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Dietician/Nurse say not to low carb
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<blockquote data-quote="alaska" data-source="post: 75520" data-attributes="member: 14213"><p>I'm relatively new to the low-carb regime. I'm still yet to have a clinic meeting since staerting so i have no idea what I'll be told by my consultant when my next appointment comes around in a couple of months.</p><p></p><p>Take this with a pinch of salt as I'm no physiologist</p><p>At 30 - 50g of carbohydrates, if you spread them out amongst the day - as most people generally would - you have enough sugar in your blood to (a) keep your cells supplied with energy and (b) enough to build up glycogen stores in your liver.</p><p></p><p>Point (b) appears to be the case as whenever I exercise for short periods, there appears to be a corresponding rise in blood glucose despite not eating beforehand. This, I presume, is because my liver is releasing it's stores of glycogen it has built up, but I don't claim to know this for certain.</p><p></p><p>I don't find myself worried about ketones or ketosis. Perhaps there is a bit of low level ketosis happening but I can't say I really notice it. I felt tired in my legs, particularly when I started but now I feel like how I was before - except that my levels are better and therefore I feel, more consistently, better.</p><p></p><p>It's a great benefit to be less worried about what number range you're going to be in at any time in the day. Even when you're testing four or so times a day, on a high carb regime, I still felt like I had no certyainty that a number would be in the right range. When it was it was a relief but when it wasn't it was quite unpleasant to not always know why.</p><p></p><p>On low carbs I still find myself going high from time to time, but when I do, it's not half as bad as it would be if I was on a high carb diet. I still forget to injections every once in a while but it's a lot easier to come back down from say 12 mmols/l than it is to come down from about 16 or 17+, which would often be the case after the NHS recommended high carb meal.</p><p></p><p>Also, one of the other best things about the low carb diet is that when it comes to your levels between meals, they're going to be a lot better on low carbs than on a high carbs.</p><p></p><p>You may have been shown graphs of how sugar levels respond to eating meals. These are typically shown as a hill shaped curve. The higher and steeper the hill, the more sugar your blood is coming into contact with.</p><p></p><p>Say your pre-meal levels are between 5 and 6 mmols/l. On a high carb diet, the level the hill will rise to can often be anywhere between around 9 and 12 (this will vary for different of course). On a low-carb diet, however, the hill will usually peak at a much lower level. For myself, the levels would rarely get above 7 mmols/l if they started at between 5 or 6.</p><p></p><p>The size of this 'hill' is essentially a measure of the damage you do to yourself long term. The larger the size of the area under this curve, the more damage you're doing to yourself. A low carb diet leads to a significantly smaller 'hill' between meals, as a result it is a lot better for you long term than a high carb diet.</p><p></p><p>That's way too much waffle now and everyone's probably fallen asleep upon reading this. But to summarise, I personally wouldn't let the doctors/nurses put me off unless they came up with something convincing. As diabetesmum (I think?) pointed out, there's a big difference between a bit of ketosis going on and ketoacidosis. And yes, listen to Fergus as he has a welath of good advice to give.</p></blockquote><p></p>
[QUOTE="alaska, post: 75520, member: 14213"] I'm relatively new to the low-carb regime. I'm still yet to have a clinic meeting since staerting so i have no idea what I'll be told by my consultant when my next appointment comes around in a couple of months. Take this with a pinch of salt as I'm no physiologist At 30 - 50g of carbohydrates, if you spread them out amongst the day - as most people generally would - you have enough sugar in your blood to (a) keep your cells supplied with energy and (b) enough to build up glycogen stores in your liver. Point (b) appears to be the case as whenever I exercise for short periods, there appears to be a corresponding rise in blood glucose despite not eating beforehand. This, I presume, is because my liver is releasing it's stores of glycogen it has built up, but I don't claim to know this for certain. I don't find myself worried about ketones or ketosis. Perhaps there is a bit of low level ketosis happening but I can't say I really notice it. I felt tired in my legs, particularly when I started but now I feel like how I was before - except that my levels are better and therefore I feel, more consistently, better. It's a great benefit to be less worried about what number range you're going to be in at any time in the day. Even when you're testing four or so times a day, on a high carb regime, I still felt like I had no certyainty that a number would be in the right range. When it was it was a relief but when it wasn't it was quite unpleasant to not always know why. On low carbs I still find myself going high from time to time, but when I do, it's not half as bad as it would be if I was on a high carb diet. I still forget to injections every once in a while but it's a lot easier to come back down from say 12 mmols/l than it is to come down from about 16 or 17+, which would often be the case after the NHS recommended high carb meal. Also, one of the other best things about the low carb diet is that when it comes to your levels between meals, they're going to be a lot better on low carbs than on a high carbs. You may have been shown graphs of how sugar levels respond to eating meals. These are typically shown as a hill shaped curve. The higher and steeper the hill, the more sugar your blood is coming into contact with. Say your pre-meal levels are between 5 and 6 mmols/l. On a high carb diet, the level the hill will rise to can often be anywhere between around 9 and 12 (this will vary for different of course). On a low-carb diet, however, the hill will usually peak at a much lower level. For myself, the levels would rarely get above 7 mmols/l if they started at between 5 or 6. The size of this 'hill' is essentially a measure of the damage you do to yourself long term. The larger the size of the area under this curve, the more damage you're doing to yourself. A low carb diet leads to a significantly smaller 'hill' between meals, as a result it is a lot better for you long term than a high carb diet. That's way too much waffle now and everyone's probably fallen asleep upon reading this. But to summarise, I personally wouldn't let the doctors/nurses put me off unless they came up with something convincing. As diabetesmum (I think?) pointed out, there's a big difference between a bit of ketosis going on and ketoacidosis. And yes, listen to Fergus as he has a welath of good advice to give. [/QUOTE]
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