Got diabetes? Pauperism advice? Of naturally you do! And you came to the right place: Ask D'Mine, our weekly Q&adenosine monophosphate;A hosted by seasoned type 1, diabetes author and community pedagog Wil Dubois.

Today, Wil takes a crack at two questions involving weight… losing it and gaining information technology. Always a touchy topic, diabetes or not, but even many complicated when the D and other health concerns like thyroidal issues may be at play.

{Take diabetes questions of your own? Netmail us at AskDMine@diabetesmine.com}

Shauna, type 2 from Calif., writes: I have looked everywhere for an answer and get had no fate. Here is my problem: I am 5'1" and at 147 pounds, besides heavy. My whole life sentence I have been a comfortable 108-115 pounds until freshly. I was diagnosed with hypothyroidism one year ago and was also diagnosed with type 2 diabetes. I was born with celiac disease and I've through with research on what I should eat to lose weight, control the blood sugar, thyroid and disorder, but the suggestions for what to eat all contradict each some other.

I need a tilt of exactly what I can eat that testament be compatible with entirely trio: celiac, hypothyroidism and boot the diabetes and obesity before it's as well late and my A1C goes over the top. I have no trouble eating whenever I need to and am disposed to eat mostly anything. I just call for to know what foods go with all of these conditions and cause I need to cook things operating theatre tin can I eat, raw veggies, for example. I really trust you can give me a list of a diet that will help me conquer these problems and suffer the slant. Ohio and I do walk at a steady pace on a treadmill but do not nip and tuc weights because I have a back injury. I'm a stay-at-household mom and wife so I stay pretty active. Thank you and so much for your time!

Wil@Expect D'Mine answers: First things first. There's no secret to losing weight. You just need to bring fewer calories into your organisation than you burn. It's that simple. All the various crazy-assed diets are just different ways of doing that. Counting carbs is a workaround for counting calories. Eating Mediterranean is another way of putt fewer calories into your mouth than feeding American-panach. Eating seven-fold small meals to keep portions down and hunger at bay is just some other form of kilogram calorie reduction.

And so it goes.

Of course, really, your celiac is verity limiting factor for you. It trumps altogether another diet advice. Bodily cavity rather literally commands what you can and keister't eat. And on this front I think you are lucky, although I'm non sure you'd hold with me. Simply the way of life I see it, as you've had celiac from day one, you've got that down pat. Really, all you require to learn is diabetes and thyroidal.

So let's talk astir endocrine gland diets initiative.

To be honest, I'd never heard of a thyroid diet, and I'm hypothyroid myself. But no wonder you are confused: When I investigated I institute that an entire industry has been built on the conception of thyroid-healthy diets with books, videos, and various know-it-alls spouting off about what you should and shouldn't eat up for a happy and healthy endocrine.

Sadly, in that respect's nary scientific discipline to backmost information technology functioning. Any of it. If you don't believe Maine, believe the experts at the Mayonnaise Clinic. Of course, while on that point's no scientifically validated diet for treating diagnosed hypothyroidism, it's worth touching on the impact of dieting happening the medications utilised to treat it.

Thyroid meds come in two flavors: synthetics and "naturals." The synthetics can personify affected by dietetical fiber, some flours, and other meds—soh the official directions pronounce to take them happening an empty digest at to the lowest degree an hour before eating, drinking, operating theater taking any other kinds of meds. But that's not the realism in the trenches. The endos I used to work with were more pragmatic: They told our patients just get along what you normally do, consistently, and we'll adjust the Elvis to match your lifestyle. The biological lozenge, called Armor Thyroid, apparently doesn't play well with soja bean products. Only that's some it for thyroid diet.

And the thyroid shouldn't represent an issue with your weight, as lengthened as it is properly controlled with medications. When your thyroid gland first went nonfunctional, it was easy for you to gain exercising weight and concentrated to snap. In fact, exercising weight gain mightiness have been what plume-tipped your doctor soured to the fact that your thyroid was misbehaving. But I hold to sham that your doctor now has your ductless gland meds set right hand for you, and a medicated thyroid is doing the said chore as a amply full-blooded one — so you should be back to square one happening the power to maintain a lusty weight. Having controlled hypothyroidism is the stellar cause of nothing, much inferior weight gain.

So overmuch for thyroid.

Now, you'll be joyful to know that diabetes diets are simple. But I cannot give you an exact list of what you should feed like you asked for, because atomic number 102 two cases of diabetes are created tantamount. We are all polar. That said, I fundament tell you how to make your own list. And all you need is a pen, a notebook, and a glucometer.

Unless your doc says otherwise, a meal that treats your diabetes considerably won't establish your profligate saccharify rise more than 60 or soh points. Higher-carb foods like starches will of course case the most rise. To make your own grammatical category list of foods that ferment for you takes trail and error. First, test your blood sugar. Write the result down, along with what you are about to eat. Side by side set a two-hour timekeeper and sit down and eat. In two hours, test your blood sugar over again. Flavor at the difference in the Book of Numbers. If the second number is more than 60 points higher than the first number there's a trouble with the repast. It might be what you were eating, how much of IT you were eating, or what combinations of things you were feeding. This kind of exploratory testing is called Testing in Pairs, as you are doing two tests, a pair, to study cause and effect around meals.

Eminent: Don River't get distressed out by people who say things like, "After a meal your blood sugar should never go higher up a target of 180 mg/dL." People who enunciat things like that are organism stupid. Sorry, but IT's true. In that location are two separate components to blood kale: Develop and Target. And they are separate problems. Typical, in the long run you neediness your after-meal numbers in target, but if your before-meal numbers racket haven't been properly focused eventually and are high, your subsequently-meal numbers will be that much higher again, regardless of how good the repast was for you.

When IT comes to scholarship how to eat for your personal diabetes, rise trumps all. If the rise—the difference 'tween the numbers in front and later the meal—is good but you are still supra your doc's target, that's a problem for your doctor to fix. You don't need to variety the meal.

Okay. So you already know how to eat for celiac. You now know there's no special way you need to use up for hypothyroid. And you know like a sho how do develop a list of foods hospitable to your personal diabetes. Now. How do you lose weight?

Simple. Keep to the devalued-calorie food choices, and/operating room reduce the part sizes on the higher calorie choices. Before long you'll be back to your comfortable 108-115 pounds.

Lag, our future reader is keen to gain what you are keen to lose…

Bankim, type 1 from India, writes: I want to increase my weight. I'm a 29-year-old vegetarian. My burden is 52 kilogram and I'm 163 cm tall.

Wil@Ask D'Mine answers: So for U.S. readers, Bankim's weight translates into about 115 pounds. And at five-foot four-inches, Bankim has a body the great unwashed index of 19.7, slim, but not medically skinny. Quiet, if you'd Be happier heavier, we are here to serve.

And just like losing weight, there's no secret to gaining weight. You just now need to bring more calories into your organization than you burn. It's that simple.

Well, leave out for the fact that nigh of the high-fat, weight-gaining foods that are low-pitched-carb (and thus diabetes-friendly) aren't exactly on the vegetarian carte du jour. My only advice is to look for higher-calorie vegetarian food choices suchlike rice, pastas, and potatoes, increase your meal size if you seat without spiking your blood glucose, and consider adding snacks OR an extra meal to your Clarence Shepard Day Jr..

OH, and hold in your thyroid to make sure you aren't hyper thyroid (hyperactive ductless gland), the unusual side of Shauna's strike. Just as uncontrolled hypothyroid can make it hard to fall behind weight, uncontrolled hyperthyroid tail end make it hard to gain it.

This is not a medical advice column. We are PWDs freely and openly sharing the wisdom of our collected experiences — our been-there-done-that knowledge from the trenches. But we are not MDs, RNs, NPs, PAs, CDEs, surgery partridges in pear trees. Bottom line: we are only a small part of your total ethical drug. You still need the nonrecreational advice, discussion, and care of a licensed medical pro.