donnellysdogs
Master
- Messages
- 13,233
- Location
- Northampton
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- People that can't listen to other people's opinions.
People that can't say sorry.
I am a little surprised that more people haven't voted as yet. I wonder if most people assume that , given recent developments - the favourable
vote at the DUK conference and the results of Southport GP's research - that the option of reducing carbs in conrolling diabetes is no longer an issue?
I think there is some way to go before this is included in official guidelines This is the the logical place to begin looking for information , as there is a wealth of experience on here. I don't think anyone could consider it as definititive in any way but it could be interesting.
Negative answers are of course, as important as positives in case anyone was i any doubt!.Its just an opportunity for people to give their opinions.
Please consider voting if you have any views on the issue..
I don't have the confidence to push for it yet. November 2013 HBA1c was 115; February it was 52. The nurse was really very pleased with my progress but wanted to review meds after next HBA1c in May. I know I've done well so far but I wonder how much that is down to the 3 x 500g metformin I take daily. My average morning reading is 5 and average of all readings 5.6. At what point do I know the metformin is overtreating? ThanksThe say that the mills of god grind slowly(Longfellow) but they are like a flash of light compared to your nurse!
If your meds start to overtreat your D, Call her and tell her to "extract the digit" and alter your meds!
For me (T1, 20 years) it's "Yes, but..."
1) It significantly lowered your hBA1c Yes, extremely rapidly.
2) It helped you lose weight. Yes, though I expect that would be true for non-diabetics too?
3) It minimises or has reduced the medication you need to take. N/A
4) It reduced the amount of insulin you use. Yes, but that's kind of inevitable isn't it?
5) It significantly reduced the frequency of hypos. Not sure. It probably made them worse during the adoption phase. After that, generally, probably yes, fewer hypos.
6) It has controlled or even reversed diabetic complications you were suffering. I'm not sure anyone can claim to know if a complication has been controlled by any one factor, can they? I have had complications reverse (neuropathy) soon after diagnosis but I'm not sure since then.
The "but" is that I find it very hard to maintain these diets even though the effect on my HBa1c is dramatic. And my HBa1c has been steadily deteriorating every year. I have asked for help from my clinic on this but no real result. I asked for hypnotherapy, low dose naltrexone, other drugs I'd researched. They were not interested really and of course when you you make the low carb argument they look at you kindly, but as if you are from outer space. I got offered pump therapy instead so I'm embracing that and hope it works. However clinically pumps aren't shown to improve HBa1c significantly, just quality of life. I'll take improved quality of life, but I would also like some support with adherence to a diet that dramatically reduces my HBa1c.
One of the drugs [pramlintide] advised for overcoming carb cravings, is approved by NICE, but they wouldn't give it to me because it's only approved for T2! What a load of ****!
Oh well, rant over!
For anyone who cares to know and would like to critique:
I've kind of been playing around with numbers and average blood sugars in the past few days, since I have a bodybuilding lifestyle and I've maintained my lowish carb diet to mainly lose weight (I've cut to about 9% bodyfat). I'm planning on bulking up and adding mass very soon and as most people know to lift heavy and add mass effectively one should consume a higher amount of carbs.
I'm planning on consuming st least 200-250g of carbs a day, now to mitigate the spike that these carbs will cause; whether they are fairly slow releasing or not(I haven't personally experimented with the difference in bs spikes of eating 30g vs eating 100g of the exact same carb in a sitting.) I want to try implementing an "intermittent fasting" type of approach or at least play around with it.
Basically this entails eating all my carbs for the day either in one meal or within a 4(maybe 6) hour window and eat protein and fat only meals for the rest of the day as normal. What I hope this does is give me one spike and then flat bs levels during the entirety of the day. As opposed to having 3 or more carb filled meals resulting in multiple spikes and insulin shots during the day.
From a *very* rough mathematical standpoint where a bs spike is up to 14mmol/dL either from a less than desirable carb source or from the sheer volume of carbohydrate and average fasting bs are within 4-6 (so say an average of 5). And an average bs spike lasts about 2 hours. A 24 hour day of bs levels gives the averages:
1 carb meal with 2hr spike:
((2x14)+(22x5))/24 = 5.75mmol/dL average blood sugar; which gives an a1c of 5.3%(http://professional.diabetes.org/GlucoseCalculator.aspx)
versus
3 carb meals with 2hr spikes:
((6x14)+(18x5))/24 = 7.25mmol/dL average blood sugar; which gives an a1c of 6.2%
and best case scenario keeping spikes below 9mmol/dl (very doubtful):
1 carb meal with 2hr spike:
((2x9)+(22x5))/24 = 5.33mmol/dL average blood sugar; which gives an a1c of 5.0%
worst case scenarios:
1 carb meal with 4hr spike:
((4x14)+(22x5))/24 = 6.9mmol/dL average blood sugar; which gives an a1c of 5.9%
3 carb meals with 4hr spikes:
((12x14)+(24x5))/24 = 9.5mmol/dL average blood sugar; which gives an a1c of 7.6%
Of course this bit of arithmetic is all very rough and doesn't account for differences between individuals, accidental over/underdosages of insulin and any other kind of mishaps and unforeseeable events which do often occur with bs management. I'd like if someone could give a critique of this or some of their own experiences with this kind of thing.
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