February 3, 2010

  • I Hate Nutritionists....

    french fries A great teacher meets the student where they are and coaches them through the process of growing. A good teacher meets the student where they are and tells them where they need to grow, while the bad teacher just tells the student what to do and how to do it. In my diabetic journey, I've met great teachers who were willing to listen to where I was and mentor me in the process that might someday make me in remission. (2% of all people diagnosed with diabetes beat it.) I've been determined to be part of that 2% which means a bit of more aggressive treatment plan and less room for sloppy blood readings. If a food makes my sugar level high- I don't eat it. I have spent the last fourteen months figuring out how diet impacts sugar levels and how to eat so that mine are more "normal". I still need the pills (because I don't exercise enough- if I'd swim every day, and lose more weight, I'd probably not need the pills in another year, but I can't manage swimming daily), and I'm trying Byetta in spite of the fact that I have stick a needle in my stomach twice a day and the side effects (which includes headaches among other things).

    I have done my homework. I know how and why diabetes happen. I know the pros and cons of Atkins and the possible side effects. I know that the key to being diabetes free is going to be weight loss. And I'm even ok with my doctors wanting me to eat a little more normally because Atkins is hard to sustain and it affects your emotions.

    What I thought was going to happen when I went to the Nutritionist at my new diabetes clinic today was that we'd talk about where I am currently with my eating habits and how we could refine them to make them more effective. What I got was Ms. Attitude and the typical Diabetic diet. (And a carb counting book because the one I had wasn't good enough apparently). My Diabetes doctor warned me that she was anti-Atkins, but I was stunned at how arrogant she was about it and how unwilling she was to listen to where I was. She made all kinds of assumptions- from my health to my diet- none of them true and acted like I was lying when I corrected her. Basically, she wants me to add three times the carbs to my current diet, which will be nearly impossible since I've decreased the amount I'm eating with the Byetta. When I told her carbs make me sick, she blew it off. When I told her that carbs spike my sugar level, she said that was normal. When I said some carbs make my sugar levels swing for three days, she said nothing. She said the reason foods make me sick was because my body wasn't used to the carbs but food made me sick before I was diagnosed with diabetes. She said that wasn't true.

    We eat very healthy here most of the time- very little processed foods, lots of lean proteins, very little fats and creams, no heavy sauces, lots of fresh veggies and fruits. I don't cook in oil. I cook white Japanese rice because I like it and for the amount of rice I eat, I am going to cook what I like and get the fiber from a different source. I rarely eat desserts (because I can't handle the feeling of being sick afterwards) and candy is a thing of the past for the same reason. You don't lose weight on the diabetic diet. It wasn't designed for weight loss. It was designed to keep your sugar levels even. It's the traditional diet that they "play with" and "modify" every so often, but I'm not sure I want to bother with it.

    I'm thinking that I'm going to just eat normally- protein, veggies, and a small serving of carb per meal and not obsess over it. I'm thinking I'm not going to track my food in the nifty pocket size food log she gave me and that I'm not going to count carbs any more. I'm not going to worry about how much butter I put on a baked potato or how much sour cream I put on a taco.

    This is the difference between a bad teacher and good teacher- the result. I have all of her information and resources. I know what's expected of me, but the motivation is entirely different. Instead of being more driven to white sands 060 accomplish the task, I'm stepping back and rethinking if I want to even start the journey. This happens every day in our classrooms. Well meaning, knowledgeable people step in the classroom door and when they're finished, students want to learn less than ever. But the bad teacher walks away, thinking, "Well, I did my job. I taught them everything I know. It's not my fault they won't use it." But they just spewed information. They didn't teach- and in fact- they did more harm with their actions than if they'd been absent that day. You hear it all the time. "The students today are different from yesterday. You can't teach them anything. They don't want to learn anything." Rarely do you hear, "Wow, I blew that lesson. It didn't reach most of the class. How can I do it differently tomorrow." But they're not prepared to learn, I hear back. Not true. I entered her office today, prepared and willing, and so do most of our kids. By the time I left thirty minutes later, I was frustrated and so was she. We both knew that the odds of me doing her diet were slim, but she was confident that it was all my fault. She did the job she was trained to do while I refused to comply to her goals. I bet she never once asked herself why that was. I suspect she'll talk about me to the rest of the staff as a difficult client. Yet, she failed. With all her degrees, trainings, knowledge, and letters after her name, she failed.

    The good news is that as an educated adult, I will take the time to process her advice, do some more research, and make a decision that's best for my life. The bad news is that our kids are left powerless, in an environment that doesn't encourage independence and self-responsibility, and there are more of them in classrooms with bad teachers than bad nutritionists.

     

Comments (30)

  • That sounds like a huge pain, but it seems that you've analyzed the situation pretty accurately. I can speak anecdotally about different diets. My dad did Atkins and it worked. I did Atkins and it worked. Of course, I was in a controlled environment and the thought of food depressed me for that year, but the 40 pounds stayed off for almost two years. Another anecdote - now I sort of use my-calorie-counter.com to help me track calories and set goals and mostly keep a digital log of what I'm doing. I walk an hour a day on the treadmill. I eat well, and I have been for two or three weeks now, and you can bet that TB's cooking has a lot to do with that. I've lost 5-10 pounds so far and I feel great. I suggest that we all join a commune It would make many aspects of life much easier.

  • my aunt had similar problems in her nutrition class, so she walked out and went to the library (she doesn't know how to use a computer).  a commune Jumby says?!?  I could get more beds and extend the diningroom table to fit 12!

  • @BoureeMusique - i'm all for living in a commune if your mom cooks! i've lost 7 pounds with byetta this week. it will be interesting to see if that continues. the average weight loss for it is 12 pounds- which seems useless to me. but my sugar levels are a lot lower and i'm not having the reaction to carbs currently. still eating a lot less than she wants, but there has to be something said for just eating normally and healthily w/o all the obsession???

  • Indeed @ the normal/healthy eating. Obsessing breeds stress, and stress does wacky things to hormones, insulin, metabolism, and weight - not to mention skin and hair (my skin is still so upset with me for the last year and a half of stress).

    @travelerblue - 

    Even if we didn't all live together, I think community dining could be worth it

  • @travelerblue - as soon as someone says "i have a degree in--" i'm done with them. you should be able to do yr job w/o pulling out yr degree or yr degree is useless!!! think of all the money we could save! i've been trying to talk my family into going multi-generational housing!

  • @BoureeMusique - that's a thought! bc some things just taste better made in big batches!

  • If you have to see her, I would use the smile and nod tactic. If you have to show her food journals and crap, well lie like a rug; smile and nod. I hate people that are inflexible and treat people like they are idiots and don't know what they are talking about. Not everyone is the same, if she knew her job she would get that.

  • @Erika_Steele - i have to go back in two months. if we butt heads the second time, i'll write a letter to the head of the clinic explaining why i'm going elsewhere and suggest that they work with her if they value her contributions to their company or that they replace her with counselors who are knowledgeable in nutrition and in mentoring skills. there's no excuse in this economy to keep ppl like her when there are hundreds (maybe thousands) of ppl who are looking for work.

  • I must try to be a better teacher! thank you jerjonji-

  • I was just called " an independent patient" during my hospital stay. My blood sugar had gone over 200 and I knew it was because I had drank some grape juice. The nurse wanted to give me a shot of insulin. I refused. Had they taken my blood sugar when they were suppose to it would have been ok. Anyway, she informed me it was hospital policy to give a shot of insulin whenever the b.s. was over 200. I still refused and told her I would NOT have an insulin shot. She said I will not force you with a smug look. All this happened after dinner, so I knew by morning my b.s. would be back to my normal. I was right, ergo I am an independent patient. Some times you just have to put your foot down! No one knows your body like yourself. Thanks for letting me get this off my chest!

  • @kaiori - one of the biggest gifts you give to our society is to be a good teacher. thanks for wanting to be one of the best! you will change lives!

  • @GoodGuyTheBoss - that sort of stuff drives me nuts! they screw up and then blame you! i'd be freaking out if mine was over 200 tho! i freak out when it's 150!!! and i'm not too happy about 130 when 109 is "normal"... my doctor has the opinion that as long as it's not "too high", i'm fine. i think that's why a lot of ppl get complacent about it. but she should have known that grape juice would spike you and taken that into account!!!!!!

  • Good for you for being an informed patient. I honestly think the problem that makes doctors act like jerks sometimes is that there are far too few folks like that out there. When so much of a patient base consists of people who just nod and don't ask any questions (because they don't understand enough to know where to start asking them) it makes the patients who want to take an active role in their own healthcare seem like peons who have dared to question the great and powerful Dr. Oz.

    Best of luck on your continued pursuit of that 2% membership card.

  • @King_of_the_Worker_Monkeys - thnaks. no one seems to think i can do it at first.my  diabetes dr has had two ppl in all his years as a diabetes dr...i think some of the problem is in the way they treat the patient- like they don't expect to change lifestyles. we were talking about weight surgery and i said that if i can't do the work that i'd have to do after the surgery before i have it done then how can i be sure i can do the work when i have to? he agreed with me that i'm not a good candidate for stomach surgery and decided i might just get that 2% membership card after all. i want to blame some of this on the patient, but some of it is the healthcare provider as well...

  • Don't give up because of a bad nutritionist. My son went undiagnosed with celiac disease for 2 years and we ignored the "professionals" and decided to do our own thing. Go with your instincts and your research and don't give up!

  • I wouldn't go back to that nutrionist, but I wouldn't give up on diet and regulating sugar levels.  There are other professionals out there, and it's your body. 

  • @AprilsPlace - i'm not thinking about giving up, but i'm playing with the idea of seeing what happens when i just eat normally- but healthily...

  • You're very right. Good teachers have a completely different orientation. They motivate, not lecture. I'm sorry you're having so much trouble getting a good nutritionist. It's so easy for them to blame the patient. True of many doctors, as well.

  • Funny how different people give such different advice.  My doctor told me to go on Atkins--I ate nothing but protein and lost a considerable amount of weight with normal blood sugars and blood pressure.  Then I added back in fruit and vegetables and did okay.  Finally, I got depressed with what's going on in my life, started eating everything in sight and my blood sugars are out of sight.  Sigh.  I know exactly what I need to do, but I'm not doing it.

  • @chipperchocolate - carbs make you happy! which is why it's hard to maintain aktins for a long time- or for life- which is why my doctors are asking me to eat more normally. depression is a common side effect to atkins- at least for me. it's a little easier for me to stay within the boundaries since food makes me physically ill if i eat the wrong kind and i can't stand the sugar swings. plus i'm scared of the consequences of diabetes so that keeps me motivated. doing what i have to do isn't a choice any longer- it's just reality! sigh!

  • @ideaguy - that orientation makes a big difference in the classroom, in their attitude about the kids, and in their teaching practices. we make seem like it is a big mystery and they are gifts, but in reality, every teacher has the potential of being a great teacher. they just make different choices!

  • I think a great teacher has ownership of the kids and what the kids learn. I also think really great teachers are motivators and performers. I like to think that what I do in schools is akin to being a great teacher, if even just for one day.

  • My spousal unit picked up "Eat Right For Your Type" - about eating for your blood type. And as I thumbed through it, I realized that it's right. The foods I should avoid make me feel unwell when I eat them. And the foods that are acceptable make me feel energized and healthy. Hmmmmm. I'm not entirely sure I buy the argument - but it's interesting to me.

  • I'm processing all of this!!  Whew!!  My husband,..I do believe, is prediabetic.

  • ...always amazes me the diligence required in living with diabetes, a close relative has it...have to take the time to shop around for a professional who can offer sound advice AND work with you achieving your goals...challenges all around ; (

  • I have met nutritionists and a couple of young MDs who thought they knew everything. I just let it roll off my back--not that I have a duck's back. As a kid, I was very good an ignoring the stuff I didn't want to hear, much to the chagrin of my mother, teacher's and now my wife. I'm impossible to give advice to--so I'm told--but I'm still alive, and working at the job that I was meant to do. I'm sure you'll get over Ms. Uber-Nutritionist, or maybe find another one. Keep to your sensible diet. Diabetes can certainly be a scary illness. Be well.

  • This was a great great entry.  And it's making me late for work, almost. :)

  • Fantastic attitude you have.

  • There is so much work involve in dealing with diabetes and it takes a toll on patience. My dad is in early stages of diabetes and he got it under control. But he's still a heavy drinker.

  • Interesting comparison.

    Sorry about the doc, but I generally don't trust any authority figure to listen, think, reply honestly, and then keep their word. There are exceptions - God, the owner of the company I work for, my pastor... it doesn't go much farther than that. Pretty distressing, huh?

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