liquid diets for diabetes

Q:  I am a 54 young female and also a type 2 diabetic. I am only on medication
right now. My AC1 is 6.4. I am 5'5, 203lbs. My question is,what are your
thoughts on liquid shakes? I am really interested in Visalus shakes and I
have enjoyed them. Are liquid diets safe for diabetics? I have consulted my
Internist, but I would like a second opinion, so to speak. Thank you for
your time and thoughts on this.

Sincerely,
Judy 

A:  Hi Judy,
Thanks for your question about liquid diets for weight loss in persons with diabetes.  It is likely safe to use a meal replacement shake for weight reduction, as long as you are monitoring your blood sugar closely so you don't become hypoglycemic.  Most shakes designed for diabetics should have a balanced blend of slowly digested carbohydrates (such as corn starch or resistant starch), low saturated fat and protein to mimick a meal.  Meal replacement shakes have been found to be convenient and beneficial in reducing weight compared to other methods of weight loss, but like many diets, have not been researched long term.
My only concern would be transitioning to solid food after you've used these shakes for a while.  If may be unrealistic to use them forever to control weight and keep blood sugars in check long term.  I'd suggest you work with a Registered Dietitian to develop a meal plan that is reasonable for weight loss and sustainable long term for blood sugar control.  You can locate one through the ADA web site at http://www.eatright.org
Best of luck!