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<blockquote data-quote="JoKalsbeek" data-source="post: 2056146" data-attributes="member: 401801"><p>Janumet in combination with keto and intermittent fasting could/would give you hypo's... The metformin component makes breakfast rather preferable because that could prevent tummy issues. The sitagliptin component could make your bloodsugar drop too far. So please, discuss any dietary changes with your doc first, maybe mention going on metformin only, rather than the med-combo of Janumet? No risk of hypo's then. And you could just take the metformin when you eat, so if that's lunch, go with lunch.</p><p></p><p>Whatever you do, make sure you test, test, test your little heart out, because no-one wants a hypo. You could discuss coming off the meds for a bit, or start low carb slowly rather than jumping in with both feet as you're planning to do now. Gradually reducing and adjusting medication as you go might be the better option. Just please, be careful. I had hypo's on gliclazide, and even the specialist kept telling me I couldn't hypo as I was a T2. T2's <em>can</em> hypo without meds, though it's admittedly rare, but she should have known my diet, which I was open about, would be a bad combination with the medication. Hypo's happened. It was not fun. (Especially because I become contrary when hypo and bizarrely enough refuse to eat, as if I'm in the terrible two's rather than my 40's. My husband would be in a panic and I'd be... More difficult than usual. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" />). </p><p></p><p>So.... Recap: No Janumet with keto and IF without testing and a talk with your medical team. Options: Slowly cutting down on carbs. Replacing Janumet with metformin only, and taking that with your first meal of the day. Going without medication and jumping right in. </p><p></p><p>Whatever you choose... Don't do it by yourself. Your doc may not support cutting down right into keto and IF, but a slow and steady decrease could maybe work for them? </p><p></p><p>Good luck!</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2056146, member: 401801"] Janumet in combination with keto and intermittent fasting could/would give you hypo's... The metformin component makes breakfast rather preferable because that could prevent tummy issues. The sitagliptin component could make your bloodsugar drop too far. So please, discuss any dietary changes with your doc first, maybe mention going on metformin only, rather than the med-combo of Janumet? No risk of hypo's then. And you could just take the metformin when you eat, so if that's lunch, go with lunch. Whatever you do, make sure you test, test, test your little heart out, because no-one wants a hypo. You could discuss coming off the meds for a bit, or start low carb slowly rather than jumping in with both feet as you're planning to do now. Gradually reducing and adjusting medication as you go might be the better option. Just please, be careful. I had hypo's on gliclazide, and even the specialist kept telling me I couldn't hypo as I was a T2. T2's [I]can[/I] hypo without meds, though it's admittedly rare, but she should have known my diet, which I was open about, would be a bad combination with the medication. Hypo's happened. It was not fun. (Especially because I become contrary when hypo and bizarrely enough refuse to eat, as if I'm in the terrible two's rather than my 40's. My husband would be in a panic and I'd be... More difficult than usual. ;)). So.... Recap: No Janumet with keto and IF without testing and a talk with your medical team. Options: Slowly cutting down on carbs. Replacing Janumet with metformin only, and taking that with your first meal of the day. Going without medication and jumping right in. Whatever you choose... Don't do it by yourself. Your doc may not support cutting down right into keto and IF, but a slow and steady decrease could maybe work for them? Good luck! Jo [/QUOTE]
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