Our expert says:
Thank you for your compliments - much appreciated. Now you really do have a problem - actually a set of problems what with the insulin resistance and the PCOS and the hypothyroidism - so it is no wonder that you gain all the weight so fast. It is essential for anyone with insulin resistance to consult a clinical 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 insulin resistance, medications and other conditions such as overweight and PCOS, into account when working out a diet for you, which will be based on low-fat foods with a low glycaemic index (GI). Click on 'Diet' and 'Weight loss' and 'The right approach' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes'. It is wonderful that you are doing exercise 5 times a week, because aerobic exercise helps to lower blood sugar and insulin levels, promotes weight loss and generally helps you to stick to your diet. To answer you specific questions: the dietitian will instruct you that it is important to stay away from all foods and beverages that contain high levels of fat, high levels of high-GI carbs and are very high in energy. Small quantities of sugar are permitted in the low-fat, low-GI diet primarily to make foods palatable, but once again the dietitian will work out how much sugar you could use as part of your low-fat, low-GI diet prescription. The good news is that if you can lose the weight and increase your physical fitness the symptoms of insulin resistance can be turned around.
So hang in there
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