Robbity
Expert
- Messages
- 6,686
- Type of diabetes
- Type 2
- Treatment type
- Diet only
Robbity, I am fairly sure any T1s and T2s who are medicated should get GP support with monitoring and gradually reducing insulin/meds in view of greater likelihood of hypos on a ketogenic diet. With T1s they also have to be careful of developing ketoacidosis. I am sure those more adept and able will correct me if I'm wrong.
I wasn't suggesting that they shouldn't get their GPs support and approval, and/or adjust their medication appropriately - there's no way that I'd do so, particularly with insulin users, but I believe such approval should also apply to all the more "extreme" diets we eat, not just ketogenic ones.
There are perfectly safe levels recommended for nutritional ketosis (as long as people are sensible and keep to them), and they are very much lower than the point at which we'd need to start being concerned about ketacidosis. See chart:
Personally, my levels on a very low carb/ketogenic diet are generally very stable, I believe due to having a continuous supply of fatty fuel for energy, and the only times I've everseen somewhat scary low dips have been this year when I've just changed a Libre sensor, and then slept on it most of the night... My Libre readings usually tend to be berween 0.5 and 1.0 mmol/L below my Contour Next, so I've always been well away from hypo levels.
Robbity