HELP!!!!! Hubby just diagnosed with Type 2

Hey, can someone please help me.  I had RNY in Sept, and have lost around 50 lbs.  However, my hubby has just been newly diagnosed with type 2.  I know if he were to just eat what I do, he would be just fine, probably, but he is such a stubborn man-type.

Sooooo.....can someone please give me some ideas on what to feed someone who is a meat-and-potatoes type who looooovvvveeeeesss bread, is not so crazy about vegetables,  and needs to carry a lunch with him (no access to microwaves or fridge.)

Also, if someone could tell me how I can get him more motivated to exercise, I would be very grateful.

sweetie, I can say is good luck. If he isn't going to take control, you can't do it for him. Certainly can serve him stuff that would be better for him, and there by good for you as well.

Now just loosing 8% of his body weight can make a vast difference in his diabetes. 8% is doable, and tell him that.

take out the potatoes, or go with something better. read up on low glycemic type stuff. Has to take a sandwhich, go with hearty grain, vs white bread. Remember the whiter the bread the quicker your dead. Cook in smaller batches might be a help too.

make a meat loaf, use your chopper or blender to chop up carrots, celery, onions, mushrooms. don't add crackers, add quinoa - there you have healthy for both of you.

when I make sloppy joes, taco meat for the family, I do this too. so that just about half of it is veg. I got the idea from rachel ray's healthy joes recipe, its sort of a meatless sloppy joe. you should be cooking healthy for you, and if he doesn't like it he can cook. my hubby would rather not cook, so he puts up with the healthier stuff too.

some suggestions for you

Nothing wrong with meat - let him have it! It's the potatoes and bread that will do him in. Try making mashed cauliflower - you can even include butter, sour cream, bacon, cheese, whatever toppings he likes. What does he usually bring for lunches now when he has no fridge or microwave? Does he brown bag it, or is he okay with bringing an insulated lunch bag?

Does he like ANY vegetables at all? I used to HATE vegetables with the exception of mashed cauliflower and cooked broccoli (with butter or cheese). Now I've also recently discovered that I also like steamed baby brussels sprouts (with butter, garlic, and parmesan cheese - YUM).

Realize that, no matter what a doctor or diabetes educator might tell you, most type 2s do well by eating low in carbs and HIGH in fat. I know that's probably the oppostie of what you've probably been told fr years but it's true. Fat helps to slow the absorption of carbs, thereby decreasing a rapid post-meal spike in glucose levels. It's also the only one of the three macronutrients (fat, protein, and carbs) that will not convert to glucose at any time in the body.

In the end, though, the previous poster is correct - if he's not willing to change for his health, you can't force it on him (well, you can try, but it will likely be quite disasterous). Offer him some new things and make it as if you're actually cooking them for yourself - I know my husband is more likely to "try" something I make for myself than he is to eat something if I say I'm making it for him! Stubborn little buggers...

Also HIGH fat will increase insulin resistance.  Might slow the carb down - check, but also blocks insulin from being effective.  Used to have to square wave if I ate a high fat meal.  Means instead of giving my shot all right now via pump, I would have to give some now - and then spread it out over 30 mins to 2 hours depending on the meal.
(Not so post op) 

That may have been your personal experience, but I belong to a community of type 2 diabetics who have the best control over their diabetes when eating high in fat and low in carbs. I would love to see any documentation you have supporting the idea that fat in the absence of dietary carbs increases insulin resistance.

EDIT: I forgot you're a type 1, not type 2. I still disagree that high fat increases insulin resistance in the absence of carbs, but it's not uncommon that your experience might differ from that of a type 2 since you are a type 1.

Since I have to control my insulin intake I have more hands on expreience knowing that higher fat content increases insulin resistance post meal. Being a type 2 - you can not measure the amount of insulin you are producing and requireing. You might see that your blood sguars seem to respond better, gererally speaking. But even with finger sticks you are not getting the entire picture.

25 years as a type 1 diabetic, with no complications, kidney or eye involvement speaks for itself.  My problem was insulin resistancy pre-op so I not only have understanding as a type 1 diabetic, but also one that had to deal with the resistance that type 2 diabetics face.

If you need documented proof, there is plenty out there.  As with anyone on this forum, we are sharing information - and that is what I'm doing to help this lady.

Fat blocks the uptake inhibitors allowing the insulin to get into the cells to stabolize sugars.

Basically - you need a healthy diet. Healthy fats are good for you but just like anything moderation is key.

I'm not going to continue to banter - I was doing the same thing (sharing information to help "this lady"). In my experience and that of almost all other type 2s I communicate with, a high fat diet works as long as carbs are kept low at the same time. You're correct that there is a lot out there that says high fat is bad, but not high fat in combination with low carb.

You're also right that I am not on insulin and that glucometer testing does not paint a full picture. However, I have been subjected to clamp tests many times (fun things, if you ever have the opportunity...), so I do have a pretty clear idea of how MY body releases and uses insulin. A clamp study that happened to fall at the end of a 6-week stretch where I was eating VERY low in carbs and completely unrestricted in fat is the one that showed the most drastic improvement in my insulin sensitivity (to the extent that they had to give me glucose through my IV multiple times just to try to keep my glucose level where they wanted it). I had similar results from a meal tolerance test conducted around that same time.

In the end, we each react differently to diferent things, and the only way to truly know what works for an individual is trial and error coupled with frequent testing and re-evaluation.

Thanks so much guys!!   He is trying, but he is just a creature of habit.  I have banned white bread from the house (I was already on the whole grains, but he had insisted on me buying the white for him--no more....)  I really appreciate the suggestions, but you are definitely right.  It's ultimately up to him.  Wish me luck!!!

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