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I lost a lot of weight at the beginning to the point where I thought maybe there was something else wrong with me. But it was my diet and not getting enough calories. So I adjusted and have weighed my ideal weight ever since. I use the libre 2 sensor…it was a game changer because I could see what foods affect me without pricking the finger. Also my insurance would only let me use finger pricking three times a day. This allows me to look at anytime especially during exercising.

My endocrinologist has me on Invokana. Causes the sugar to leave my body via peeing. Also Diamicron which is supposed to help me release insulin so the sugar isn’t floating in my body. If you’re diabetic you know what I mean! And finally Januvia. All three of these meds I take once a day in the morning. I also take a statin before bedtime to help protect my heart. I have been diabetic for seven years, diagnosed six months before my cancer diagnosis leading to my j pouch.

My way of supporting my j pouch and avoid sending my diabetes blood sugar spiking is portion control. I love pasta, rice, fresh flaky croissant, all the white starchy foods you’re not supposed to have as a diabetic, but are good for the j pouch to help form soft or solid stool!  A dilemma. So I have pasta and rice, and croissant once in a while. But I watch the portion. I have to avoid raw vegetables because it makes my pouch seize up and stop. If you don’t want to bother measuring every bite of food, imagine a cup of pasta or rice or mashed potato as the size of a fist. A tablespoon of butter is your thumb size. Four ounces of protein is the size and thickness of your palm. Or a deck of cards. Give or take. But you get the picture. Divide your plate into three sections. Half your plate is well cooked vegetables. 1/4 of the plate is pasta or rice or bread, this is your carbohydrate. The remaining 1/4 is a protein, i.e., broiled or steamed fish, chicken, beef, tofu, whatever you’ll eat.

I started to make a very easy and filling soup, hardly any prep, that is good for my blood sugar and easy for my j pouch, helping it to form soft solid stools! I buy a bag of frozen vegetables - a mix of broccoli, carrots, squash, cauliflower, anything I like and will eat. Add half a carton of a good store-bought broth to a pot, add a cup or two of the frozen vegetables, a clove of garlic if you like, some grated ginger in the wintertime, maybe some chicken bones or pork bones to make the soup hearty and rich. And, if you have it, toss in some leftover chicken or ham for extra flavour. Bring to a boil, then simmer on low for 15 minutes. All the colourful vegetables will be cooked very soft so your pouch can manage it, and the rich broth will be delicious and hydrating, and filling. Any meat you added will probably be so well cooked that you can’t eat it but it’s okay, you’re only using it for flavour and to enrich the broth, that’s why I keep a zip lock bag of chicken or beef bones in the freezer. I also use the Freestyle Libre to scan my blood sugar. I hated stabbing my fingertips! The only time my sugar spikes and skyrockets, then plunges until I am dizzy and shaking, is when I eat huge portions of any white starchy food. Try the soup to stave off hunger in between meals. Being diabetic and managing a j pouch is a real challenge. Good luck to you.

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