Food is the lever you control every day
Medication does part of the work. What you eat, and when, does the rest — and it is the part that is entirely in your hands.
For prediabetes and type 2 diabetes, the plan concentrates on carbohydrate quality and spacing, fibre, protein at every meal, and the sequencing of food within a meal. That last one surprises people: eating vegetables and protein before the carbohydrate portion of the same meal measurably blunts the post-meal glucose rise, without changing what is on the plate. If you monitor at home or wear a CGM, those readings feed directly into the fortnightly revisions.
For hypothyroidism and Hashimoto's, the emphasis shifts. Iodine and selenium adequacy, iron and B12 status, timing food around thyroid medication, and handling the goitrogen question sensibly rather than fearfully — cooked cruciferous vegetables in normal quantities are not the problem they are made out to be. Alongside that, the gut and energy complaints that so often accompany the diagnosis and rarely get addressed.
Where both sit together, which is common, the plan handles them as one picture rather than two competing sets of rules.
What changes in practice
Meals timed around your medication schedule. Portions that account for your actual activity rather than an assumed one. And written notes you can hand to your physician, so the two halves of your care are actually talking to each other.
- Meal plans timed around your medication schedule
- HbA1c, fasting and post-prandial tracking across the programme
- CGM data incorporated into revisions, if you use one
- Guidance on hypoglycaemia, sick days and fasting periods
- Written notes you can share with your physician
Conditions covered
- Pre-diabetes
- Type 2 diabetes
- Gestational diabetes
- Insulin resistance
- Hypothyroidism
- Hashimoto's thyroiditis
- Subclinical hypothyroidism
Reports we usually review
- HbA1c, fasting and post-prandial glucose
- Fasting insulin and HOMA-IR
- TSH, T3, T4 and anti-TPO
- Vitamin D, B12, iron studies and lipid profile