The hassle of eating out

If you're anything like me, the suggestion that my friends and I go to a restaurant, to catch up, is often an event that I dread. I have two groups of friends; in one group there are fellow people with diabetes. In the other group, I am the only one with diabetes and no one else in the group has any experience of the condition. 

With the two groups, eating out is a very different experience. When I'm with my friends who have diabetes, we spend much of the evening discussing what we're going to eat, how many carbs are in our meals, what it'll do to our sugar levels, and how much insulin we're going to inject. A recent experience makes me laugh when I think back to it. The 3 of us always go to Nando's when we're together and we all generally order the same thing.

The last time we met, was no different. Having ordered our food, grabbed our drinks and picked up our cutlery, we all checked our blood sugar levels, so we could decide how much insulin we were each going to inject. My meter told me I was 6.8. Not bad, considering we were having a late lunch. My two friends simultaneously checked their levels. We must have looked a little odd, staring at our three meters. However, my two friends were also 6.8. What were the chances?! 

Even though our levels were the same, and we were eating very similar meals, we all injected different does of insulin. I need very little insulin, whereas one of my friends is particularly resistant to insulin, and so has to inject higher doses.

In comparison, eating out with my other friends, who don't have diabetes, is very different, and sometimes relatively more stressful. When I'm with my diabetes-friends, we tend to go to the same restaurant. If we do go to a new restaurant, we all have mobile apps, and are able to discuss the possible carb content of the meals. This way, we can all try to work out how much insulin we need to inject.

With my other friends, it is stressful and difficult for me, at times. No one likes to go to the same place every time, it's fun to discover new places. Before I was diagnosed with diabetes, and before I had IBS, I loved trying new foods. Unlike my sister who would probably stick to chicken nuggets and chips, if she could...

I have to admit, I do get anxious if I know I'm going out to eat with my friends, especially if I've never been there before. What am I going to eat that won't upset my stomach? What food can I eat that won't have masses of hidden sugars? Should I inject before my meal or after? What if we don't eat until late? So many things that my friends don't have to think about. It is sometimes frustrating that I'm the only one in my group who has to worry about these things.

To try to give myself a break, and try to enjoy my meal at a restaurant, I like to know where I'm going, beforehand. That way, I can look online at the restaurant's menu and try to weight out my options. I've also given the restaurant a call on occasion to see if they cater for gluten free. Luckily, most places do put their menus online, and this saves me a lot of time and worrying. Other things that I can do, include using my phone. Some restaurants have their own mobile apps, which contains their menu, and even some nutritional information. 

My favourite apps are for the Harvester, Nando's and Giraffe. I've even heard a rumour that Pizza Express and Dominoes also have useful apps. I'll certainly have to look into that...Another option is 'MyFitnessPal'. Although it is generally for tracking fitness and diet, it has a very comprehensive database of foods, both home made and restaurant brands. For each listing, full nutritional information is available. This has helped me out particularly when I've been to Indian restaurants. 

I'm not trying to make you all hungry from boasting about all these restaurants. Eating out when you have diabetes is always a challenge. It makes me nervous, it makes many other people nervous, too. However, that doesn't mean that we have to miss out. If you are worried about what you're going to be eat, you could look at the healthy options. These will generally be lower in fat, sugar and salt. You could also ask the restaurant staff for more information about specific meals. 

The greatest tip we can offer to people with diabetes, is to be prepared. Knowing what you're going to eat, takes away a major worry that many people have when eating out. Also making sure you know what your sugar levels are, will help you. If you are eating late, or the restaurant is busy, you may find your sugar levels drop. Having some quick-acting carbs (dextrose tablets, orange juice for example) will save you from a hypo in the restaurant.

If you do need any tips on the best foods to eat, what to avoid, or want to know if you're on the right line, when it comes to restaurant foods, please do feel free to comment, or drop a line at louisepeersupport@live.com. 

Have a break, have a kit kat

If you have diabetes, how many times have you heard the following five words...

"Should you be eating that?"

This is a question that is wrought with guilt, doubt and perhaps even frustration. Should you really be eating something that tastes so nice, and has a higher sugar content than that salad you had for lunch? Maybe. Maybe not.

When someone with diabetes is initially asked that question, there are many possible replies and reactions. The person could be overcome with a horrible feeling of guilt. Maybe they shouldn't put their body through the extra sugar? How will this one slice of cake affect them, in years to come? Will it? Maybe if they chose a piece of fruit, instead of the cake, their health will be better.

As peer support volunteers, we are in no position to tell someone what they should and should not be eating. We are not healthcare professionals, and cannot say what the consequences of eating something in particular, would be. However, what we can say is that we understand how tough it can be, to constantly have to question every piece of food, every drink, and whether we can afford to.

It may seem like people who don't have diabetes, are trying to dampen the person with diabetes' spirits. Why should someone with diabetes be allowed a custard cream/chocolate digestive, every now and then?

Like everything, 'unhealthy' food is ok to have, every once in a while. There is no food that someone with diabetes, is categorically not allowed to have. Everything is ok, if it is in moderation. The odd chocolate digestive with a cup of tea, will not affect that person's sugar levels in the long run. It may cause a spike, on that day, but it won't rule the person's sugar levels in the long run.

Of course, even within the two main types of diabetes, there are different attitudes and approaches to what someone eats. It has been suggested that those who are insulin dependent, are at an advantage, as they can take into consideration the extra sugar they consume, when they are judging how much insulin to give themselves. Those who treat their diabetes with tablets, may be more inclined to shy away from the sugary food, as they aim to maintain their sugar levels, through tablets only twice a day (rather than at every meal time).

Whatever your attitude toward food and drink, what other people say, shouldn't make you feel guilty, or like you're in the wrong. It is YOUR diabetes, not their diabetes. No one knows your body as well as you do. If you want the occasional treat, this is ok. Everything is ok, in MODERATION.

We may not be healthcare professionals, but if something is bothering you, in regards to your diabetes, please feel free to talk to us. We have many contacts, within the healthcare profession, who will have the answers to your questions, if we don't.

Food, Glorious Food

Chances are if you’re diabetic that at some stage someone has said to you “Should you be eating that?!” as you reach for a biscuit or some chocolate.  Food and diet in general is obviously one of the most important things to consider when you have diabetes and can cause difficulties for some people who are unsure about what to do for the best.

I remember the first few supermarket trips after I was diagnosed 12 years ago.  As a university student I was faced with the timeless battle of buying the “right” food on a budget.  I think that first trip took me an hour and a half as I poured over food labels, laboriously trying to find the “healthiest” food on each aisle.

In truth that was partly due to still being in a state of shock at being diagnosed, and partly due to not being fully informed about what choices I had regarding food, and how I could use my insulin to manage what I wanted to eat (to a certain extent anyway).

Whilst the picture above is a little tongue in cheek (what about cake with poison for example?), it’s not really far from the truth.  That said, it’s probably wise to make a little distinction between what you can eat and what you should eat.  Perhaps surprisingly the answers to these questions are not really much different whether you’re diabetic or not.

What you “should” eat which is basically a healthy balanced diet which is low in saturated fat and salt and high in fibre and contains lots of fruit and vegetables.  That’s basically what anyone should be eating, regardless of diabetes.  That’s not to say that a sweet or sugary treat is off limits of course, but they should be eaten in moderation rather than making up a part of your daily diet.

So what steps can do to make some improvements to your diet?

Eating a lot of foods that are high in saturated fat can increase your cholesterol which in turn increases your risk of heart disease which is something you obviously want to avoid.  Limiting your saturated fat intake and switching to lower fat spreads or using skimmed milk can help.  The NHS Live Well site has some good information on reducing your fat intake.

It’s also worth taking a look at the Eatwell Plate which gives a good guide on what proportion of your daily food intake should come from which food groups.  You might find that making a few small changes will give you some big benefits.

There are also other resources you can use when reviewing your diet.  Diabetes UK have a guideto healthy eating with diabetes which includes over 250 online recipes.  You can also make an appointment to talk to a dietician via your GP or Diabetes Centre at your local hospital.  They can offer a number of options for you depending on your circumstances.

Finally, you can always talk to other people with diabetes about their experiences, either via this blog, Twitter/Facebook or using one of your local groups.  It’s always good to be able to speak to other people in a similar situation to yourself as sharing tips and frustrations can often be a good way of finding out something new.

You can find us on Twitter at @AndyPeerSupport or @LouPeerSupport or search Facebook for “Diabetes Peer Support Sheffield” or “Essex Diabetes Peer Support”