I have been following the Newcastle low cal low carb diet for slightly less than four weeks initially my early a.m. fasting blood sugars were around 6.5 mmol/L and they declined progressively to around 4.2 over the first three weeks. Two hours post-prandial in the evening has been about the same. This morning, however, my reading was 3.7. Should I be concerned or not? I am taking 4 x 500mg metformin, 14mg Rybelsus and 10mg Dapagliflozin daily. Urinary ketones are about 3.5. Weight loss has been 107kg to 98.5kg.
You're on a lot of medication to just go on a relatively extreme diet without assistance. Don't get me wrong, your weight loss and getting lower numbers are a triumph, but it can get a bit risky with me medication you're on. You're going a tad low, so if you want to stay the course, you'll need to adjust your medication down to cater to the change in diet. Or, of course, change the diet. (I'm assuming you want to get rid of meds though, eventually?) Either way, not something to attempt on your own... I know it's easier said than done to get a GP, dietician or nurse involved these days, but please.... Don't mess with this by yourself, if that is what you're doing. I went very low carb while on gliclazide, because for some reason my specialist believed I couldn't hypo on it... She was quite wrong, and hypo's are
not fun. My GP took me off of it when my numbers showed excellent control. So it's something to discuss with someone, maybe?
Just please, be careful, and do keep testing!!!!
Jo