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Diet

Flora123 said:
I had an ultrasound of my liver and pancreas and was told they looked perfectly normal which confused my endo no end. I can’t afford to lose any weight.
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Have you seen a report following this ultra sound? I always ask to be copied in to reports and letters from hospitals to my GP. They are far more useful than someone saying they "look normal". What is normal?
 
Although I lost a fair bit of weight when I was first diagnosed. and it's remained pretty stable for the last five years, I'm still overweight, but as far as I'm concerned this has very little (AKA s*d all) to do with my glucose levels - if I eat too many carbs I'll generally see a rise in glucose, but if I keep them down to what i know is an acceptable level, then my glucose levels follow suit and stay where I want them as well. And since I never particularly wanted to eat a high carb diet in the first place, I've no wish to go back to stuffing my face with them again.

But if you're wanting to eat extra carbs, just check with your meter to see what effect they might have on your glucose levels. Occasional small dietary diversions are probably OK , but long term may well be a different matter. Like @Bluetit1802, if I fancy a roast dinner I'll have one and just avoid the starchy stuff...

Robbity
 
Do not know how long it takes but T2 can be reversed .Now I can eat anything I want (small bag of M&M,fruits,noodles etc...) BG still in normal range.Plan diet works the best
 
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loiphamp said:
Do not know how long it takes but T2 can be reversed .Now I can eat anything I want (small bag of M&M,fruits,noodles etc...) BG still in normal range.Plan diet works the best
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How long did it take you and what was your method?
 
Bluetit1802 said:
Have you seen a report following this ultra sound? I always ask to be copied in to reports and letters from hospitals to my GP. They are far more useful than someone saying they "look normal". What is normal?
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No but I specifically asked my gp that question and no fatty liver.
 
loiphamp said:
Do not know how long it takes but T2 can be reversed .Now I can eat anything I want (small bag of M&M,fruits,noodles etc...) BG still in normal range.Plan diet works the best
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Can be reversed for some people.
Not everyone is the same and the causes of T2 are not always the same.

If the main reason for T2 is fat around the liver and pancreas, the pancreas is still fully functional, and lack of good BG control is mainly down to Insulin Resistance then there is a good chance that radical weight loss will reduce the IR to the point where your insulin production can cope with what you eat and maintain non-diabetic BG levels.

If you were diagnosed when your pancreas had already lost the ability to produce enough insulin then the chances are much less.

A while back the quoted statistic was that 20% of T2s were not overweight or obese on diagnosis.
 

In my opinion it’s more likely that the weight is a symptom of the diabetes rather than causing it - fed by insulin resistance. If you reduce insulin resistance by restricting carbs and eating less frequently then your body may well handle carbs more efficiently.

However as someone who has dropped significant weight and both maintained a non diabetic HbA1c for over 2 years and significantly improved insulin resistance (also into normal range), I can personally testify to the fact that it doesn’t take very many carbs at all to push my BG above where I’d like it to be.

Aside from that the other health benefits that have accrued from a ketogenic diet mean I won’t be going back.
 
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Well, no. Eating low carb can give you “physiological insulin resistance”, which many interpret to be just about their increased fasting glucose, but it creates IR in general for the time you eat LC. It will go away upon “refeeding” with carbs. So, “85%” probably won’t work. You kind of have to be all in, or all out.

After losing 92 lbs people, and attaining and maintaining a BMI of 22, I eat a moderate carb diet (150-200g daily) and have completely normal numbers 24x7. My last HbA1c was 4.8%. For me, it was all about the weight. But if I eat LCHF for a time, my physiological IR comes right back (look it up, it’s actually an adaptive/protective mechanism), and my carb response diminishes.
 
Are you saying that you have normal BG with a moderate low carb diet but if you reduce the amount of carbs further your BG goes up?
 
Mr_Pot said:
Are you saying that you have normal BG with a moderate low carb diet but if you reduce the amount of carbs further your BG goes up?
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Yes. Except I’m pretty sure it’s the increased fat, not decreased carbs.

It’s certainly not a 1:1 relationship, but eating LCHF for several days increases my FBG considerably - from say 85 to 110, plus my dawn phenomenon comes right back. And my postprandial response is much worse. I can see it all on my Freestyle Libre when I use it. I’ve never tried to push through long-term, a few months was enough to call it a failed experiment.

It a balancing act. Also, keep in mind, my “carb” consumption is vegetables, beans, nuts/seeds, some truly whole grains and fruit. We’re not taking bread and cookies - that was clearly a metabolic dumpster fire for me.
 
My understanding of physiological insulin resistance is as follows.....
When you have been eating LC for a while your pancreas "gets used to" a small demand for insulin. If you then have a sudden intake of higher carbs, the insulin response is too low and BG rises more than it would otherwise have done. Increasing your carbs to say 150g per day for a couple of days "resets" your pancreas, which is why it is recommended before OGTT. Your case doesn't seem to be PIR related as you are already on moderate carbs and you are reducing your carb intake.
 

I don’t think so. I tried LCHF for several months. 80% fat, 15% protein, 5% carbs. My FBG shot up. If I even ate 1 plum as a “cheat”, I had an outsized postprandial reaction.

Separately, on vacation recently, I ate LCHF because I was concerned about the lack of quality choices in foods. My Libre showed my BG hung high between meals and overnight after several days of this approach.
 
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