More changes

I've been feeling very stressed out today and it occurred to me how much small changes affect my overall well being. Let me elaborate. I went to see a nutritionist today to reassess my current diet. Ever since being diagnosed with gestational diabetes in September of last year I've been following a restricted carbohydrate, low glycemic diet. Most recently I had my hemoglobin H1c levels checked and my blood sugar remains high so I restricted my diet even more by eliminating most fruit, grains, and dairy. Not surprisingly I've been feeling very tired (ie, not enough energy). At first I thought it was the sinus infection I've been fighting for almost a month. But as I started to pay more attention to my body I noticed how my energy fluctuates from hour to hour. This can't be normal. Yes I have a new baby and a very active toddler and together they demand a lot of my time and energy but what I've been feeling goes beyond normal post partum fatigue. I began to think that perhaps my energy intake was insufficient so I sought to get a reassesment of my current diet. This brings me back to today's visit with the nutritionist. I chose an integrative medicine practitioner to help me deal with my blood sugar issues because I haven't exactly been getting the proper care at my current practice. This person came highly recommended AND she takes insurance so I said why not? She is actually wonderful as far as I can tell but she handed me over to a nutritionist to talk about some changes in my diet and that's when the trouble began. The thing that baffles me most about some practitioners is the narrow minded approach with which they view their clients. I had a similar experience with my GD dietitian: She had a plan for me and wanted me to produce the results, never mind how my body felt or did. My new nutitionist began by talking to me about a "moderate" 1600 calorie a day diet with a middle of the road ratio of carbohydrate, proteins, and fats AND she said that I must eat carbs in the morning. Immediately my heart started racing. Say what? Carbs for breakfast? That goes entirely against everything I've been told or read about insulin resistance. I immediately want to walk out so instead I begin arguing with her in the most political way I can. Turns out I know a lot more about insulin resistance than she does. I won't hold it against her. But I will hold against her the fact that she's trying to put me on a low calorie (yes, 1600 calories a day is low calorie!) diet. My basal metabolic rate is 1400 calories. That means that if I lay flat on my bed all day and just breath I burn 1400 calories in 24 hours. So that leaves me 200 more calories to account for everything else: running, BREASTFEEDING, walking, sitting, chasing around my kids, reading, typing, etc. etc. etc. Any person with a little reasonable common sense could have figured that out. I decided to take the paperwork she gave me without further argument and proceeded to talk to Pam (the good practitioner) about the diet plan I had just been given. She and the nutritionist went inside closed doors and walked out with a much more generous 2400 calorie a day diet for me to follow, with carbohydrates in the morning. I'm sort of relieved that I won't have to live on kid sized meals but scared about the changes this may produce on my blood sugar levels. I'm still not sure how to handle this so I needed to "hear" myself think. Thanks for being my sounding wall :)