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<blockquote data-quote="LittleGreyCat" data-source="post: 1615606" data-attributes="member: 6467"><p>I don't think that you have said how much you weigh and how tall you are.</p><p>Being starving all the time is usually a sign that you are on the carbohydrate roller coaster of eating carbs, banging out the insulin, storing the glucose and going low, then starving to bring your BG up again.</p><p></p><p>I am not convinced that you need to eat more to "get your strength up"; I think your general weakness/tiredness is more likely to be due to your roller coaster ride with your BG levels. If you really are weak due to being in hospital then as others have said you need to exercise to build muscle.</p><p></p><p>High fat is a good way to reduce hunger; it has the opposite effect to carbohydrates and usually makes you feel full instead of starving. One way to start the day is to have coffee with a big lump of butter and some double cream. This gets your dietary fat content up right at the start of the day. Looking at your breakfast I would personally skip the porridge, skip the bread, and double up on the bacon, sausage and eggs (although you don't say how much you are having).</p><p></p><p>Assuming you aren't dairy intolerant I would add cheese to your protein snacks because that has a lot more fat. Much more than chicken and beef which are both usually lean.</p><p></p><p>If there is a Lidl near you try some of their high protein rolls. They are brown triangles with seeds on top.They are (I think) 11 grams of carbs per roll. With butter and cheese you can make a substantial sandwich and it will help to keep you full.</p><p></p><p>You seem to be eating low(ish) carbohydrate but not seriously low carbohydrate; difficult I know because you are on insulin boosting drugs. One thought is you may be stuck in permanent "carbohydrate flu" where you are having too many carbohydrates to go fully into ketosis but not enough to supply all your energy needs from glucose.</p><p></p><p>About your ketones. You seem to think 1.5 is scary high. It usually isn't a problem.</p><p>See <a href="https://ketodietapp.com/Blog/post/2013/11/30/Ketosis-Measuring-Ketones" target="_blank">https://ketodietapp.com/Blog/post/2013/11/30/Ketosis-Measuring-Ketones</a> for some more information.</p><p></p><p>If you look at the chart </p><p><img src="https://d30b2uadky41tr.cloudfront.net/Blog/image.axd?picture=%2f2014%2f03%2fketosistix_graph.jpg" alt="" class="fr-fic fr-dii fr-draggable " style="" /> </p><p>you will see that 1.5 is just at the start of the optimal ketone zone. Ketoacidosis starts around 10.</p><p>My last ketone test a couple of days ago was 2.1 and I am pretty happy with that. Normal BG etc. at the moment.</p><p></p><p>I understand the worry about ketones because you can develop ketoacidosis if your ketones are too high, but as far as I know on your medication you would see very high BG before you slipped into diabetic ketoacidosis.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 1615606, member: 6467"] I don't think that you have said how much you weigh and how tall you are. Being starving all the time is usually a sign that you are on the carbohydrate roller coaster of eating carbs, banging out the insulin, storing the glucose and going low, then starving to bring your BG up again. I am not convinced that you need to eat more to "get your strength up"; I think your general weakness/tiredness is more likely to be due to your roller coaster ride with your BG levels. If you really are weak due to being in hospital then as others have said you need to exercise to build muscle. High fat is a good way to reduce hunger; it has the opposite effect to carbohydrates and usually makes you feel full instead of starving. One way to start the day is to have coffee with a big lump of butter and some double cream. This gets your dietary fat content up right at the start of the day. Looking at your breakfast I would personally skip the porridge, skip the bread, and double up on the bacon, sausage and eggs (although you don't say how much you are having). Assuming you aren't dairy intolerant I would add cheese to your protein snacks because that has a lot more fat. Much more than chicken and beef which are both usually lean. If there is a Lidl near you try some of their high protein rolls. They are brown triangles with seeds on top.They are (I think) 11 grams of carbs per roll. With butter and cheese you can make a substantial sandwich and it will help to keep you full. You seem to be eating low(ish) carbohydrate but not seriously low carbohydrate; difficult I know because you are on insulin boosting drugs. One thought is you may be stuck in permanent "carbohydrate flu" where you are having too many carbohydrates to go fully into ketosis but not enough to supply all your energy needs from glucose. About your ketones. You seem to think 1.5 is scary high. It usually isn't a problem. See [URL]https://ketodietapp.com/Blog/post/2013/11/30/Ketosis-Measuring-Ketones[/URL] for some more information. If you look at the chart [IMG]https://d30b2uadky41tr.cloudfront.net/Blog/image.axd?picture=%2f2014%2f03%2fketosistix_graph.jpg[/IMG] you will see that 1.5 is just at the start of the optimal ketone zone. Ketoacidosis starts around 10. My last ketone test a couple of days ago was 2.1 and I am pretty happy with that. Normal BG etc. at the moment. I understand the worry about ketones because you can develop ketoacidosis if your ketones are too high, but as far as I know on your medication you would see very high BG before you slipped into diabetic ketoacidosis. [/QUOTE]
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