Diabetes

Question
Posted by: Julia | 2012-07-28

Q.

sugar craving

I am a 62 year old woman. My blood sugar reading indicated that I might have insulin resistance and could become diabetic. I asked the doctor if I could try to rectify this without medication and he is supportive of this. However, although I am taking natural supplements with my doctor''''s knowledge, to help balance my blood sugar and steady my appetite, although I am doing my best to follow a diet from a dietician to satisfy my appetite but also reduce refined carbohydrates and although I am trying to exercise more, I am not doing well. Almost every day I reach a point when I feel both physically drained and want to eat and just must have something really sweet and fruit won''t do- it needs to be pudding or baked goods. I feel better after eating these- all warm and relaxed-but then I get very sleepy, as would be expected. When this craving hits I try to start with protein- cheese, canned fish, etc but it doesn''''t help - I still eat the sweet stuff, I think even more than I would have without the protein, so I end up eating more than I should of everything. I am exercising a bit, but not half enough. I just feel so heavy (I am heavy) and drained of energy. I also have developed a very fine rash (almost invisible but I can feel the tiny bumps) on my torso, especially my lower abdomen. It itches especially in the evenings. I realise that I must be making myself ill, but I really need advice on how to help myself, as I still want to avoid medication. I am also trying to cut out coffee but I really can''t get going or think straight without my morning cup of coffee. I drink i cup of black bitter coffee 3 times a day, 4 hours apart and if I don''t I get very drowsy.Please help me.

Expert's Reply

A.

Diabetes expert

Dear Julia
Insulin resistance is an early stage of progression to diabetes, and currently the best way to manage this is with diet and exercise. The diet tested the most is that of a low fat, high fiber, low GI diet, and is best done under advice of a dietician. Regarding the ongoing cravings , it is difficult to say what the cause is, but certainly exercise can increase appetite, and therefore potentially toning down the exercise at this stage and focusing on your diet maybe the best way forward, and then if things are better later, then to look at reintroducing exercise. With regards to the rash, and in combination with the increased appetite, it may be worth looking at whether you overproduce cortisol, which can be done with your doctor.

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