
Achieve a before breakfast BM of 4-7 mmols.
Novorapid insulin at a 1:5 ratio (1 unit for every 5g of carbs)
If BM High correction dose 1 unit to reduce BM by 2 mmols.
Take Novorapid insulin 20 minutes before meal – as it takes 20-30 mins to begin to take action.
Over the past three weeks I’ve increased Lantus units, see my changed insulin regime here:
My Changed Insulin Regime
Fast forward to today and I saw a different Dietitian. The new plan, at least I think it is:
Check all pre-meals BM using my finger pricking TEE2 Meter. The Dietitian didn’t think my FreeStyle Libre was accurate enough.
Measure food using a cup/spoon and scales to come up with standard sizes and the the number of grams. The Dietitian didn’t seem happy with my use of Carbs and Cals App.
Lose weight. Eat 40-50% less Carbs per day. Exercise (I’ve heard this from my Diabetic Consultant, Diabetic Specialist Nurse and now two Dietitians).
Replace Carbs with Veg. She recommended that I have 2 portions of fruit and 3 of veg before my evening meal.
The Dietitian today was very tell-y and some of the plan I felt was unrealistic. But every time I tried to raise this she just repeated what she’d said previously.
I left feeling confused, not listened to and utterly and completely demotivated.
