- Messages
- 23,618
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- Disrespectful people
SamJB said:Ever wondered why people in the honeymoon period, people who do a lot of exercise, people with high insulin sensitivity, low or moderate carbers tend to have good HbA1c results? Because they require smaller doses of insulin, which means smaller mistakes.
Undoubtedly yes lower insulin doses will mean fewer mistakes as I've said many times on the forum before, however insulin sensitivity varies from person to person and what might seem like a low dose to one may not be the case for another, the point I was making is that low-carb doesn't always mean lower insulin usage, if I were to low-carb say 30g below I would still need a similar amount of insulin to what I inject now.
As you know Sam low-carbing in type 1's can present problems in itself, often you will find that those who do low-carb have to inject multiple times over and above those that don't, more insulin doses can mean more hypo's due to the stacking effect of multiple doses, from my own experience I would have to inject 2-3 times to cover a meal due to the slow release of protein and insulin resistance that a high-fat diet can present (Gary Scheiner offers up a good explanation of how this works). As I said earlier low-carbing doesn't always mean lower insulin doses and I know of someone who have followed a Bernstein/Atkins style diet for several years and are so insulin resistant that they require 1 unit of insulin to every 1g of carbs, yes lowering carbs can resolve a lot of problems in type 1's but it can also present a few more, personally I find moderate amounts of carbs in a meal are more manageable when it comes insulin dosing than a meal that contains minimal amounts of carbs and is high in fat or protein.
That said each to their own and what diet someone follows is a personal choice, all things considered Hale is doing remarkably well for someone who is newly diagnosed and I wish I could have managed it so well when diabetes entered my life.