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Type 1 Diabetes
Are you a T1 and low carbing did not work for you?
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<blockquote data-quote="tim2000s" data-source="post: 1454473" data-attributes="member: 30007"><p>An interesting point of view [USER=317494]@phdiabetic[/USER] and as someone who is in the honeymoon phase, yes, I can understand that you'd struggle a little with variations in your background insulin production, however I'd also add that when you're through the honeymoon period, and have no endogenous insulin having any kind of effect, exogenous insulin amounts generally increase in respect of amounts of carbs ingested and thus swings in blood glucose are much greater. </p><p></p><p>As you've said, your mealtimes are currently not causing huge spikes. That's more than likely because, with the exogenous insulin, your beta cells are somewhat relieved and able to produce insulin alongside that which you inject, ameliorating your ups. Once you've lost that and insulin amounts have increased, needing to take less insulin with food is beneficial in reducing the risk of fluctuations and miscounting. </p><p></p><p>With regard to glycogen, typically when eating low carb, your glycogen stores remain at around 60%, so the use of Glucagon generally still works, however it's also worth bearing in mind that signalling between alphe and beta cells as one becomes longer term T1 becomes less adept and for many people, the body's own ability to recover from a hypo is impaired, so you end up in a risk assessment situation, where for most people, it's safer to take less insulin and run a lower risk of a crashing low than it is to allow the body to recover from a hypo via a mechanism that may not function correctly. </p><p></p><p>Ultimately, it's up to each person alone to determine their path.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1454473, member: 30007"] An interesting point of view [USER=317494]@phdiabetic[/USER] and as someone who is in the honeymoon phase, yes, I can understand that you'd struggle a little with variations in your background insulin production, however I'd also add that when you're through the honeymoon period, and have no endogenous insulin having any kind of effect, exogenous insulin amounts generally increase in respect of amounts of carbs ingested and thus swings in blood glucose are much greater. As you've said, your mealtimes are currently not causing huge spikes. That's more than likely because, with the exogenous insulin, your beta cells are somewhat relieved and able to produce insulin alongside that which you inject, ameliorating your ups. Once you've lost that and insulin amounts have increased, needing to take less insulin with food is beneficial in reducing the risk of fluctuations and miscounting. With regard to glycogen, typically when eating low carb, your glycogen stores remain at around 60%, so the use of Glucagon generally still works, however it's also worth bearing in mind that signalling between alphe and beta cells as one becomes longer term T1 becomes less adept and for many people, the body's own ability to recover from a hypo is impaired, so you end up in a risk assessment situation, where for most people, it's safer to take less insulin and run a lower risk of a crashing low than it is to allow the body to recover from a hypo via a mechanism that may not function correctly. Ultimately, it's up to each person alone to determine their path. [/QUOTE]
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