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<blockquote data-quote="kitedoc" data-source="post: 2090214" data-attributes="member: 468714"><p>As a TID not as medical advice or opinion:</p><p>I cannot find a reference that supports that low carb diets are used by TIDs primarily because of insulin resistance. </p><p>And yes, it is acknowledged that large amounts of carbs in a meal tend to raise BSL's adversely and / or increase the risk if hypos later. A hypo can lead to a rebound in BSL ad the liver releases some stored glucose to remedy the low BSL and the threat that low BSL to brain function.</p><p>Such diets are used in TIDs and LADAs on insulin according to the book and forums listed below to accomplish better bsls control and reduce the risk of diabetes comlications in the future. Dr Bernstein,s Diabetes Solution and forums, True Grit Tyoe One and Dr Bernstein's Advocates.</p><p></p><p>From these sources the experience of those utilising low carbs diets appears to include weight loss in those overweight but weight loss is not an automatic consequence of undertaking the diet. Weight gain can also be a consequence, which is a boon for some and a problem for others until they adjust the intake of food to maintain a healthy weight.</p><p></p><p>On converting to low carb diet, yes, insulin dose have to decrease because without dose adjustment naturally hypos can occur. But low carb diet is actually a low carb, higher protein and fat diet, calories are not restricted or food intake adjusted unless weight loss is needed or weight gain is a problem initially or the excess protein intake affects bsl control adversely.</p><p> For the expected high protein content of the diet some insulin is added in for the rise in bsls which occurs due to protein - as the liver converts spare protein into glucose - a process which usually leads to a slow bsl rise nearer the 3 hours mark or slightly longer. </p><p>As explained in low carb forums and by Dr Bernstein in his book, short acting insulin is not able to deal with the bsl peak of high carb lower fat meals readily ( particulrly carbs from processed foods like breakfast cereal ) without often high doses and risky-for-hypos-later manipulation of the timing of these higher doses before meals.</p><p></p><p>There is a study including TID children on very low carb, high protein diets whose growth parameters are recorded as normal and with the best bsl ranges and most minimal hypo occurrences of any study. (Pediatrics May 7, 2018 Management of Type I diabetics with very low carbohyrate diets. Ludwig et al.</p><p></p><p>I encourage you to read, absorb, question and ask about the above so that you can reach your own conclusion, preferably based on not just one or two personal stories or opinion's but on a wealth of documented experience backed by scientific rigour.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2090214, member: 468714"] As a TID not as medical advice or opinion: I cannot find a reference that supports that low carb diets are used by TIDs primarily because of insulin resistance. And yes, it is acknowledged that large amounts of carbs in a meal tend to raise BSL's adversely and / or increase the risk if hypos later. A hypo can lead to a rebound in BSL ad the liver releases some stored glucose to remedy the low BSL and the threat that low BSL to brain function. Such diets are used in TIDs and LADAs on insulin according to the book and forums listed below to accomplish better bsls control and reduce the risk of diabetes comlications in the future. Dr Bernstein,s Diabetes Solution and forums, True Grit Tyoe One and Dr Bernstein's Advocates. From these sources the experience of those utilising low carbs diets appears to include weight loss in those overweight but weight loss is not an automatic consequence of undertaking the diet. Weight gain can also be a consequence, which is a boon for some and a problem for others until they adjust the intake of food to maintain a healthy weight. On converting to low carb diet, yes, insulin dose have to decrease because without dose adjustment naturally hypos can occur. But low carb diet is actually a low carb, higher protein and fat diet, calories are not restricted or food intake adjusted unless weight loss is needed or weight gain is a problem initially or the excess protein intake affects bsl control adversely. For the expected high protein content of the diet some insulin is added in for the rise in bsls which occurs due to protein - as the liver converts spare protein into glucose - a process which usually leads to a slow bsl rise nearer the 3 hours mark or slightly longer. As explained in low carb forums and by Dr Bernstein in his book, short acting insulin is not able to deal with the bsl peak of high carb lower fat meals readily ( particulrly carbs from processed foods like breakfast cereal ) without often high doses and risky-for-hypos-later manipulation of the timing of these higher doses before meals. There is a study including TID children on very low carb, high protein diets whose growth parameters are recorded as normal and with the best bsl ranges and most minimal hypo occurrences of any study. (Pediatrics May 7, 2018 Management of Type I diabetics with very low carbohyrate diets. Ludwig et al. I encourage you to read, absorb, question and ask about the above so that you can reach your own conclusion, preferably based on not just one or two personal stories or opinion's but on a wealth of documented experience backed by scientific rigour. [/QUOTE]
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