First real carb intake - not a good move [emoji15]

[jay_london]

So today I had 1 naan bread, it’s been about 3 months since diagnosis and 2 hours later my bloods are the worst I have seen since I started measuring.

Feeling somewhat frustrated as my levels have been looking good - guess I thought that was a sign that I can reintroduce normal eating.

Does this mean carbs have to be restricted for life or will things settle over time ?

Back on LCHF for another few months and hoping things stabilise

 

[Resurgam]

You can control diabetes and get normal blood glucose levels if you are lucky - but your ability to cope with carbs is probably always going to be a bit problematic. I can eat more carbs than at three months from diagnosis, I am about 18 months post D now, but I instantly begin to increase my weight - so I cut back again.I suspect that it is going to be LC for the rest of my life.

 

[Guzzler]

It was perhaps a little too early to see an improvement in insulin resistance but there is still hope for the future.
Keep testing and keep up the good work.

 

[Rachox]

Even though I consider myself very well controlled, my last three HbA1cs have been non diabetic, I will never assume I can return to my old ways of eating unless medicine comes up with an actual cure.

 

[jay_london]

Thanks folks, I’m in more of a positive mood now.

Ultimately it is better to focus on avoiding complications than to get emotional about not being able to eat bread.

Will monitor bloods to see how long it takes to come back to normal numbers

 

[maglil55]

I too am a bread lover but, if you can cook there are low carb alternatives. OK it's not the same but you get used to them. One I'm fond of is the diet doctor naan bread. My first attempt is tasted fine but was a bit crumbly around the edges. Second attempt was better and now I have no problem making them. I don't put garlic butter on mine but I do add nigella seeds to make it more naan like.

https://www.dietdoctor.com/recipes/keto-naan-bread-with-melted-garlic-butter

It's just a different way of cooking. There's quite a few of the diet doctor breads that are pretty good.

 

[Bluetit1802]

So today I had 1 naan bread, it’s been about 3 months since diagnosis and 2 hours later my bloods are the worst I have seen since I started measuring.

Have you heard of a phenomenon called the last meal effect?

When we have been low carb for a while and are seeing nice low numbers, our pancreas has got used to this. Our insulin production has been much, much lower than previously because it doesn't need to be any higher. This is excellent. However, if we suddenly give it a blast of carbs, our pancreas is taken by surprise. It will only secrete the same amount of insulin it is used to producing, which will be totally inadequate for this sudden blast of glucose. This is why there is a huge, huge spike out of proportion to the amount of carbs involved.

It is the reason why, when we are taking an oral glucose tolerance test (involving a drink of 75g of pure glucose) those of us on low carb have to "carb up" for 3 days beforehand with 150g of carbs daily, which wakes the pancreas up and teaches it to increase its insulin production. If we don't "carb up" we are likely to fail the OGTT.

I suggest this is what happened to you. You simply gave your pancreas a shock and caught it unawares.

 

[jay_london]

I too am a bread lover but, if you can cook there are low carb alternatives. OK it's not the same but you get used to them. One I'm fond of is the diet doctor naan bread. My first attempt is tasted fine but was a bit crumbly around the edges. Second attempt was better and now I have no problem making them. I don't put garlic butter on mine but I do add nigella seeds to make it more naan like.

https://www.dietdoctor.com/recipes/keto-naan-bread-with-melted-garlic-butter

It's just a different way of cooking. There's quite a few of the diet doctor breads that are pretty good.

Cheers maglil,will check it out ... I best start to improve on my culinary skills

 

[jay_london]

Have you heard of a phenomenon called the last meal effect?

When we have been low carb for a while and are seeing nice low numbers, our pancreas has got used to this. Our insulin production has been much, much lower than previously because it doesn't need to be any higher. This is excellent. However, if we suddenly give it a blast of carbs, our pancreas is taken by surprise. It will only secrete the same amount of insulin it is used to producing, which will be totally inadequate for this sudden blast of glucose. This is why there is a huge, huge spike out of proportion to the amount of carbs involved.

It is the reason why, when we are taking an oral glucose tolerance test (involving a drink of 75g of pure glucose) those of us on low carb have to "carb up" for 3 days beforehand with 150g of carbs daily, which wakes the pancreas up and teaches it to increase its insulin production. If we don't "carb up" we are likely to fail the OGTT.

I suggest this is what happened to you. You simply gave your pancreas a shock and caught it unawares.

Wow - thanks for the insight, will read up on this and what you say makes perfect sense.

I’m definitely back on low carb for a while to give my body a break and will remember this the next time I look to introduce some carbs back.

Also thanks for the advice on the OGTT, don’t want docs to form incorrect opinions.

Cheers,

Jay