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DN and dietician tell me to eat more carbs!
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<blockquote data-quote="Katethomas925" data-source="post: 1590769" data-attributes="member: 384215"><p>I had an joint appointment with a diabetes nurse and dietician recently. My HbA1c has been about 7-7.5 for the past couple of years, so not terrible, but I suffer from really bad swings from very low to very high. I;ve been trying to stabilize these with a low carb diet and it has definitely helped. That it, I'm MUCH more stable when I don't eat carbs. I won't claim to be completely carb free, I just choose carbs very carefully and avoid as much as possible, as otherwise I'm just firefighting. They are just too unpredictable. I also admitted to the two that I'd had quite a bad hyp in the past year, which needed a paramedic visit - first ond only time in nearly 30 years as a T1D. Anyway, discussing all this, and the fact that I live alone and was a bit worried about another bad hypo, they said I should eat MORE carbs. I tried to explain that that really does not work for me, but they kept insisting. From their reasoning, I concluded that they are more concerned about not having a hospital admission due to a hypo on their books than me having swinging BGs and hence worse long-term outcomes. I use the Freestyle Libre, so I know quite well what's going on, but they could not advise me what to do, other than eat loads of carbs, increase insulin, to avoid a one-in-30-year bad hypo! Anyone else had to fight with their HCPs to continue a low-carb diet?? I'm continuing it anyway their advice is shockingly outdated.</p></blockquote><p></p>
[QUOTE="Katethomas925, post: 1590769, member: 384215"] I had an joint appointment with a diabetes nurse and dietician recently. My HbA1c has been about 7-7.5 for the past couple of years, so not terrible, but I suffer from really bad swings from very low to very high. I;ve been trying to stabilize these with a low carb diet and it has definitely helped. That it, I'm MUCH more stable when I don't eat carbs. I won't claim to be completely carb free, I just choose carbs very carefully and avoid as much as possible, as otherwise I'm just firefighting. They are just too unpredictable. I also admitted to the two that I'd had quite a bad hyp in the past year, which needed a paramedic visit - first ond only time in nearly 30 years as a T1D. Anyway, discussing all this, and the fact that I live alone and was a bit worried about another bad hypo, they said I should eat MORE carbs. I tried to explain that that really does not work for me, but they kept insisting. From their reasoning, I concluded that they are more concerned about not having a hospital admission due to a hypo on their books than me having swinging BGs and hence worse long-term outcomes. I use the Freestyle Libre, so I know quite well what's going on, but they could not advise me what to do, other than eat loads of carbs, increase insulin, to avoid a one-in-30-year bad hypo! Anyone else had to fight with their HCPs to continue a low-carb diet?? I'm continuing it anyway their advice is shockingly outdated. [/QUOTE]
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DN and dietician tell me to eat more carbs!
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