Can’t seem to find the right long-term diet

I’m still lost about what to do about my own obesity and high blood sugar. Last year, for 12 weeks, I tried “Protein Power” and gained weight, and then “Always Hungry?” for 12 weeks. My HbA1c, which was 8.0 ticked up slightly to 8.1 and I gained some weight.
Then I went on McDougall’s “Starch Solution” for 15 weeks. I lost 40 lb, and my HbA1c dropped to 6.1. My doctor was thrilled, as was I.
For me, it seems HbA1c always is related to weight. If I lose weight my blood sugar goes down. If I gain weight it goes up. On the low-carb diets, even with mindful eating, my caloric intake tends to be higher. A tablespoon of oil here, a tablespoon of oil there – it adds up.

On “Starch Solution” my total cholesterol ended up at 122, and LDL at 67. On “Protein Power” it remained in the normal range, but started creeping up.

The problem, though, is that after 15 weeks on “Starch Solution” the high glycemic carbs seemed to trigger “hunger spikes” in me. And as much as I tried “mindful eating” I just got cravings after eating carbs – even “whole foods” like brown rice and potatoes. I’ve since regained 30 of the 40 lbs I lost.

I now sort of think the reason I lost so much weight was the 5 weeks during my “Starch Soluton” diet where I got a really bad summer cold and lost my appetite in a way I never had before. I had to add protein drinks just to get up to 800 calories/day. After I got better my appetite rebounded, as did my weight.

For the last week I tried recommitting myself to “Starch Solution” and tried my best to observe “mindful eating” – eating only when I was truly hungry. I’ve been really good, according to plan. Yes, I’ve had some white rice instead of brown rice. But Dr. McDougall says that’s ok.

While my total caloric intake was less than on a low carb diet, doing it this way I found I was eating 2200 – 2300 calories day. I neither gained nor lost weight.

So I’m not sure what to do exactly. All diets which actually result in weight loss (I’m currently about 110 kg) require long term deprivation it seems.

I think one thing all diets seem to agree on, be they low carb or low fat, is that processed sugar is very unhelpful. Though McDougall isn’t a fanatic about that either.

I’d really like to at least get under 100 kg again, like I was after 15 weeks on “Starch Solution.” While still technically “obese” it is vastly more comfortable than my current weight. But the high glycemic carbs now (including whole foods like brown rice and potatoes) just seem to be hunger triggers for more these days. So I’m sort of stuck.

And loading up on non-starchy vegetable well, I’ve been there done that. It’s not satiating either. And it’s not “Starch Solution” and it leads to separate digestive issues.

So I’m still searching.

After 30 weeks on “Starch Solution” having problems and returning to plain old calorie counting – yet again

Previously I had posted here about my first 15 weeks on Dr. John McDougall’s “Starch Solution” and the better results I achieved compared with Dr. David Ludwig’s “Protein Power.”

Unfortunately at week 30 I’ve regained about 1/2 of what I lost those first 15 weeks. I’m still down about 20 lb from when I started 30 weeks ago, but I had been down 40 lb, so I’ve regained half of what I’ve lost.

My blood tests remain good. My blood sugar HbA1c is now in the normal range, and my cholesterol is extremely low. All my blood tests are in the normal range.

But I think my blood sugar will start going up unless I can, yet again, get weight loss under control. I had dropped below 100 kg for a few weeks, and now I’m above it again. For the year I’m down a disappointing 11 lb only. I suppose you could say if my new year’s resolution was to lose weight this year I’ve technically kept that resolution, but still…

And I am still down 46 lb from my high in 2012. So I’ve managed to avoid a complete rebound so far, for the first time ever. So that part is good.

But “Starch Solution” just isn’t working anymore. I need to rethink again.

As I posted in the “Starch Solution” support group on Facebook, I appreciate everyone who gave constructive comments. Different diets work for different people I think. I don’t think there is a universal answer that works for everyone, which is why people everywhere are endlessly debating different kinds of diets.

Multiple people in the Starch Solution support group agree with what I wrote and say they have the same problems I do. So I know it’s not just me.

For now, I think the best way to get back to losing weight is to strictly count and control calories again. Just keep on logging everything in MyFitnessPal, which I’ve been doing for over 1,600 days now, through good and bad days, and really try hard to stick within calorie limits.

I know calorie counting works. And it offers the most variety. However, I also know it’s not sustainable after a couple of years, having done it many times and then rebounded. But to be honest I also feel that while Starch Solution worked at first, it too has turned out, for me, to be yet another diet that isn’t sustainable long term. Some things about that diet are not right, and some things Dr. McDougall, the author of the diet, has said also turned out to be hyperbole at best.

I do recognize that Starch Solution seems to work for some people and am not disputing that. Even low-carb ketogenic and near-ketogenic diets seem to work for some people (though not for me – too high calorie). I imagine even “Protein Power” works for some people, though I gained weight trying that.

The advantage of low calorie diets, where you take into account what you eat, and calories expended in exercise, and log everything, and are very careful to keep calories in balance, is that it always works as long as you can stay on it. And calorie-counting offers the most variety (no particular food is forbidden), and offers a positive, measurable encouragement to do exercise (the more you exercise, the more you can eat and/or the more weight you lose).

The premise with Starch Solution, that the starches would keep you satisfied and control your hunger, only seemed to really work for me for the first 10-15 weeks. And during that time I was also ill for 5 weeks with a bad summer cold and lost my appetite. So I lost an unnatural amount of weight during the illness. Since my first 15 weeks, though, It’s been rough and I just need to try something “different” while trying to figure this out.

So it’s back to “good old” calorie counting for now. And I’m not particularly caring exactly what is in the food I eat as long as it’s low calorie and seems to satisfy me so I don’t overeat. I honestly think everything else – cholesterol, blood sugar, overall health – comes with weight loss. After all, if you are on a low-calorie diet then it’s impossible to eat too much fat, or too much sugar, or really overdo too much of anything unhealthy. Calorie limits create a cap on everything. The fact there might be non-vegan ingredients in food doesn’t, by itself, really matter than much. For example, think of ordinary miso soup. The dashi in miso soup contains some bonito extract. I can’t believe that is going to make the difference between good and bad health.

Calorie counting also makes it easier when on the go, because calories are labeled everywhere, even in many restaurants.

Anyway, here I am going with yet another change of diet. And it’s a diet I’ve been on before too, so while I’m not exactly full-to-the-brim with confidence I am going to try it again.

All I can do is keep trying.