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This blog is a plea for understanding the trials and tribulations that I'm going through since my consultant endocrinologist appointment.
I have been struggling with the thought of coming out of ketosis. I have got used to my lifestyle and I had always talked to myself mainly that I am in the best place to be in to control my condition, but my specialist has put doubts into my mind, which means that I have to question my priorities and if I am going to be his test subject and his guinea pig in getting somewhere close to having a normal dietary intake.
The debate goes deeper than just eating or upping my carbs, because, I'm really reticent and scared of being ill again. I have gotten over the need for the baddies and most of them are abhorrent and I couldn't touch them again. I've done without all the starchy carbs and grains and only limit myself to meat and salad veg. So do I up my veg or eat more protein, or how do I up my very low carb intake.
My doctor has suggested a half slice of rye bread with my evening small meal, which usually has no carbs at all, just protein and fat. I do have one slice of Bergen bread but usually at lunch, with meat and salad! but two pieces of bread, even though ok, is that low or high enough? Or too high?
I'm not sure, I suppose I will have to find out!
What is giving me these questions, well as in my previous blog, I have been informed of the great news, that the meds I'm on has given me the opportunity to test my consultants theory to have a sensible amount of carbs whilst low carbing and just be above ketosis as this would in his words be healthier in the long run, long term, not just the present but in ten years time. He is very wary of me continually staying in ketosis.
The reason why my meds, have given me this opportunity is because of after having carbs, my blood glucose levels would usually spike very quickly and use my glucose up rapidly, then because the insulin hasn't been used and I overshoot insulin, the excess insulin takes me into hypo hell!
What is happening now after my last prolonged OGTT, was that my spike was considerably less than usual and even though I still went into hypo, it was later than usual!
So if I have a lower hyper, I have a longer window till I hypo.
But and this is where I'm in a quandary! If I don't spike at all, then I don't hypo!
Also into this equation, goes the excess insulin, because this would like it used to do be turned into visceral fat.
Again, do I have a little more carb, no matter, the very small amount and not have an impact on my body.
I am slowly losing weight, because, I have to eat small meals throughout the day and increasing anything would slow the weight loss, would this upset my balance?
This is frustrating, the more you put into this problem the less you get out of it!
I could be on a winner by satisfying my endocrinologist by slightly upping my carbs and still feeling good.
Or I could be a loser by going back to the yo yo effect of having too many carbs.
I need to satisfy myself that I can do this, there is no other way, my specialist won't be happy until I do and I can always stop and revert back or fast if I need to!
Fasting for a day will put me into ketosis.
To go into ketosis was a necessary thing to do to be in control, it may not be a need to do so now. I can now come out of ketosis and hopefully stay in control!
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