lchf diet not working?

[jack412]

who is better to watch? im always learning.

as for Dr fung, it is not so much what he says, its what others say, hes using everyone elses research and trials as an example, i think if it can fix t2 it should at least help t1

he is giving his version of other peoples work, I suggest you read the original. This is going to go around in circles and you are still going to have uncontrolled BG...lets all start again. do take note of what these T1/1.5/insulin dependant diabetics are telling works. and take it to you diabetic nurse. at the end of the day you do what you think is best for you, based on professional medical advice from your diabetic team,

as a pleb I'd say like on the last page, I'd suggest eat 3 meals a day, get your BG and insulin right.
then work from there with minor changes at a time

edit, I shouldn't watch tv while i'm replying, the thread has moved on, perhaps it will make more sense to the OP tomorrow

 

[evopilot]

Well I've spent some time trying to answer and now the thread has moved on somewhat: I'll post it anyway!

You are using a mixed insulin.
Humulin M3 30/70 is premixed containing a 70% intermediate acting insulin and 30% short acting.
This one (m3) takes a time to start working so normally taken some time (say 30 min) before a meal
http://www.netdoctor.co.uk/diabetes/medicines/humulin-m3.html
Novomix 30 is a premix containing 70% intermediate and 30% rapid acting.
The rapid part of this works more quickly so is normally taken just before or even just after a meal
http://www.netdoctor.co.uk/diabetes/medicines/novomix-30.html
Most often people are prescribed these insulins twice a day at breakfast and dinner but if prescribed 3 times a day the expectation is that it is before each of 3 meals.
These diagrams may help you
View attachment 5586
Images from http://www.betapresentations.com/InsulinMar07b.pdf
You can see (just) that the rapid insulin in the novomix works a bit faster than the short acting in M3, otherwise the action of the basal is similar

The use of these insulins is based upon both eating at regular times and regular amounts. This requires consistent carbohydrate intake because if you reduce insulin because you've stopped eating carbohydrates you will not have sufficient to cover your basal needs. If you don't reduce the insulin then you would hypo. It is not going to work with a on /off fasting schedule and it's no wonder that you are getting very up and down levels.
I did write about how to adjust these insulins but for the moment I've edited it out.
There are more flexible insulin regimes which many of us use but they involve 2 insulins and more injections

thanks phoenix, ill take this on board but i dont think this site is for me, honestly some comments are really pissing me off and its not good for me, thank you though.

 

[Deleted member 83869]

What comments

thanks phoenix, ill take this on board but i dont think this site is for me, honestly some comments are really pissing me off and its not good for me, thank you though.

What comments???

 

[jack412]

thanks phoenix, ill take this on board but i dont think this site is for me, honestly some comments are really pissing me off and its not good for me, thank you though.

mate relax, high BG can get your nerves on edge, there is no hard feeling on this forum and don't leave because of perceived friction, it's said with a wish to help

 

[mo1905]

they both cause high blood sugar and high glucose, they both have insulin resistance? im aware they have different causes but lead to the same thing, so what are you talking about?

Because you said what will fix a T2 should work with a T1 which is wrong. I think you've had some great advice so far which maybe you should take and move on. Unless there is something else troubling you ?

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[Ian DP]

hi everyone,

i was diagnosed with diabetes in 2004 i was severe DKA, at first doctors thought i was a type 2 (bit over weight) then they said type 1 and now they tell me type 1.5, my control over the years has not been very good, i go up and down big time, for example, a single piece of bread (doesnt matter which type) can send me up to 25 and i get hypos down to 1.6, after that the meter reads LO.

after watching some lectures from Dr Jason Fung i tought i would try this diet to see if it can help me, at first it didnt do anything but now after a few weeks it seems my blood sugars are more stable, ie: no hypos in weeks and no "real" hypers, but my blood sugar on average is still between 9.5 and 14 (good for me though).

is it supposed to be like this? will i ever get normal blood sugars or A1c? my A1c last year was 13.4 and my latest a few months ago was 11.4.

do the sugars come down gradually over months? or am i just too wrecked?

im not over weight, i am 5'11 80kg bmi i think is 24

i am mainly eating salads, butter, bacon, eggs and meat, also after i excersize my sugar goes flying high.

thanks

Hi evopilot,
Your diagnosis sounds much the same as mine, only mine is much more recent. Diagnosed T2 sept 2013, BS levels 20+ high DKA, rushed to hospital where they stabilised me overnight. Diagnosed LADA dec 2013 and have been lowering my carb intake ever since. Now down to around 40g carbs per day, and have found over the last month or so that protein also needs to be watched, and that 10g protein is equal to about 5g carbs, but absorbed very slowly, sometime I feel it takes me 3 days to get over high protein intake. My protein intake is around 100g per day. My pre breakfast BS reading are averaging just under 6. Latest Hba1c 5.7%. If I have a very high protein level day my BS readings can be up for upto 3 days. Double cream and butter are high fat, very low protein. I get through a pot of double cream per day and a pack of butter every 4 days.... Cream made me feel sick at 1st, but got used to it after a few weeks, now love it.

I am not on insulin or medication, but I know that gradually my beta cells are destructing, but I feel (hope) that I can delay this by keeping on a LcHf diet. Dr Bernstein's books are well worth a read, dr Bernstein is now over 80 and has been on insulin some 65 years, with very little if any complications, all down he says to keeping 'normal' blood sugar levels.... Indeed he says he owes his good health because of his diabetes.... In that it has forced him to look after himself (LcHf diet and exercise).

Whether you can get off insulin (being a LADA) will I, would think, depend on how many of your beta cells you have remaining. Many studies have indicated that beta cells destruct with blood sugar levels over 7.8. If you have had high BS levels over the last few years, then maybe you have very few beta cells left. Most trials seem to indicate that beta cells can not regenerate once dead, but one or two seem to think they can. You can preview some pages of dr Bernstein's book free on amazon. I purchased it on iBooks for £5.00.... Below is an extract from his book.....

Dr Bernstein's
Diabetes Solution, page 96) THE Honeymoon period

There are several hypotheses as to why conventional treatment won’t let the honeymoon go on forever, but my experience with patients indicates that with proper treatment it can. Essential to this is a low-carbohydrate diet and normal blood sugars. This will help preserve whatever insulin-producing pancreatic beta cells you may have. (The same is true for type 2 diabetics. Beta cell burnout the destruction of beta cells caused by excessive demands on the pancreas and by the toxic effect of high blood sugars upon beta cells — can be avoided, halted, and in some cases reversed if you get on the Diabetes Solution program and get your blood sugars normalized.)

Good luck... In my opinion, you getting off insulin is very unlikely, but only with a LcHf diet have you any chance of succeeding.
In my opinion, low BS levels are the key to good health and associated complication avoidance, if my BS level readings start averaging 10+ I will be pleading for insulin.



Diagnosed T2 in sept 2013, BS levels 20+. BMI 22, age 58. Requested a GAD test in November, came back very high 2,000+, doc said I would be T1 very soon, but presently LADA, and managing to keep 99% of my BS readings one hour after meals under 7.8 without insulin or any medication.
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[bellabella]

Look up the DCCT trial, one of the landmark trials which specifically concludes that tight insulin control significantly reduces the incidence of micro vascular complications in t1 ( kidneys, eyes and feet). There's also a follow up which shows a reduction in macro vascular ( heart attacks, stroke) on tight insulin control too.

the study says complications occur at the same rate whether you have loose or tight control, i dont do studies thats just what it says. also another study says that T1's still produce 'some' insulin even after 20 years, so in theory if you had good control you could regenerate your pancreas beta cells with something like autologous adult stem cells etc, but for how long the effect would last..i have no idea.

can anyone tell me, when starting low carb high fat did it start off bad like im doing and get better? or was it better quickly? (a1c, fasting bg etc)

if i can work out this diet right will my numbers improve?

i have been reading a bit here and i see lots of success but mainly for people who are newly diagnosed or have good control, good A1c's etc, i think i may already be too far gone

the

 

[Scandichic]

Hi, im eating plenty of cheese a butter, isnt that high fat? what else should i eat?

i dont count carbs because i wouldnt know how, but im not (and havnt for a month) eating any bread, cereal, oats flour, rice pasta etc

i am only on insulin, i was using 100 units a day now im using about 40 on this diet, i havnt told my doctor what im doing, hes very negative about diabetes and says i have brittle diabetes and ill never get off insulin

As @jack412 has suggested, I would try looking at Andreas Eenfeldt's blog. He is a Swedish doc specialising in obesity and diabetes. The blog is called Diet doctor. Here's the link. https://www.dietdoctor.com/?s=Type+1&submit.x=-962&submit.y=-178