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please help :( breastfeeding, type 2, sugars gone crazy, can't lose weight.

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  • please help :( breastfeeding, type 2, sugars gone crazy, can't lose weight.

    I am at a lose for words. And I don't know what to do.

    I was doing well, ~90% primal, found out I was pregnant (3/11), and since I'm type 2 diabetic, the high risk doctor said if I didn't follow their nutritionist's guidelines, they'd drop me from their care. I started eating grains again, ended up on insulin (definitely needed it during the pregnancy) and had a healthy baby who had no glucose issues. yay. All very very good.

    Now, 10 months later, I cannot lose weight. Primally, SAD'ly, any way. Pretty common in breastfeeding moms-- saving up in times of famine, yada yada yada. It's good for the baby. I planned on doing baby-led weaning. It may be 5 more years from now. (The natural average weaning age of a mammal is half way to sexual maturity. In the case of humans, age 5-7.) I've even gained weight. My sugars slowly kept getting higher and higher.

    Now, at random checks throughout the day, I'm constantly above 150. Even if I eat no carbs, only veggies meats and fats for the entire day, I'm constantly high. Nothing is working.

    When I work out, in an attempt to burn some more calories, (lots of moving slowly- ~3 miles or so on the treadmill. Lifting the barbell with all kinds of weight on it, like a log lift, just bursts of max power occasionally.) but the more I work out, the higher my sugars get. It makes no sense!

    I tested before I started working out, was at 147. Afterwards, I was at 245. During the hour I worked out, I drank ~40oz of water, and had a piece of beef jerky right before I tested.

    I'm scared. I don't know what to do, that is *breastfeeding safe,* the doctor will want me on oral meds, if not insulin. I just want to be healthy.

    Update p 2
    Last edited by Megan.Eng; 10-31-2012, 12:26 AM.

  • #2
    I haven't eaten anything since before 7pm. I just checked, and my sugars were 161. Any help, starting point, research, or advice would be appreciated.

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    • #3
      I have no idea per se.

      If you are insulin dependent right now, I -- personally if it were me -- be ok with that.

      Second to this, when I had my baby (just one), I did BLW. I did ultimately wean him at yr 3 because of my own needs, but what I noticed is that the 'breastfeeding weight' fell off around 14 months, when he was eating a fair amount of food with his nursing.

      Thus, if I were you, I would go ahead and get the medications needed, not worry too much about weight loss right now, and just focus on getting into a healthy primal rhythm (sleep, movement, food), and then also breastfeeding and caring for the baby (obviously).

      Then, in several months when the baby starts eating food (mine started at 8 months, but, as I said, wasn't really eating for nutrition until 14 months), then your body will adjust and you'll have a better sense of what is what and what you need to do.

      You might discover that after this time, your body is behaving more "normally" and then you can loose weight and get off meds and all of that.

      It's the best that I have to offer, and I'm sorry if it's not helpful.

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      • #4
        You were very helpful. I feel less like a failure, contemplating insulin, knowing others trying to be primal might make that choice...

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        • #5
          kellymom.com is the best resource for breastfeeding and may have something that will help or reassure you, but ultimately what Zoebird said in spades. The body has its reasons, I guess, nourish it and your baby the best you can and forget about the weight until you wean completely (which with mine was four and was DEFINITELY mother led as the little vampire boy would not self wean). BLW is great and we followed the instructions, but if I was in the room ours always wanted mummy milk first and food, maybe, second. Also, fantastic of you for sticking with it. Well done - you're doing the best thing.
          I like badgers, books and booze, more or less in that order.

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          • #6
            Thank you I've poured over kellymom from start to finish. My friend is an IBCLC, and that was the first resource she gave me.

            Seriously, you ladies rock. I was so stressed out today. I just didn't know what to do, or who to talk to.

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            • #7
              yeah, sometimes it just helps to have random internet people around to reassure you.

              i think that so much of the stress in those early days of being a mommy comes form the immense social pressure that we experience to have a bikini body 6-8 weeks after having a baby, and everything being all martha-steward perfect all the time.

              it just isn't like that. and even if you expect to have things take their time, you don't expect it to take that much time. I was often told "9 months in, 9 months out!" in terms of how long it takes to loose the weight and get back to normal. But even that was *bust* in the sense that it was 14 months before things got anywhere near normal!

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              • #8
                DS is is the process of self-weaning right now and turned 2 at the end of May. When he turned 1 I stopped offering and nursed 100% on demand. He's my second and I didn't lose all the weight from my first before getting pregnant again. I tried various things to lose the weight after DS turned 1, but my body resisted. Only after given up wheat, consciously eating enough, and 3 months did I start to lose. I began the Primal journey in Feb and am down neary 20lbs, under what I weighed prior to my first pregnancy! It's been slower than I'd like, but until a month ago DS was still nursing 2x/day. As he slowed down my body started to shed more quickly.

                So just eat what you know is healthy - by primal standards. Give your body some time to adjust as well. Can you find a doctor that will work with you to manage your diabetes as needed while you change your diet? Take the insulin as needed but eat what you know you should. Your body should start to respond better with time.

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                • #9
                  I have t2 diabetes too and have a baby. My weight loss was slow at first, but I've recently started losing weight and my BG#s are getting much lower coz I'm really pushing myself at the gym BUT I'm not breastfeeding though - and I'm sure this makes weight loss even harder. I would just concentrate on eating well - and enough and on exercise when you can and the weight will eventually come off.

                  The beef jerky probs made your BG# higher after exercise.

                  Don't feel bad - it takes time for most women to lose the pregnancy weight
                  Start Weight: 63.6kg/140lbs
                  Goal Weight: 54kg/118lbs

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                  • #10
                    The only reason I'm concerned about the weight is the more weight I carry, the harder it is to control my sugars. I weigh more now than I did at my highest weight while pregnant.

                    Dec. 2010- 260#, dxd with t2.
                    March 2011- 190#, completely through eating primally.
                    Nov. 2011- 200#, 190# immediately after baby was born.
                    Now- 220# 60% primal.

                    I'm working on getting there again.

                    Lowcarbjas, I'm not sure how a half a playing card amount of protein upped my sugars. I ate at it the same time I tested, so working out and water increased my sugars by 100 points? If I could control my sugars, I wouldn't care about the weight. But for me, anything over 200# makes it hard to control.

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                    • #11
                      It depends on the beef jerky - a lot of them have sugar. If it has sugar then your BG will jump really high. Some t2s can tolerate more sugar/carbs than others. You'll have to keep testing to see which foods cause a spike and which don't. I think a lack of sleep and stress causes higher readings as well.

                      I would talk to a dr about a combo of medicine & lower carb than cw to help with BG#s and weight loss.
                      Start Weight: 63.6kg/140lbs
                      Goal Weight: 54kg/118lbs

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                      • #12
                        IMO, insulin is a better choice than metformin right now. Generally, I'd say try metformin first, but no idea what that does to your milk, so insulin is a lot safer.

                        I do not recommend anything but metformin for most T2s. I do not think ANY of the other meds are safe except Symlin. I'm still not sure about Byetta. I am cautious, argued against Actos and Avandia for years and doctors thought I was paranoid; turned out I was right. I do not like the mode-of-action of most diabetic drugs.

                        IMO, every T2 ought to know how to dose insulin ANYWAYS, bG goes up for lots of reasons besides diet/exercise, and it's better to control than not. Personally, I maintained decent bG just via low-carbing for almost 2 decades, BUT... a toothache, a cold, the flu... all sorts of things would make my numbers skyhigh. I think my overall health would've been better if I'd had insulin available the entire time and known how to use it properly.

                        Insulin is NOT a failure. They make you think it is by "threatening" you, for years they say if you're "not good", you will "have" to go on insulin. Insulin is just a tool. And btw, it doesn't hurt, it hurts less than testing your bG. People should not be afraid of it. If you need it to control bG, then you need it.

                        It will make it harder to lose weight overall, but that is a much lesser concern than out-of-control bG, which causes organ damage. IMO, better to keep your limbs and eyesight than worry about weight loss.

                        Insulin can also cause potassium loss, so make sure you eat lots of nonstarchy veggies and low-sugar fruits; I keep Lite Salt around for muscle cramps.

                        And your use may well be temporary as insulin resistance can be improved by a lot of things.

                        My OTHER advice... there is a LOT of evidence coming about now that gut bacteria are strongly implicated in both diabetes and obesity. I would highly recommend a good probiotic, where "good" means "has lots of colonizing units" of "lots of different bacteria". Article about why I think this is important is here: GAPS for T2 diabetes: why GAPS for T2

                        Also, either take epsom salt baths or use magensium oil topically (can make your own just by dissolving MgCl2 in water) as diabetics tend to have very low magensium, which can screw up cellular energetics.

                        Also, anything that supports the liver is good for you; insulin resistance begins in the liver before spreading to peripheral cells. I wouldn't suggest silymarin, as I have no idea what it does to breast milk, but anything known to be good for the liver, like eating liver itself, is recommended.

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                        • #13
                          Okay, so I went to the doctor. They were surprised by my strictness in terms of glucose control. They wanted me 140 or less, 2 hours after eating. I like to keep myself 120 or less, an hour after eating. We did a full blood panel, and I'm waiting for my follow up appointment.

                          I think stress and crazy hormones are still really digging into me, and my glucose control. I'm taking some pretty heavy courseloads right now in school, plus the baby. I think that has a big part of it. But I'm fast tracking for nursing school, so I've got to just cope with the stress for the time being.

                          My IBCLC researched metformin extensively, and found that it is completely safe for nursing mothers. It's one of the oldest glucose control medicines we currently have, and there is tons of data in lactating women. She nursed her child for 6 years, and knows the risk involved with nursing and medicine-- if she says it's safe, I trust her completely.

                          My glucose control apparently was better than I thought. They held off on Rx'ing meds until after the panel comes back. So my craziness and fervor was probably brought on by stress and lack of sleep.

                          Speaking of, baby has started sleeping through a greater portion of the night, and therefore, so have I. My fastings have gone down to a more normal range with more sleep/less nighttime nursing. One of the two. Night nursings burn a lot of sugar, making me go low, making my body kick out more sugar, making me go high. Nurse again, and the cycle continues.

                          Good update today. I'll update again once the doctor gives me the results.

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                          • #14
                            Megan, you are describing my situation nine years ago -- except that in addition to be a fat diabetic, I was also "geriatric" new Mamma. While I was pregnant, I was able to keep my sugar down under a 5.1 hbA1C -- but once I started breastfeeding I started to gain weight and had a terrible time controlling my blood sugar. I went on metforman and started taking insulin again for the duration. After my little guy weaned me (just after his third birthday) I started having even MORE trouble. Went to the doctor who increased my insulin --wash, rinse repeat. Three years later, I discovered PB. It took a while to get my blood sugar under control...in part because I was taking *too much* insulin for my body's needs, forcing my body to dump sugar just to keep me opn an even keel.

                            My advice, knowing what I know now? Tend to baby and your other needs, eat as primal as you can, and take whatever insulin or metformin you need to keep my blood sugar decent. (You're quite right about wanting to keep your sugar under 120 most of the time, but it may not be possible without meds and insulin for the moment. Do your best and realize that it's only a few years.)

                            Eating primal is best for you and baby, as is keeping your blood sugar uner control in whatever way you can. As you've noticed, lack of sleep is a big factor in the wild BG swings in the early days.

                            BTW, congratulations of keeping such excellent control during your pregnancy despite the doctors orders! That took a LOT of work!
                            Misti
                            ***
                            Grain Free since 2009, WP from 2005
                            ~100% primal (because anything less makes me very sick)
                            Goal: hike across Sweden with my grandchildren when I retire in a few years

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