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Could someone clear up how reversible insulin resistance is?
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<blockquote data-quote="LucySW" data-source="post: 1946831" data-attributes="member: 113749"><p>Hi All. </p><p></p><p>I've been meaning to ask people about this. I'm Type 1 and have been on low carb for nearly five years. At first I kept strictly to 30g carb/day, since then it's been looser, but mostly 45g carb or less/day, with occasional lapses eating 20g of a treat. </p><p></p><p>But I've found unfortunately that the less carb I eat, the more my body reacts to it when I do eat it. When I eat 15-20g carb at one go, my BG soars to 13, 15 mmol. That is a higher response than I used t5o get. Obviously I can't tolerate that (I aim to keep between 4.6 and 5.6), but the more insulin I take as a correction dose, the less it works. The only way I can get that high BG down is exercise. A fast walk, or 15/20 minutes on the crosstrainer, ie aerobic exercise, will get my BG down again. While just insulin will mean that I have to take ever-higher doses for less return. </p><p></p><p>So it's good that I have discovered that exercise works. But what's bad is that low carb hasn't made me insulin sensitive. I think it's the reverse. Even though I'm Type 1 and don't have very much insulin, surely that's insulin resistance to the insulin I inject. To keep to my target range, I need to be more stringent in my low carbing than before.</p><p></p><p>So it seems that for me, exercise offers the only real path forward.</p></blockquote><p></p>
[QUOTE="LucySW, post: 1946831, member: 113749"] Hi All. I've been meaning to ask people about this. I'm Type 1 and have been on low carb for nearly five years. At first I kept strictly to 30g carb/day, since then it's been looser, but mostly 45g carb or less/day, with occasional lapses eating 20g of a treat. But I've found unfortunately that the less carb I eat, the more my body reacts to it when I do eat it. When I eat 15-20g carb at one go, my BG soars to 13, 15 mmol. That is a higher response than I used t5o get. Obviously I can't tolerate that (I aim to keep between 4.6 and 5.6), but the more insulin I take as a correction dose, the less it works. The only way I can get that high BG down is exercise. A fast walk, or 15/20 minutes on the crosstrainer, ie aerobic exercise, will get my BG down again. While just insulin will mean that I have to take ever-higher doses for less return. So it's good that I have discovered that exercise works. But what's bad is that low carb hasn't made me insulin sensitive. I think it's the reverse. Even though I'm Type 1 and don't have very much insulin, surely that's insulin resistance to the insulin I inject. To keep to my target range, I need to be more stringent in my low carbing than before. So it seems that for me, exercise offers the only real path forward. [/QUOTE]
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