Our expert says:
Firstly, it is vital that you should return to the medical doctor who diagnosed your diabetes to discuss the problem you had with Glucophage making you nauseous and that you have stopped taking this medication. The doctor will have to check your present insulin and glucose levels and then prescribe another diabetes medication for you. Then it is absolutely vital that you should be counselled by a registered dietitian, because the correct diet is one of the most important factors in treatment. Visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. The dietitian will take your diabetes, medications and other conditions such as overweight, into account when working out a diet for you, which will be based on foods with a low fat and low glycaemic index (GI). Click on 'Diet & Nutrition' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Ask your doctor what type of exercise you are allowed to do and get more active, e.g. start going for brisk walks for about 30 min every day, BUT only if your doctor gives permission. Diabetics who have their diabetes under tight control by using the correct medication, diet and exercise, are often thin, while those that do not meet all these criteria tend to gain weight because their insulin and blood glucose levels are out of control which promotes fat deposition.
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