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High levels despite low carb and insulin
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<blockquote data-quote="Brunneria" data-source="post: 2079194" data-attributes="member: 41816"><p>Hi [USER=82469]@mortigger1968[/USER]</p><p></p><p>I appreciate that you are in a very uncomfortable situation, and I wholeheartedly agree with those who say that fasting while on (fixed) insulin is not advisable until you have more help and advice from your healthcare team.</p><p></p><p>Also wanted to say that with PCOS you will have a different experience of insulin resistance than most - so please do not assume that fasting would have a major impact on it. The higher insulin resistance we have (speaking as a PCOSer myself), then the longer and harder we need to fast to see any benefit. Combining that with your current insulin regime could get dangerous. Some people are so insulin resistant that fasting does not significantly lower it. I have seen people (e.g. one of the founders of the ketodudes ketogenic forum) who have combined fasting with a significant exercise regime but seen no weight loss until max dose Metformin was added - because even when fasting, insulin resistance stayed high. The hormonal disruptions that make up PCOS are much more complex than most people experience, and that insulin resistance will also be more resistant. PCOSers typically have far more trouble losing weight, making it a longer, slower, harder road than most people.</p><p></p><p>I’m sorry, i appreciate no one wants to be in that situation! Going low carb is usually great for PCOSers, but the benefits are usually slower and smaller than for nonPCOSers, and this is (unfortunately) rarely recognised by docs, endocrinologists or even people who find that LC works well for them. Sad but true.</p><p></p><p>I really feel for you, but I urge you not to make any significant changes until you have the knowledge to adjust your insulin to your carb intake, and your basal has been tested and fine tuned.</p><p></p><p>Good luck with the appointment.</p><p>Please let us know how it goes?</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2079194, member: 41816"] Hi [USER=82469]@mortigger1968[/USER] I appreciate that you are in a very uncomfortable situation, and I wholeheartedly agree with those who say that fasting while on (fixed) insulin is not advisable until you have more help and advice from your healthcare team. Also wanted to say that with PCOS you will have a different experience of insulin resistance than most - so please do not assume that fasting would have a major impact on it. The higher insulin resistance we have (speaking as a PCOSer myself), then the longer and harder we need to fast to see any benefit. Combining that with your current insulin regime could get dangerous. Some people are so insulin resistant that fasting does not significantly lower it. I have seen people (e.g. one of the founders of the ketodudes ketogenic forum) who have combined fasting with a significant exercise regime but seen no weight loss until max dose Metformin was added - because even when fasting, insulin resistance stayed high. The hormonal disruptions that make up PCOS are much more complex than most people experience, and that insulin resistance will also be more resistant. PCOSers typically have far more trouble losing weight, making it a longer, slower, harder road than most people. I’m sorry, i appreciate no one wants to be in that situation! Going low carb is usually great for PCOSers, but the benefits are usually slower and smaller than for nonPCOSers, and this is (unfortunately) rarely recognised by docs, endocrinologists or even people who find that LC works well for them. Sad but true. I really feel for you, but I urge you not to make any significant changes until you have the knowledge to adjust your insulin to your carb intake, and your basal has been tested and fine tuned. Good luck with the appointment. Please let us know how it goes? [/QUOTE]
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