Food Issues? Duh!

I have food issues.

I don’t know if these issues exist apart from diabetes, or because of diabetes.

My recent dLife column is about an experience where diabetes was clearly the culprit.  If you have a moment, would you take a look?

I would love to hear what some of you think about food and our diabetes.  What are your experiences?

One of my favorite bloggers, Lee Ann Thill (The Butter Compartment), has recently posted some great stuff around eating disorders and diabetes, and I totally consider her to be a great champion for raising awareness about it.

There was also a page about diabetes and eating disorders in an awesome book that made me smirk.  I’ll be posting about soon (in the meantime check out the posts by Lee Ann and Chris).

Food issues and diabetes.  Check.

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6 thoughts on “Food Issues? Duh!

  1. Scott,
    I use to think it was my diabetes that caused my weight gain the last few years. I was on Effexor for 5 years, and was eating constantly and putting on a ton of weight. Then a coworker told me that anxiety meds, cause carb. cravings/weight gain. I went off of Effexor last year and lost a ton of weight and I really don’t crave food any longer, but I AM NOT HAPPY!!!.
    I would rather be fat and happy then what I am going through right now. I have tried going back on anxiety meds, but I get sick on each one. I have tried them all and even tried going back on the Effexor in small doses, but I get way nauseated, but I truly believe anxiety meds cause the food cravings and weight gain.
    Ahhhhh DIABETES!!!!!

  2. Really good post Scott. When Tristan was diagnosed we had a big problem with that. We were though to give him insulin before he ate. We ran into a lot of problems. There was no guarantee that he was going to eat what we had given him insulin for. It was a constant struggle to get him to eat enough. We would discuss this issue with the doctor and we were pretty much told to do the best that we could!!!! After much frustration, we had a discussion with a very nice diabetes educator and came to the conclusion to dose after his meal.
    Now we always bolus him after he’s finish eating. Sometimes, we will dose in the middle of the meal for what he’s already eaten. That way we know that he gets the right amount of insulin and when he’s full, he doesn’t have to eat anymore.

  3. Oh hell, I know I’d have food issues without the db. Db just puts an extra little wrench in the gears.
    So, I ask my internist for help. He recommends a dietician, who, just happens to not have any openings for 7 months.
    I ask my shrink for help. He says maybe go to Weight Watchers.
    I ask my therapist for help. He suggests the new Melrose Institute, connected to the Park Nicollet clinic system. I call them and they say, “how many times a day do you throw up?”. I reply “never”. Pretty silent on the other end. I say I have a problem with binge eating. They are thinking of forming a group for binge eaters. It would require a committment of 2 hours, three days per week, for 8 weeks. Do I want to be put on the list should it come to be? Well, no. I work during the day (at least I hope to still have a job in the future).
    I look up eating disorder treatment in the Yellow Pages. Call one place. No, they don’t take insurance and the therapist charges $200 per hour.
    In relation to the db, how does one define just plain “poor control”, vs an eating disorder? Is it just a matter of severity?
    Brother, you have made my head spin. Yikes. Let me know if you have any flashes of insight.

  4. Great column on dLIfe.
    The interaction between my diabetes and my food intake is an incredibly difficult one for me as someone who is in recovery from an eating disorder.
    When I was having treatment in the ED unit it was difficult for all of us who were there but I had the added difficulty of trying to manage my diabetes as well. When recovering from an ED you are encouraged not to pay attention to numbers and not to focus on what you are eating, that is impossible for someone who needs to carbohydrate count and regulate their blood sugar levels in order to have good diabetes control.
    For me it is a very delicate balance between good diabetes management and relapsing into eating disordered behaviour. When I test my blood sugar before a meal and it is elevated I naturally want to avoid carbohydrates in order to prevent it rising any higher. But avoiding carbs is a major trigger to me for eating disorder behaviours. I therefore have to put even more attention and focus onto planning a meal that is both nutritionally balanced (and not under cutting what I should be eating) yet doesn’t cause an unwanted rise in my blood sugar levels. And that extra attention to my food intake sometimes triggers off obsessive thoughts about eating and makes me not want to eat all…. Oh the complexity of it!!

  5. Scott,
    I bolus after eating, or during (in part) if I am unsure how much I will be eating. The bolus alarm on the cozmo reminds me if I should forget.
    Works for me!

  6. Great post over on dLife Scott.
    “I believe that being influenced by insulin is one factor that has contributed to many of those food issues I fight with.”
    Uh yea. About that…..
    I TOtally understand. That is why I UNDER bolus. I know Many T1s Over bolus but I Fear lows more than anything. So if I keep eating, I just bolus more. Moment to moment.
    It is not a “natural” flow for us T1s. Then again, it’s not exactly natural administering insulin now is it?
    Ugh and Ugh and UGH!