Can you be too strict with carbs for too long

So I’ve been having no more than 10g of carbs for about the Last 6 weeks,
Last night out of nowhere I had Diarrhea and it last into this afternoon and even having Imodium and the max dose didn’t really do much. because I hadn’t eaten for about 20 hours and because my sugars were a bit low I had some toast.
Since then my stomach seems a bit better, still bit achy but nothing like it was.
It can’t have been a bug because I don’t go anywhere and I haven’t left the house at all in over a week. It could potentially be something I ate but I didn’t feel I’ll like I would expect with food poisoning, I did eat some sausages that were a couple days out f date (ran out 14/3 and it was the 16th- I and got in a muddle with what day and date it was] but I don’t think that would have done it because they were smelly or anything and had been in fridge whole time.
I did have omaprazole due to acid yesterday about 3 hours before it started but I have spills before with no ill effects.

my only thought is maybe my body is protesting about too much keto. I’m not a cream person in general but I am having an awful lot more cream just because I have it in the morning to help with eh my soul has cream in it, I have keto fudge which is cream.
But I just wondered whether there comes a point where the body maybe just doesn’t like the strictness of keto and maybe whether I need to up my carbs slightly. It’s a bit disappointing because my bloods are on Monday and I was hoping to get my hba1c as low as I could but not sure it’s worth being ill and maybe I need to go slower.

HSSS said:

Off food doesn’t necessarily small bad. So that’s a possibility. Too much fat when you’re not used to it can have this effect but you’ve been doing it a while now so unlikely. Lack of carbs does not give your diarrhoea according to anything I’ve read anywhere. Is fasting 20hrs usual for you? Tablets on an empty stomach rather an full could have a different effect maybe?

I wouldn’t give up keto on the basis on one episode of unknown origin.

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I only fasted for that long today in case it was a bug and I didn’t want it to get worse. I’ve been doing 16/Only tablets ive had on empty stomach was the Imodium today to try and stop the problem

tonight I’ve had some toast just to get some food so hopefully that won’t have too much bad eff3ct on my bloods

TriciaWs said:

It could be down to delivery people?
I had a bout of diarrhea and vomiting last Friday - the first time for over 6 years. I'd eaten nothing that day or the day before to trigger it.
On Thursday I'd had a food delivery and 3 separate parcel deliveries - and I must admit that my covid hand washing practice was not as safe as it used to be. Up to recently I washed my hands after handing any parcel coming in and left it in quarantine, as a result I'd avoided all the usual winter bugs until this. I can only assume that one of the 4 people who left stuff for me to pick up must have passed on the bug.

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Possibly. But I wipe everything down with a detox wipe or spray it if cardboard. Then if it’s been in post a while I just open but if possibly not I wipe the insides too or leave it to quarantine for a few days, so it’s possible but I am very careful.

TriciaWs said:

It could be down to delivery people?
I had a bout of diarrhea and vomiting last Friday - the first time for over 6 years. I'd eaten nothing that day or the day before to trigger it.
On Thursday I'd had a food delivery and 3 separate parcel deliveries - and I must admit that my covid hand washing practice was not as safe as it used to be. Up to recently I washed my hands after handing any parcel coming in and left it in quarantine, as a result I'd avoided all the usual winter bugs until this. I can only assume that one of the 4 people who left stuff for me to pick up must have passed on the bug.

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Someone even came to read meters and I told him not to touch anything and he didn’t. I then wiped down everything including the door and bell etc and sprayed the floor with dettol where he had walked. if anything it’s dettol poisoning but my body should be used to it by now lol

Antje77 said:

If I understand correctly, you:
- Followed this way of eating for 6 weeks with no ill effects.
- You ate meat which was two days past use by date.
- You got diarrhea.

I think the way more likely cause is the meat.

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Yea I think so.
I just thought I’d be a lot more I’ll if it was food poisoning. I and acid reflux before I went to bed hence the tablet. But there was nothing to even suggest a problem.
At the start I did feel bad but in that I had cramp but I as freezing cold but sweaty. Then it was just a bit of a tummy ache but nothing major, it was just a lot f trips to the toilet and this continued, I didn’t feel amazing because I think of the fasting and lack of drink etc but I wasn’t overly poorly. Hence why I wasn’t convinced it was the meat.

MrsA2 said:

you also mention keto fudge
Many sweeteners have known laxative or digestive upset side effects, even though they don't have carbs. For example I can sometimes have a no sugar sweet with no problems, but if I have 4 I need the loo within minutes

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These are gone made. No sweetness. Just extract flavours

Mbaker said:

Why not replace cream with protein instead.

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How do you mean?

Resurgam said:

The sausages - I would bet on it.
I put anything like that straight into the freezer and take it out a few hours before cooking - I used to work in the food industry and my way of storing food is usually considered overly cautious. Food poisoning is usually something that happens to other people.
Too much cream could have possibly made it worse - once things start to hurry along the gall bladder might find it problematic, but I can't see any reason to think that too few carbs might be the culprit.

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Yea I agree.
I think I’ve got lazy in lockdown as I’m not needing to do as much or any prep. But also never quite know what the date is

So much better this morning. Really didn’t want to eat my keto food. So had a portion of porridge (the ready made portion and I’m now at 14.1.
I think even if I do get into normal range hba1c wise, I’ll never reverse the day êtes because for me reversing it means you can eat what you want.
This clearly shows I can’t!

Mbaker said:

I have tried many versions of low carb / keto. Without getting too graphic, the end results were sometimes lose. Protein has been overlooked when pulling levers in the low carb way of eating in favour of fat. This is due to lower ketones and unfounded fears around kidneys (protein levels only need to be watched when kidney disease in established, it does not cause it)

Increasing protein would reduce the fat content, so you might get a better reaction. With the carnivore diet becoming a viable and direct option, by default protein is being rehabilitated by consumption in preference to carbs. We already know carbs are optional, great for variety. Leveraging protein over the other carbs and fat has benefits from a caloric, satiety and body composition perspective. Whilst some protocols advocate to lower protein, we know that the older we get the more we need, especially to protect against fractures. The standard range is 10 - 35% of (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347101/) when averages tend to be at the lower end (some say the range should be 15 - 25% of calories). In my experience once one is fat adapted via low carb / keto it is easy to say for example to proritise protein. What this looks like, is surf and turf, couple more eggs, a side of tinned sardines or additional chicken.

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Thanks
How do I replace cream in a soup or tea? Can’t have the protein in the morning if I’m fasting (hence the cream). The chicken soup has chicken and bacon so bucket loads of protein and the cream is to thicken. I have loads of protein at the moment on this strict keto.

pother than this thing this week I don’t usually have a problem,the biggest issue is the acid reflux.

HSSS said:

I think you’re talking about cure being when you can eat what you like. Though of those that do eat what they like with normal numbers today, how many of them are on a silent path (back) to diabetes or other illnesses as a result of eating anything, they just don’t know it yet

Reversal/remission is reversal of the symptoms and signs without medication, not a cure of the fundamental underlying problems.

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That makes complete sense thanks.
When I was diagnosed my dr talked about reversal and basically said if I got it, then I would then be at no more risk of developing diabetes again than a normal person.
I never understood that,
Your explanation here makes complete sense.

im hoping if I do get good numbers I can introduce some more carbs into the diet so not as restrictive as I am now or have been.