Do we know all we need to know about the liver?

[ickihun]

The Liver

What do we really know about our liver?

I've discovered through trial and error that my fatty liver is dumping at any opportunity.
New basal insulin should combat its dumping?

I'd prefer no insulin injs but for now it should help.

Can I resolve the liver dumping other than restricting carbs and protein from my diet?
Yes bariatric surgery will hopefully put liver back into normal status.
Can I fix my liver without having to do surgery?
The ND was suggested but I'm concerned I'll make matters worse when I return to eating normally after the restricted period.

I'm exercise restricted at mo so diet and techniques my only option?

Carbs have definitely been confirmed the main cause of fatty liver. But in the absence of carbs my protein seems to feed it too.
Maybe I just need to do very low carb diet for longer?

 

[Avocado Sevenfold]

Do you have a date for surgery?

You mention eating "normally" after the ND. Depends what you mean by that. On the BSD, the calories are restricted for 8 weeks (design your own macros) then the period after is forever a low carb Mediterranean way of eating. That sounds quite sensible to me. Have you considered that?

 

[Bluetit1802]

How many grams of carbs are you currently eating, and how many grams of protein?

.

 

[ickihun]

Do you have a date for surgery?

You mention eating "normally" after the ND. Depends what you mean by that. On the BSD, the calories are restricted for 8 weeks (design your own macros) then the period after is forever a low carb Mediterranean way of eating. That sounds quite sensible to me. Have you considered that?

I tried lchf then started with palpatations and weakness. When I low carb, too low it makes me ill.

I've just be referred so I've been told surgery won't be for at least a year.
I'm just looking into getting my liver 'normal' before hand and weight loss.

 

[ickihun]

Approx 100-150g of carbs and 30-50g of protein. @Bluetit1802

 

[JohnEGreen]

@ickihun Not wishing to be impertinent but I believe you to be approaching 50 now updated studies are showing that the RDA for protein is 1.5 times kilogram of body weight for those 50 and over so by that your protein daily intake is too low.

My grandson has been banging on about it for months now telling me I don't eat enough protein.

 

[Bluetit1802]

@ickihun Not wishing to be impertinent but I believe you to be approaching 50 now updated studies are showing that the RDA for protein is 1.5 times kilogram of body weight for those 50 and over so by that your protein daily intake is too low.

My grandson has been banging on about it for months now telling me I don't eat enough protein.

No two research studies seem to come up with the same figures for protein consumption as far as I can see. It does seem that the RDA levels are the bare minimum and that unless there are existing kidney problems, excess protein matters not. It also seems that people on weight loss low calorie diets need more protein, and also more is needed as we age. It is a mine field.
Personally, I eat as much as I want and keep a close eye on my blood markers for kidney functions.

 

[ickihun]

@ickihun Not wishing to be impertinent but I believe you to be approaching 50 now updated studies are showing that the RDA for protein is 1.5 times kilogram of body weight for those 50 and over so by that your protein daily intake is too low.

My grandson has been banging on about it for months now telling me I don't eat enough protein.

I think I'm so confused by it all now.
I know I can lose weight, well when my thyroxine was a tad high. No good for cardiologist thou.
Low carb medium protein gives me evening highs. So no benefit of less insulin.
Insulin resistance not improved without exercise. Cannot exercise due to pain. Walking too much gives me chest pains. Oh. I'm stuck in catch 22.
Seeing a new dietician in May. Dietician attached to bariatric programme too. Something should help, surely?
I'm desperate to lose weight but no joy without thyroid being touched up.
Or my pelvis fixed.

 

[AliceChatsworth]

Are you able to do intermittent fasting?

 

[ickihun]

Are you able to do intermittent fasting?

Not sure. In the middle of changing over to seperate Insulin regime next week. I'll see how it works first. Specialist said I'm ok to skip meals by not taking fast acting. Fingers crossed I'll be free to eat less.

 

[GrantGam]

Insulin resistance not improved without exercise. Cannot exercise due to pain. Walking too much gives me chest pains. Oh. I'm stuck in catch 22.

Sorry to hear about your struggles and your current dilema @ickihun.

Have you tried low impact activities such as swimming or cycling?

I too will second intermittent fasting, I just skip breakfast and that way I can still manage 18/6 for when I'm wanting to drop a bit of weight. By skipping breakfast I can still eat low-ish carbs but it doesn't feel like it as I'm splitting my allowance between two meals instead of three

I'd imagine that a basal insulin would make a significant difference to your situation. What insulin are you going to be using?

 

[ickihun]

Sorry to hear about your struggles and your current dilema @ickihun.

Have you tried low impact activities such as swimming or cycling?

I too will second intermittent fasting, I just skip breakfast and that way I can still manage 18/6 for when I'm wanting to drop a bit of weight. By skipping breakfast I can still eat low-ish carbs but it doesn't feel like it as I'm splitting my allowance between two meals instead of three

I'd imagine that a basal insulin would make a significant difference to your situation. What insulin are you going to be using?

It is now decided Tuojeo300 and novarapid not Tresiba200 as first suggested.

Im afraid to walk near a wet pool as im unstead on my feet, even with a crutch for my pelvis.
Cycling is too painful and again im unstead on 2 feet. I havent the power to push the pedals around!
Im walking very very slowly but can only manage a light bag in my free hand. I use a light backpack for essentials.
I'm hoping and praying cardiologist can fix my power and breathing/sweating and chest pain.

 

[AliceChatsworth]

I tried lchf then started with palpatations and weakness. When I low carb, too low it makes me ill.

Is it the ketogenic flu type illness or something more?

Sorry to hear you're struggling. I hope things get sorted for you

 

[AndBreathe]

I think I'm so confused by it all now.
I know I can lose weight, well when my thyroxine was a tad high. No good for cardiologist thou.
Low carb medium protein gives me evening highs. So no benefit of less insulin.
Insulin resistance not improved without exercise. Cannot exercise due to pain. Walking too much gives me chest pains. Oh. I'm stuck in catch 22.
Seeing a new dietician in May. Dietician attached to bariatric programme too. Something should help, surely?
I'm desperate to lose weight but no joy without thyroid being touched up.
Or my pelvis fixed.

Ickihun - Did you lose weight on LC with medium protein?

 

[Canadian_cousin]

Dear Ickihun, I know you are struggling right now, but I urge you to persevere. I also urge you to read the Obesity Code by Jason Fung. It's the clearest explanation I have found of how to approach low-carb, intermittent fasting, and emptying out your fatty liver, which is the ultimate goal! And it is a very viable alternative to bariatric surgery.I don't know much about your situation , but this is the anniversary of my one year on this site, and I have radically changed my blood work, lost weight, and improved physical well-being , reduced inflammation,and improved mobility. I still have quite a way to go, but I am now back to pre-diabetic levels, have cut my statins in half because of greatly improved blood results, and eliminated Januvia.

It's slow, but low-carb really can radically change your body metabolism.

I am taking a new drug, Forxigia, which brings down my glucose levels by about two points, by eliminating glucose through the kidneys. Working well for me.

For me the most important thing about low-carb is that I have made it a lifestyle , about 50 to 70 carbs a day, with occasional, but not too many cheats. I have never tried to be ketogenic, as I feel that limits my food choices too much for me. I also have issues about dieting and deprivation stemming from close to half a century of low-fat dieting and semistarvation.perhaps I lost weight more slowly, but my body seemed to transition better that way than radical weight loss.I find intermittent fasting much easier than dieting. If you have had enough fat to eat, as Bulkbuilder always says , especially the night before, you don't get hungry when skipping breakfast and or lunch. And start pushing yourself to read a few topics on this site every day, and follow the suggestions of leads they make. It takes a lot of work to get your facts straight. The Internet is a bog of blog, and a lot of it's bogus. This is the strongest site I have found anywhere to support diabetic Weight loss.People like Bruhneria -sorry to spell it wrong, but I'm blanking! – are a treasure of information. And Kevins fasting blogs last year gave me wonderful inspiration! I'm sure they are still on site somewhere, under the fasting subcategory. As Dr. Fung points out so clearly, fasting is the alternative to bariatric surgery and if you move in slowly it's not that hard. Fight the good fight!

 

[boppa18]

Definitely plan to read about the liver. Was told I had a fatty liver over a decade ago but was told it wasn't a problem!
I'm very insulin resistant and currently use about 160 daily of Humalog Mix25. When diagnosed 22yrs ago I was about 1 - 1+half stone overweight. Now aged 62 I'm about 6st overweight! I don't have a big appetite and have managed to give up rice, pasta, potatoes but really struggle with wholemeal bread (switched to M&S Danish Wholemeal and Golden Wholemeal as they are available in smaller slices). I'm ok with fasting but it makes my IBS kick in so end up in the loo as soon as I eat! Also, I can have a good reading before bed but wake up with BS at least double. But I've just discovered that a square of 90% chocolate before bed seems to help stop that happening!!
Anyway, I just feel completely adrift. LCHF worked but only managed to stick to it for 2/3 weeks then fell off big time! BS is like a rollercoaster. Fasting has side effects. Walk the dog 3/4 times a day but only slowly due to joint pain and angina. Severe depression makes me feel totally defeated and I just don't know where to start or which way to turn. Does anyone have any advice - other than pull yourself together and get a grip!?

 

[Bluetit1802]

Hi @boppa18

I am sure there will be plenty of advice for you, plus support, but you may find you will receive more of this if you start your own thread where more people will see it. Welcome to the forum.

 

[boppa18]

Hi @boppa18

I am sure there will be plenty of advice for you, plus support, but you may find you will receive more of this if you start your own thread where more people will see it. Welcome to the forum.

Thank you for replying. How do I start my own thread and where? DOH!

 

[Bluetit1802]

Thank you for replying. How do I start my own thread and where? DOH!

Go to "forums" in the top navigation bar and choose the forum you want to post in. "Type 2 diabetes" is probably a good one to choose. On the right you will see a bright green banner saying "post new thread". Press that, and off you go.