Typical Diet

[Robert1220]

I'm having difficulty getting a diet that I like. I'm S4 Fibrosis, 13.4 kpg (I was 36.6!) but lost 2 stone but I'm now stuck. I'm T2 diabetic but that's now well controlled with 1 Metformin daily and a weekly Ozempic injection. I've had a few hypos lately and have eaten sweets etc to bring my level up. Unfortunately that has given me my desire for sugar again which I know is so bad for my poor liver. I don't drink at all so that's not an issue. It's the huge desire for Maltesers, or anything I can get my hands on. The strange thing is that eating sweets doesn't put my sugar levels out of normal range. I just wondered if any of you are the same. I'm floundering a bit and any advice would be so gladly received. Thanks.

[LilacPoppy]

Hi RobertI really don't know how I am doing because my T2 came on after the liver/spleen issues and my Fibroscan couldn't read my liver, so I am doing this blind. My bloods show possible fibrosis/cirrhosis.

I have lost over a stone in 7 weeks. I am adding oily fish, my own chickens eggs, avocado, salad veg and coffee. I have removed chocolate.

Now I will be shot down but I have a few biscuits occasionally but nothing in excess. I don't drink, and before I rarely drank. I know if I stopped everything I would crave so much and the diet would fail.

It's my birthday on Monday, I have cake and a birthday without jam, scones and clotted cream would be miserable. However, once it's got, it will be gone. No going out and buying more.

Basically I am saying a very little in our cases of something you like has got to be more healthy mental than a big red line through it. I don't mean alcohol though. Is there a way you can incorporate a special treat a couple of times a week?

Are you dieting via calorie deficit? I am finding that is easier for me.

[Robert1220 in reply to LilacPoppy]

In an ideal world I would love a diet sheet for both diabetes and liver fibrosis. I need to lose more weight. Just a simple liver friendly, diabetes friendly diet. One healthy eating guide which is suitable for both conditions.

[LilacPoppy in reply to Robert1220]

Ok well a lot of people say keto for both. Low or no carbs, high good fat and protein. Maybe ask your Dr to speak with a nutritionist?

[Robert1220 in reply to LilacPoppy]

A friend of mine follows the Keto diet very successfully to vend I've been considering this as it proves very effective for her but she's neither diabetic nor suffers any liver disease. I'm due my annual diabetic check next week so I'll ask then as to referral to a dietician. Thanks for your reply. Its so comforting to know that I'm not alone with this predicament and I really find it helps to talk xx

[AnxiousPete in reply to LilacPoppy]

If you have decompensated cirrhosis I have read carbs are essential. I hadT2D now reversed with weight loss and exercise ( I do 90k+) steps per week. I have compensated cirrhosis and my diabetes dietician told me abalanced diet (not keto) was the best and to watch portion sizes. At peak I was 20st 10lbs now 15st 8lbs so need another 3 stones off. Things to avoid for liver health are processed foods and high sodium.

[LilacPoppy in reply to AnxiousPete]

Yes I have read this, hence my addition of lots of liver friendly foods.I am eating for liver health rather than the T2D. My 2 high Hb1Ac readings were 54 and then after a 2kg weight loss, 51. I got a letter of congratulations from the Dr and the diabetic nurse and to keep doing what I was doing and be retested for liver and glucose bloods in 3 months, which is the end of August.

I have disabilities which make exercise difficult, but I am doing chair exercises.

It is hard though, but I definitely believe helping the liver and losing weight will help my T2D.

BTW, sorry for all the typos. My phone's autocorrect was one overdrive yesterday.

[Robert1220 in reply to AnxiousPete]

I'm compensated and obviously want to stay that way. I'm just really running out of ideas for meals and I'm eating what I shouldn't and I know I shouldn't but I get so hungry. I list 3 stones but have put half a stone back on. Stupid I know.

[Robert1220 in reply to Robert1220]

I think that's what I will do. Liver friendly and let the T2D look after itself. Thanks for your reply. It has helped me x

[mozlaw in reply to Robert1220]

ihave type 2 and my last fibroscan reading put me only just in f2 but i follow the newcastle diet ..which puts diabetes into remission after losing 15 per cent of ones body weight over 12 weeks. you have 3 shakes or soups per day and some leafy greens .if youre serious it will help enormously but you have to persist asda shakes fairly cheap or exante.best wishes

[mozlaw in reply to mozlaw]

advised not to exercise as it makes you hungry whilst on the diet

[Robert1220 in reply to mozlaw]

Thanks for your reply. I think I'll give this a go if only for a short while x.

[jbrking]

sugar will spike you but then come back down, it’s the carbs and processed foods that keep you on a high so to speak. I’m no expert, with fibrosis and type 2, I also have a bowel condition which ironically I’m better off eating carbs on. There are so many foods I can’t eat with my bowel condition it’s really difficult so I’m quite carby based. My HbA1c has come down after slowing going from 48, 49, 50 I was dreading my recent one but it was 46! I don’t know what I did. I’ve been on 4 metformin for many years. I’m also disabled and can’t physically do much so I don’t exercise. I’ve slowly lost weight over the last couple of years but we’re talking single figure kgs, nothing to write home about, but it all helps!

[Robert1220 in reply to jbrking]

That's the problem when you can't exercise. I have an arthritic hip and bursitis so I can only do gentle exercise. But you've done so well still losing weight. Keep going and I am going to put my sensible head on today. Thanks for replying x.

[LilacPoppy in reply to jbrking]

Honestly try calorie deficit. Google a calorie deficit calculator. I didn't realise how many calories I would have to eat to just maintain my weight, let alone lose it. I have cut back on all the bad stuff but as they say a little of what you like, mentally keeps you on track.

Today is my birthday and I am having a proper Melton Mowbray pork pie with salad and Jersey Royals, fruit scone, jam and clotted cream. Maybe some birthday cake too. It's bound to be a naughty week as I have invites out, but once it's over I will return to eating well.

I too have disabilities with mobility issues, but eating the way I have has so far help me lose nearly 8kg in 8 weeks.

My normal weeks consist of eggs, mackerel, salmon, salads, (but I do like them), my sachet lattes, black, unsweetened tea, water, berries, avocado, almonds, walnuts and apples. I intersperse it with a couple of treats here and there.

Google chair yoga too.

I am not saying my way is perfect or works for everyone, but, whilst the weight is going down, it's helping Kevin, my poor ole liver to rest a bit, and hopefully the HbA1c is falling too. I have never been anywhere near type 2 in my life, only since the liver enzymes have been off.

[redpoint72 in reply to LilacPoppy]

Happy birthday lilac!!!!Enjoy your pork pie!!!

Best wishes .chris

[LilacPoppy in reply to redpoint72]

Thank you 🙂

[Robert1220 in reply to LilacPoppy]

Happy birthday Lilac! I like the sound of your foodstuffs. I really need to up my willpower and get on with looking after my Kevin (lol) too. I think I've got over the initial shock of liver disease and am a bit complacent and blasé about it. So I need to pull my big girl pants on and wake up and smell the coffee!

[LilacPoppy in reply to Robert1220]

Thank you.Don't smell the coffee, drink the coffee 🤣

[Robert1220 in reply to LilacPoppy]

I will lol xx!