I am very shaky and just do not feel well. I have diabetes and high blood pressure.

I was diagnosed with NIDDM (non-insulin dependent Diabetes Mellitus) about a month ago because of a glucose reading of 146 over a period of more than a year. I was told to quit eating sweets, exercise and lose weight and take 1/2 of a Glucotrol tablet daily. I am 61 years old and have high cholesterol and high blood pressure. I am in limbo sometimes, I am very shaky and just do not feel well. I was wondering if the Weight Watchers diet would work for me. I lost weight this way once before, but after the initial weight loss, I found 1 or 1/2 pound difficult to lose. Any suggestions would be appreciated.

If you feel as if you are going to faint, please call 911 the emergency number.

The pill you take is not insulin but stimulates your body to produce more insulin. When you feel weak and shaky like you are going to faint, your blood glucose may be too low. Another symptom is sweating. When you feel like that, you should drink a 4 to 6-ounce glass of juice or milk or regular soda, 1 tablespoon honey or syrup or 6 saltines. If you don’t feel better in 15 minutes, drink another glass of juice, milk, soda, etc. If you still don’t feel good, your blood glucose probably isn’t low. If your feeling shaky happens more than once a month, contact your doctor to regulate your medication.

Weight Watchers diet uses a points system based on the calorie, fat and fiber content of foods or calorie density with low-calorie foods emphasized. The concept is similar to carbohydrate counting which is based on carbohydrate content in foods in the diabetic exchange list. Weight Watchers diet does not include a specific cholesterol or salt restrictions which the exchange list does identify.

I recommend you see a registered dietitian to create an eating plan that incorporates all three health issues, diabetes, high cholesterol and high blood pressure based on your food preferences. When you hit a plateau where weight loss is difficult, a dietitian could evaluate your food diary and exercise program to get you losing weight again.

Weight loss, combined with exercise, lower fat and salt intake can lower your blood glucose, cholesterol, and blood pressure.