TLDR; If I stupidly over ate for 4 month and gave myself acute insulin resistance and some diabetic symptoms because of prolonged elevated blood sugars, like slow wound healing and reduced kidney function. If I suddenly recovered to normal preprandial and postprandial responses and my pancreas blood numbers are okay. Will my kidney function recover? and will the slow would healing improve? Just wondering for anyone that has put their diabetes in remission, how long can I expect see wound healing normalize and to stop feeling thirsty?
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I'll just put my story here in case it helps anybody and I know there are different approaches and reasons for the disease if something breaks at different places. But anyways, I was vegan for a few years, not sustainable and then I had a bad knee too so I tried the Carnivore diet as a way to help it ... It went good for about 4 months but I started getting insomnia and I was getting up to pee but looking back I think I was consuming too much salt and I was getting reactive hypoglycemia as I was waking in a slight sweat. Mostly my blood sugars were around 5.2 to 5.6 during the day and maybe 6'ish something sometimes after eating. Doctor was no help with the insomnia and my FBG was 4.7 then ... I did notice when I drank a lot of cream that I put on weight around my tummy but if I stopped consuming it, I would lose the weight again. I thought I wasn't adapting with the issues I was having so decided change go to Ketogenic diet like high fat after listening to Stephanie Keto Pearson saying that you needed to eat at least 200g of fat and butter to adapt. So I tried it and had a lot of digestive discomfort for a while, pale stool and diarrhea and I got bubbly pee (which I still have on and off yet), it passed after a while but I was feeling kind of dehydrated so I was thinking my electrolytes were off ... I ate this way for 4 months trying to balance things or find the right balance and I did notice I was putting on weight and my heart rate was elevating and elevated ... I didn't worry about the weight cause it was only a few pounds and I figured I'd just burn it off whenever I wanted but my hormones must have switch on me and made me blind cause I started eating more and more as time went on and it was like I could see it but not see it at the same time, I over ate by about 138,000 calories of fat in 4 months. I though I was ramping up my metabolism as weight gain was so slow. I did check my blood sugars a few times during this period and it didn't seem high after eating, 6'ish something mostly and I was more tracking ketone's which were high. Then I started getting flank pain and I noticed my fasting blood sugars were rising, went up to 6.2 one morning, I thought it was poor sleep the night before and then it went to 7.3. I thought maybe elevated because of infection or something because I was not eating much if any carbohydrates <20g total and everybody says fat doesn't raise blood sugar or insulin (not directly anyways)... Around this time I also noticed my wounds were healing slowly. Anyways, once I realized I was having diabetic symptoms that none of my doctors picked up on, I decided to return to my normal diet for a while and my postprandial blood glucose response were totally awful 9.1 but my amylaze was low then and I wanted to see if I could up regulate after two weeks which it did, now it's higher than normal ... I also did some prolonged fasts, back to back the last month, so long story shorter here, I seem to be having normal glucose responses right now (although I would still say they are higher and just for a bit longer that I would like like, area under the curve, they call it) but they fall outside any clinical diabetic or prediabtic ranges. Doctor wasn't even worried or wanted to do test in the current climate with Covid and just advised me to change back to my last diet but after the research I did, I'll be returning to these diets again on a cyclical basis and hopefully do them properly. So anyways I got some private tests done and my HbA1c is 30mmol/mol, fasting insulin of 8 and blood glucose was 5.7 but it wasn't exactly taken first thing in the morning so it's on the threshold of a HOMA-IR score of just being mildly insulin resistant, C-Peptide of 2.2 so I think I am doing really okay again as of now and if I can maintain or improve over the coming months then I should hopefully be much better but I am still concerned about a few things. Will the slow wound healing go away? and if so how long will it take? or what is your experience of this after your remission. Has your kidney function increased any after going into remission? Has the excessive thirst gone away? I also get a bit of bloating now after I eat. I still feel very thirsty and have bubbly pee even though my numbers seem much better this last while ... I was thinking or hoping it would take maybe 3 months or more before I get all undamaged new blood cells? or is there other factors that effect the skin that take longer to improve.
Thanks for your feedback and insights, Its very much appricated.
Addendum :- This is just for anybody that is curious what I 'think' happened metabolically because I see a lot of influences here (not actually 'here', it's a phrase, I'm new here lol), there and everywhere saying that fat or high fat doesn't make you fat and diabetes is caused by high sugar, not fat. Not really so, I wasn't eating any sugar at all, just a few cranberries most days and occasionally an avocado. Now there are lots of things at play, lack of sleep, stress, weight gain, gyms closing, saturated fat experiment, lower potassium intake, higher sodium intake etc that have contributed to the situation but I'm thinking now that because I was physiologically insulin resistant from eating low/zero carbohydrates, when I over ate on protein and fat, the muscles refuse it and there is a smaller sink so to speak to take up glucose and the protein would raise blood sugars by stimulating glucagon on top of the gluconeogenesis that was already happening and it made my liver pump out extra sugar, double whammy. The excess fat and or saturated fat I was eating (over two time more than I needed, sometime three) was making my Free fatty Acid levels skyrocket ... I'm was only 126 lbs but was consuming up to 300g of fat at the end. Since I discovered excess FFA can induce insulin resistance in the liver ... Because the only glucose I have in circulation is coming from GNG which I need, my insulin can't spike super high to reduce glucose levels or I'd go into a coma or die. So my blood sugar was sitting slightly elevated all the time until my muscles took it up through use which I wasn't doing a lot of at the time. At the same time I think my liver was taking sugar up from the blood and turning it to fat as it can do so without insulin and it made my liver fatty and it probably spilled into other organs too. I did not put weight on anywhere else in my body, just the visceral area. Over all this is a problem with excess energy, too many calories within a certain periods of time. More emphases need to go into distinguishing between 'High Fat' and 'Excess Fat' and it seems like Keto folks have a bias in never mentioning this or warning people about the dangers of eating excess calories of fat! They just all causally say eat till your full or fat does not make you fat, sugar this, sugar that, sugar the other. So there you have it, the Ketogenic diet gave me acute diabetes but I guess you could say, I did it wrong.
---------------------------------------------------------
I'll just put my story here in case it helps anybody and I know there are different approaches and reasons for the disease if something breaks at different places. But anyways, I was vegan for a few years, not sustainable and then I had a bad knee too so I tried the Carnivore diet as a way to help it ... It went good for about 4 months but I started getting insomnia and I was getting up to pee but looking back I think I was consuming too much salt and I was getting reactive hypoglycemia as I was waking in a slight sweat. Mostly my blood sugars were around 5.2 to 5.6 during the day and maybe 6'ish something sometimes after eating. Doctor was no help with the insomnia and my FBG was 4.7 then ... I did notice when I drank a lot of cream that I put on weight around my tummy but if I stopped consuming it, I would lose the weight again. I thought I wasn't adapting with the issues I was having so decided change go to Ketogenic diet like high fat after listening to Stephanie Keto Pearson saying that you needed to eat at least 200g of fat and butter to adapt. So I tried it and had a lot of digestive discomfort for a while, pale stool and diarrhea and I got bubbly pee (which I still have on and off yet), it passed after a while but I was feeling kind of dehydrated so I was thinking my electrolytes were off ... I ate this way for 4 months trying to balance things or find the right balance and I did notice I was putting on weight and my heart rate was elevating and elevated ... I didn't worry about the weight cause it was only a few pounds and I figured I'd just burn it off whenever I wanted but my hormones must have switch on me and made me blind cause I started eating more and more as time went on and it was like I could see it but not see it at the same time, I over ate by about 138,000 calories of fat in 4 months. I though I was ramping up my metabolism as weight gain was so slow. I did check my blood sugars a few times during this period and it didn't seem high after eating, 6'ish something mostly and I was more tracking ketone's which were high. Then I started getting flank pain and I noticed my fasting blood sugars were rising, went up to 6.2 one morning, I thought it was poor sleep the night before and then it went to 7.3. I thought maybe elevated because of infection or something because I was not eating much if any carbohydrates <20g total and everybody says fat doesn't raise blood sugar or insulin (not directly anyways)... Around this time I also noticed my wounds were healing slowly. Anyways, once I realized I was having diabetic symptoms that none of my doctors picked up on, I decided to return to my normal diet for a while and my postprandial blood glucose response were totally awful 9.1 but my amylaze was low then and I wanted to see if I could up regulate after two weeks which it did, now it's higher than normal ... I also did some prolonged fasts, back to back the last month, so long story shorter here, I seem to be having normal glucose responses right now (although I would still say they are higher and just for a bit longer that I would like like, area under the curve, they call it) but they fall outside any clinical diabetic or prediabtic ranges. Doctor wasn't even worried or wanted to do test in the current climate with Covid and just advised me to change back to my last diet but after the research I did, I'll be returning to these diets again on a cyclical basis and hopefully do them properly. So anyways I got some private tests done and my HbA1c is 30mmol/mol, fasting insulin of 8 and blood glucose was 5.7 but it wasn't exactly taken first thing in the morning so it's on the threshold of a HOMA-IR score of just being mildly insulin resistant, C-Peptide of 2.2 so I think I am doing really okay again as of now and if I can maintain or improve over the coming months then I should hopefully be much better but I am still concerned about a few things. Will the slow wound healing go away? and if so how long will it take? or what is your experience of this after your remission. Has your kidney function increased any after going into remission? Has the excessive thirst gone away? I also get a bit of bloating now after I eat. I still feel very thirsty and have bubbly pee even though my numbers seem much better this last while ... I was thinking or hoping it would take maybe 3 months or more before I get all undamaged new blood cells? or is there other factors that effect the skin that take longer to improve.
Thanks for your feedback and insights, Its very much appricated.
Addendum :- This is just for anybody that is curious what I 'think' happened metabolically because I see a lot of influences here (not actually 'here', it's a phrase, I'm new here lol), there and everywhere saying that fat or high fat doesn't make you fat and diabetes is caused by high sugar, not fat. Not really so, I wasn't eating any sugar at all, just a few cranberries most days and occasionally an avocado. Now there are lots of things at play, lack of sleep, stress, weight gain, gyms closing, saturated fat experiment, lower potassium intake, higher sodium intake etc that have contributed to the situation but I'm thinking now that because I was physiologically insulin resistant from eating low/zero carbohydrates, when I over ate on protein and fat, the muscles refuse it and there is a smaller sink so to speak to take up glucose and the protein would raise blood sugars by stimulating glucagon on top of the gluconeogenesis that was already happening and it made my liver pump out extra sugar, double whammy. The excess fat and or saturated fat I was eating (over two time more than I needed, sometime three) was making my Free fatty Acid levels skyrocket ... I'm was only 126 lbs but was consuming up to 300g of fat at the end. Since I discovered excess FFA can induce insulin resistance in the liver ... Because the only glucose I have in circulation is coming from GNG which I need, my insulin can't spike super high to reduce glucose levels or I'd go into a coma or die. So my blood sugar was sitting slightly elevated all the time until my muscles took it up through use which I wasn't doing a lot of at the time. At the same time I think my liver was taking sugar up from the blood and turning it to fat as it can do so without insulin and it made my liver fatty and it probably spilled into other organs too. I did not put weight on anywhere else in my body, just the visceral area. Over all this is a problem with excess energy, too many calories within a certain periods of time. More emphases need to go into distinguishing between 'High Fat' and 'Excess Fat' and it seems like Keto folks have a bias in never mentioning this or warning people about the dangers of eating excess calories of fat! They just all causally say eat till your full or fat does not make you fat, sugar this, sugar that, sugar the other. So there you have it, the Ketogenic diet gave me acute diabetes but I guess you could say, I did it wrong.
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