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Type 2 Diabetes
Do all roads lead to diabetes for me?
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<blockquote data-quote="HSSS" data-source="post: 2397009" data-attributes="member: 480869"><p>Lots seems to be happening here. I won’t comment on the mental health aspects as you are being supported on this by the cpn.</p><p></p><p>An hb1ac of 28 couldn’t be further from diabetic. Are you concerned purely because of the fasting numbers and the history of GD?</p><p></p><p>Fasting can awkwardly be a little higher on keto (look up adaptation glucose sparing/physiological insulin resistance). Does the rise correspond to starting keto? How are the rest of the days charts?</p><p></p><p>how low is your cgm showing you go and are you checking this with a meter? After eating what? Are you on any meds that can cause hypos as this combined with keto may be the reason.</p><p></p><p>telogen effluvium (hair loss) is common after birth, on dramatic weight loss and dramatic diet change so it could be any or all of these. Deficiencies in diet can too and also thyroid issues.</p><p></p><p>Is the continuing weight loss deliberate? You need be increasing fats and proteins to stabilise it. Halting weight loss would eliminate one concern at least. Your bmi confuses me. You quote 30 at 12 weeks pp and then 22. And then 19 at 6 months pp. </p><p></p><p>lots to be said on cholesterol but as above totals are pointless. Weight loss itself will cause a rise as lipids leave the body via the blood. Ratios are far more relevant that total. And the assumptions made for ldl calculations (ldl is calculated not measured) don’t hold true on keto. It also doesn’t measure particle size of ldl. Then there’s the issue of if lower numbers actually prevent cardio vascular events/extend life expectancy in individuals (not populations) or not. If they are worried about cholesterol make sure you ask about these issues and they are able to answer fully before they panic and try and insist on statins (which are your choice not theirs).</p></blockquote><p></p>
[QUOTE="HSSS, post: 2397009, member: 480869"] Lots seems to be happening here. I won’t comment on the mental health aspects as you are being supported on this by the cpn. An hb1ac of 28 couldn’t be further from diabetic. Are you concerned purely because of the fasting numbers and the history of GD? Fasting can awkwardly be a little higher on keto (look up adaptation glucose sparing/physiological insulin resistance). Does the rise correspond to starting keto? How are the rest of the days charts? how low is your cgm showing you go and are you checking this with a meter? After eating what? Are you on any meds that can cause hypos as this combined with keto may be the reason. telogen effluvium (hair loss) is common after birth, on dramatic weight loss and dramatic diet change so it could be any or all of these. Deficiencies in diet can too and also thyroid issues. Is the continuing weight loss deliberate? You need be increasing fats and proteins to stabilise it. Halting weight loss would eliminate one concern at least. Your bmi confuses me. You quote 30 at 12 weeks pp and then 22. And then 19 at 6 months pp. lots to be said on cholesterol but as above totals are pointless. Weight loss itself will cause a rise as lipids leave the body via the blood. Ratios are far more relevant that total. And the assumptions made for ldl calculations (ldl is calculated not measured) don’t hold true on keto. It also doesn’t measure particle size of ldl. Then there’s the issue of if lower numbers actually prevent cardio vascular events/extend life expectancy in individuals (not populations) or not. If they are worried about cholesterol make sure you ask about these issues and they are able to answer fully before they panic and try and insist on statins (which are your choice not theirs). [/QUOTE]
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