(218) How do I eat “right” with diabetes with Glenys Oyston

Looking for the right way to eat and exercise for your diabetes? Know this: there is no one right way to do diabetes self-care. Glenys Oyston is our guest on this Love Food Podcast episode and during the month of May we are focusing on anti-diet diabetes conversations. Join us!

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This episode is brought to you by my courses: PCOS and Food Peace and Dietitians PCOS and Food Peace. You CAN make peace with food even with PCOS and I want to show you how.

Do you own a social justice informed business? Are you a fat positive business owner? I would like to give you the first opportunity to advertise on the Love Food Podcast. Check out the details here: JulieDillonRD.com/LoveFoodSponsor

This episode’s Dear Food letter:

Dear food,

I can't stop snacking,  and eating fast food. I have diabetes,  and need to make better choices. Lately I'm in a heavy food eating, which leads me to be sleepy and inactive. My diabetes dietitian focuses on counting carbs, and I haven't counted carbs in years. I've given up and given in to the cravings. I've gained weight, watched my blood pressure rise, and my eyes fill with sadness when I look in the mirror and wonder how much over X pounds is on my 5ft frame. I actually feel afraid for my heart and all the extra work it has to do now while my weight continues to rise.  There have been times when I actually enjoyed drinking "green drinks," and having my brain and body feel healthy. Grilling out, experimenting with recipes, yoga, swimming, and such.  I know my food choices today make my vision blurry,  blood sugar high, and cause me to make not so good decisions because my brain isn't as clear when I  "exercise and eat right. " I want a strong body again. I want to find joy in a walk or kayaking or fitting comfortable in a booth having brunch with friends.   How do I get back to that?  How do I get back to wanting the healthy choices, the joy in experimenting with fruits, vegetables,  protein, and fats in recipes? How with limited insurance and temporary employment do I find a good dietitian?  Right now I feel like you food have won. You are keeping me hostage in a body that isn't strong, and  makes me physically uncomfortable,  and feeds my diabetes instead of my spirit. Lost my way & afraid for my life...

Show Notes:

Do you have a complicated relationship with food? I want to help! Send your Dear Food letter to LoveFoodPodcast@gmail.com. 

Click here to leave me a review in iTunes and subscribe. This type of kindness helps the show continue!

(162) [Rebroadcast] Ivy Felicia on PCOS and Food Peace

While prepping for Season 4 of the Love Food Podcast, I am rebroadcasting conversations on PCOS and Food Peace. Listen as Kimmie Singh and I chat with Ivy Felicia, from Weightless Wellness, on feeling broken and finding comprehensive health care.

This Chapter of the PCOS and Food Peace Podcast is brought to you by Julie’s PCOS and Food Peace course. Get 25% off using the coupon code ‘podcast’ at check out. Get all the details here:

Did you enjoy the podcast? Leave us a rating, review, subscribe or share the podcast! Doing these small acts of kindness help the show grow and connect more with the concept of Food Peace.

Notes:

Thank you to Theralogix, the makers of Ovasitol, for sponsoring the podcast.

  • Ovasitol is an inositol supplement with a blend of myo-inositol and D-chiro-inositol, in the body’s optimal ratio of 40 to 1.
  • Inositols are nutrients that help to decrease insulin resistance, promote menstrual regularity, restore ovulation, and balance hormone levels.
  • In convenient powder form, Ovasitol can be enjoyed in your favorite beverage or smoothie.
  • Available in both a canister and convenient single-serving packets, Ovasitol contains 100% pure inositols, with no additives.
  • Read our blog post about what Inositols can do to help your PCOS.
  • Order online today at theralogix.com. During checkout, use “PRC” code 127410 for an exclusive PCOS and Food Peace Podcast discount.

(131) Did my body size cause this?

Have you ever been made to feel like you are to blame for a medical condition like diabetes, PCOS, high blood pressure or gestational diabetes? More specifically, have you been told that your body size has caused you to experience a particular condition? If so, you are not alone. Listen along as Julie Dillon helps unpack the unfair stereotypes often associated with being in a higher weight body.

Episode’s Key Points:

  • The label of “obesity” as a disease is problematic.
  • Being at a higher weight is unfairly associated with many stigmas and misconceptions. For example, anorexia nervosa at a higher weight is actually the most common way to experience it.
  • Weight is just one anthropometric measurement like blood pressure, temperature, etc. It doesn’t mean it causes any condition/disease but rather could indicate that we need to dig deeper for a root issue.
  • No one is to blame for their body size nor is one’s body size something to feel shame about. Simply being alive means we are valuable and worthy.
  • Intuitive eating can be utilized by everyone, no matter their body size or any conditions they may be experiencing.

Show Notes:

Do you have a complicated relationship with food? I want to help! Send your Dear Food letter to LoveFoodPodcast@gmail.com. 

Click here to leave me a review in iTunes and subscribe. This type of kindness helps the show continue!

Thank you for listening to the Love, Food series.

Does the non-diet approach make diabetes worse? (Episode 113 with Megrette Fletcher)


Does the non-diet approach make diabetes worse?? How does intuitive eating fit when a person has real health concerns are impacted by food choices? Listen now to get my tips on how to grapple with this part of the Food Peace™ journey. Special guest expert is Megrette Fletcher, diabetes AND mindful eating dietitian expert.

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This episode is brought to you by my online course, Your Step-by-Step Guide to PCOS and Food Peace™. Sign up now to get on the waitlist for the next enrollment period in April, and receive my FREE road map: Your First 3 Steps Toward Food Peace™ with PCOS. You CAN make peace with food even with PCOS and I want to show you how.

This episode is also brought to you by my new Fat-Positive Dietitian t-shirt and mug! All proceeds go to funding this labor of love to keep it as a free resource for you. Check out the whole Love Food Podcast store here. All T-Shirt designs have an option with sizes ranging from XS to 5X.

Product links may be affiliate. If you click and make a purchase, there’s no extra cost to you.

The transcribed episode can be found here.

Episode’s Key Points:

  • Black and white thinking is a cognitive distortion. Real like, and real health, isn’t like that at all. Being a weight-inclusive, fat-positive, non-diet dietitian is NOT an approach that harms health.
  • Gastric bypass does NOT rid the world of fatphobia! The answer to this problem is a combo solution: to help people heal their relationship with food AND with their bodies. Part of this means healing the cultural fatphobia our world is currently struggling with.
  • Megrette Fletcher joins us to talk about medical nutrition therapy!
  • Moving away from a job that doesn’t support our passions and values is an amazing step.
  • The culture surrounding diabetes is super saturated by diet culture, and so moving out of the diet-centric paradigm in diabetes work is hard! Before insulin was invented, restriction was the only way we knew how to manage the disease.
  • We need to pause and think, why are we so afraid of nourishing the body?
  • When we teach diabetes from a Health at Every Size perspective, we address every body as an individual.
  • We’re ALL marinating in diet culture, and people who struggle with diabetes exist in a diet-culture pressure cooker. We don’t cause diabetes as it’s a genetic disease, but so much of diet culture blames the individual and individual food and exercise choices.
  • Compassion is KEY for diabetes care, as there really isn’t a cure and it’s not a disease anyone asks for. It’s a genetic condition that’s VERY complex.
  • The goal needs to be to nourish the body, period. Where our weight ends up doesn’t matter!
  • No matter what your body size, you need to eat! We need more food than we think, and we’re allowed to nourish our bodies.

Show Notes:

Do you have a complicated relationship with food? I want to help! Send your Dear Food letter to LoveFoodPodcast@gmail.com. 

Click here to leave me a review in iTunes and subscribe. This type of kindness helps the show continue!

Thank you for listening to the Love, Food series.

Metformin + PCOS

This article was written by my previous Nutrition Grad Student, Kimmie Singh. She is a fat woman of color who experiences PCOS. You can find out more information about her work now as a dietitian here.

“But I don’t have high blood sugar? Why am I on the diabetes drug Metformin?”

Metformin, aka Glucophage, is a common treatment option for PCOS and many wonder why it is chosen.

{Side note: in order to understand the role of Metformin, you might want to review the previous post on PCOS and insulin.}

The state of insulin resistance so common with PCOS promotes an environment where extra glucose and lots of insulin hang out in the bloodstream. That glucose wants to get in your cells to give you energy (and that’s why you are so tired all the time!). Those very high insulin levels seen in PCOS drain you even more and are behind the acanthosis nigricans, carb cravings, irregular periods, and even affects your sleep.

 

 

 

 

Want to find a way to treat your PCOS without dieting?

Grab a FREE download from Julie here.

Metformin steps in making your cells more sensitive to insulin: that’s why it’s referred to as an insulin sensitizer. It helps the glucose actually get in your cells, giving you the energy you need. Many report having more energy and less carb cravings after starting metformin.

Metformin has another job: it stops the liver from making and sending out so much glucose. Most people connect Metformin with blood sugar since it is a common diabetes drug.

Although it affects blood sugar, most people with PCOS on metformin have normal blood sugar levels. Also, insulin levels are MUCH higher in PCOS than diabetes so more Metformin is necessary compared to people with diabetes.

Metformin affects more than just insulin and glucose.

In addition to reducing blood glucose and insulin levels, Metformin has been shown to improve menstrual irregularities, fertility, and ovulation rates.

Metformin may also slow the progression of type 2 Diabetes and improve blood pressure and cholesterol levels.

When taken at it’s current therapeutic dose of 1500-2000 mg, Metformin can play a major role in managing PCOS. A lot of people swear by it, yet others can’t tolerate it.

I’m one of those people that can’t tolerate Metformin. It left me with GI distress, energy crashes, and dry skin. If Metformin doesn’t work for you, supplemental inositol is another great insulin sensitizer.

To reduce the side effects of Metformin, Julie recommends:

  • Take it with a meal (like a whole meal not a snack)
  • Follow your doctor’s instructions
  • Start at a smaller dose and build up
  • Stay hydrated

Want to explore more non diet options to help manage your PCOS, promote health AND healing?

Click here for details on Julie’s PCOS and Food Peace course.

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Campbell, R., White, J. R., & Saulie, B. A. (1996). Metformin: a new oral biguanide. Clinical Therapeutics, 18(3), 360-371. doi:10.1016/s0149-2918(96)80017-8

Diamanti-Kandarakis, E., Economou, F., Palimeri, S., & Christakou, C. (2010). Metformin in polycystic ovary syndrome. Annals of the New York Academy of Sciences, 192-198. doi:10.1111/j.1749-6632.2010.05679.x

Mathur, R., Alexander, C., Yano, J., Trivax, B., & Azziz, R. (2008). Use of metformin in polycystic ovary syndrome. American Journal of Obstetrics and Gynecology,596-609. doi:10.1016/j.ajog.2008.09.010

Ozcimen, E. E., Uckuyu, A., Ciftci, F. C., & Zeyneloglu, H. B. (2009). The effect of metformin treatment on ovarian stromal blood flow in women with polycystic ovary syndrome. Archives of Gynecology and Obstetrics, 280(2), 263-269. doi:10.1007/s00404-008-0904-0