Tag Archive for: weight neutral diabetes care

“Eat this, Don’t Eat That” Never Works: 2 Case Studies

After years of being told “eat this, don’t eat that”, it’s logical that you just want to be in charge of your own eating decisions. Yet, that can be a scary proposition if you aren’t sure any longer how to eat. It’s more than likely all the food rules you’ve been given have been for the end goal of weight loss, and mostly under the guise of “for your health”.

But what if we put weight loss on the side for now. What if learning how to eat to manage blood glucose levels, lower cholesterol levels and improve energy can be done without the worry of your weight?

That would be amazing.

Charles’s Story

Let me share a story with you. Charles (name changed for privacy) came to see me with a diagnosis of uncontrolled diabetes. He has type 2 diabetes for many years, is on several medications but is still having a hard time getting his blood glucose into target range. He’s been focusing all these years on losing weight to manage diabetes and has been busy counting calories and restricting his intake of wholesome food that he was told to avoid if he wants to lose weight. “Eat this, don’t eat that” became a mantra he heard all too often. So, he chose pre-portioned meals and snacks that were marketed for weight loss. He didn’t lose weight, nor was he able to bring his blood glucose down.

I suggested he put the worry of weight loss on the side for now and instead focus on understanding what is happening is his body in terms of glucose tolerance and insulin resistance. He started working with my in my Healthy Living with Diabetes Program™ and he quickly learned how his body processes carbs, how to plan meals to match this ability, and the many variables aside from food that can impact his blood glucose.

Fast forward 4 months and Charles’s blood glucose and A1C are well within target range and he has minimized his risk of diabetes complications. Did he lose weight? It just so happens he did, but the weight loss was an OUTCOME of his habit and behaviors changes. It was never the focus.

James’s Story

Now let’s look at another client, also with type 2 diabetes, not well-managed. His lovely wife reached out to me for help. She is so worried about James’s health (name changed for privacy), she’s at her wits end.

James had a history of yo-yo dieting, having lost and gained 100 pounds a few times in his life. But now things are different. He was diagnosed with diabetes yet he’s not taking responsibility to learn how to manage his blood glucose levels. She made an appointment to see me, and I asked her to speak with James about joining the session. He did.

While James was reluctant to share too much in session, he did listen as I shared with him the process I use to educate and empower my clients to learn about their diabetes, and how to best care for themselves. He did seem somewhat interested but was unable to commit to stop dieting in an effort to get healthier.

James’s wife told me after the session that he doesn’t like people telling him what to do, which is what happened his whole life when dieting. I assured her that in weight-neutral diabetes care, it’s the exact opposite. The client is in the driver’s seat. I am a passenger and act as a co-pilot in teaching and educating.

Letting Go of the Diet Mentality

Whether you have diabetes or not, if you’ve been dieting to lose weight with hopes of getting “healthier”, chances are you are still dieting and on the proverbial diet roller coaster (and not much healthier!). Getting out of the diet mentality is not easy, but it IS possible. It means trying something you’ve never tried before – that is to learn to trust yourself to make the best decisions for yourself around food and eating.

Free Resource if You Have Diabetes

If you have diabetes and want to learn how to manage your blood glucose without restriction and dieting, download my free eBook: 5 Keys to Manage Diabetes Without Dieting.

Free Resource if You’ve Been Yo-Yo Dieting

If you’ve been chronically dieting and are at your wits end, take this short journey towards Breaking the Spell of Diets in 3 Days Online Experience (or pop your name and email in below).

And, if have any questions along the way, be sure to reach out.

Is Weight a Symbol of Something Deeper?

Isabel walked into my office having made the decision to make changes in her eating behaviors. She recently went to the doctor for her annual exam and her doctor put the scare of life into her. Her diabetes was “out of control”, her blood pressure was elevated, and she was just diagnosed with gastroparesis (delayed gastric emptying, a complication of uncontrolled diabetes). She was distraught but committed. The doctor sent Isabel on her way with a prescription to lose weight.

This isn’t unusual. Most doctors will prescribe weight loss to lower blood glucose, cholesterol levels and blood pressure. And while you may see a reduction in these values if you lose weight, the problem is that weight loss is not a behavior you can just tell someone to do. If you’ve been a dieter, you know what I mean.

Is Weight Loss Through Dieting Sustainable?

Anyone can lose weight when they “follow” a diet. But the question is – can you sustain that way of eating for a lifetime?

Research shows us the answer is NO. About 95-98% of people who lose weight on a diet regain that weight and up to two-thirds gain back even more.

You may be thinking “Bonnie, I know someone who lost weight and kept it off”. I bet you do. But the 3-5% that do keep it off most often do so with disordered eating behaviors such as tracking their foods, counting points, eliminating certain foods, not allowing themselves full pleasure in eating what they want and spending a LOT of time in the gym (to name a few). Most people really cannot live a “normal” life of “normal” eating and “normal exercising” if they are trying to maintain a weight loss achieved through dieting.

When I explained to Isabel that we will not be focusing on weight loss but instead, we will focus on habits and behaviors that will enable her body to better use the insulin she is producing and ultimately help her improve her health (which SHE really wanted to do), including learning how to minimize the symptoms of gastroparesis, she was relieved. And then, she started to cry!

Using Weight as a Cover Up

All is not always how it looks. Many times, when working with a client on improving their relationship with food, it becomes apparent that there’s a reason why they’ve struggled so long. With the realization that the odds are low that they can lose weight and keep it off, they self-sabotage their own efforts in order to keep the weight on.

Why you might ask?

Having “failed” so many times, they are embarrassed to continue to yo-yo diet. So, they cover up the shame and embarrassment by making jokes about themselves and allow others to joke about them too.

This is what happened to Isabel. She was known in her group of friends as the “fat funny one” and she took on this persona, making jokes at her own expense, when deep down she was hurting terribly.

Isabel never told anyone this, until she broke down and cried in the safe space of my office.

Weight-Neutral Nutrition Therapy: A Focus on Behaviors, Not Weight

A weight-neutral approach to nutrition therapy, including diabetes, blood pressure, and cholesterol management focuses on the habits and behaviors you can change which ultimately lead to improved health, regardless of body weight. These behaviors include balanced eating, joyful movement, stress management, improving sleep, taking medications as prescribed and engaging in mindful eating behaviors.

This approach takes the emphasis off weight and brings a sense of relief to those who’ve tried to diet to lose weight as the treatment prescribed for health. It promotes positive behavioral change without the shame and guilt often felt and it empowers them to continue along the path of healthy living.

Is Losing Weight “Bad”?

Let me assure you that I am not against weight loss. I want to make this perfectly clear. What I am against is intentionally pursuing weight loss in an effort to shrink your body to meet the warped societal standards of the “thin ideal”, and as the treatment of medical conditions.

If in the process of learning about your disease state and making sustainable habit and behavior changes (including managing your stress better and having better sleep), you lose weight, then that means it’s what your body needed to do to return to it’s natural healthy weight. And in this case, I DO believe that this will be sustainable.

Remember, weight loss is not a behavior. It is an outcome of habit and behavior change.

Take Action

If you are ready to improve your health without a focus on weight loss, reach out to me here!