So I've recently ended a weightloss/cutting phase and started bulking up. I did the usual increased calorie intake, increased carbs and fats, I noticed almost immediately that my basal dose was not enough to keep my blood sugars at 4-5 and I was waking up in the morning with 7's or 8's and correction doses (which for me used to be 1 unit equaled -3mmol of blood glucose) now barely dropped my blood sugar by 1mmol for 1-2 units of novorapid.
I lowered my carbs but kept my calories high and still I had a high insulin resistance and needed more basal and around 2x the amount of short acting for my meals. This left the fats. Upon cutting my fats back to normal my insulin sensitivity returned and I required less basal and my blood sugars settled back to the 4's and 5's. My carb to insulin ratio stayed the same even when I re-upped my carbs.
Needless to say I did some quick research on the effects of dietary fats and blood plasma triglycerides and found that higher levels of fats will acutely decrease insulin sensitivity and skyrocket insulin requirements to compensate.
It seems to me; and the above study suggests that simple carb counting algorithms are heavily reliant on your daily average fat intake ie changing fats will change your carb exchange ratio.
Just thought it pertinent that I post this here as I know there are many T1's who are either following low carb diets or find they need increasing amounts of insulin and cannot explain why.
It's all interesting Omar how dietary fat can cause insulin resistance in type 1's, we were just discussing this very subject last year. This member (cblake843) found that his insulin requirements halved when he eliminated most saturated fats out of his diet:
Thanks for the info guys. I had never heard of this phenomenon, of all the Doctors/endo's, nurses and educators I've met none of them have even mentioned it which I find surprising as it elicits such an immediate and substantial effect on our blood sugars.
Thanks for the info guys. I had never heard of this phenomenon, of all the Doctors/endo's, nurses and educators I've met none of them have even mentioned it which I find surprising as it elicits such an immediate and substantial effect on our blood sugars.