miss miss
Well-Known Member
- Messages
- 52
- Location
- Hobart Tasmania Australia
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
- Dislikes
- insulin
Steroids are used as an anti-inflammatory. Just so happens the body also makes them for other purposes, and that they trigger a response from the liver: It'll dump glucose. When our bodies have enough, the demand stops naturally... But when a steroid is ingested or injected, there's no off switch for a while, and the liver will keep on dumping for as long as the steroid's active. It can't distinguish between naturally produced steroids and the kind we take. Which can be quite inconvenient.
If your BM's are loose, it is most likely metformin or sweeteners causing the problem. For me, metformin had me locked in the loo for weeks, until the nurse took me off them. (It's a side effect that should abate after 2 weeks. If it doesn't, it's not going to.). And artificial sweeteners are toxic to gut bacteria, which can cause the same. As can sugar alcohols. So it's a matter of finding out which is the culprit.
Are you on any diabetes medication? Some can cause hypos if you reduce carbs too much while taking them.ok that was helpful - thank you
Are you on any diabetes medication? Some can cause hypos if you reduce carbs too much while taking them.
I also thought diabetic ketoacidosis was essentially a problem for people with Type 1 (but if you now know the cause that's good.)I just came out of intensive care unit for diabetic ketoacidosis
When I wrote that previous question, there was discussion as to whether you were T1 or T2, and no information in your profile: likewise there was no indication that you knew the cause of your DKA at that point, further complicating the context.and I thought the thread was about carbs and how many is too few
I also thought diabetic ketoacidosis was essentially a problem for people with Type 1 (but if you now know the cause that's good.)
If someone isn't eating carbs, then there's enough vit C in fresh meat to avoid scurvy, so a carnivore diet works. Some people just add salt and water but others more knowledgeable will be better able to give you info.
Continuing on Metformin sounds slightly precarious - you certainly don't want a hypo while doing Low Carb - but sounds like you are keeping an eye on BG levels and know what you are doing.
When I wrote that previous question, there was discussion as to whether you were T1 or T2, and no information in your profile: likewise there was no indication that you knew the cause of your DKA at that point, further complicating the context.
If you were a T1 in the honeymoon period, then the carb situation could be very different to that of a T2 with 'triggered' DKA.
This is the only reason I asked, and it seems like a perfectly relevant question. Apologies for any misunderstanding.
The problem with ketogenic diets is that some people choose the wrong fats such as butter and red meat which can increase risk of heart disease. With very little fibre you’d likely be getting diarrhoea and the lack of carbs is probably leaving you tired all day.
Hopefully you are still taking your basal insulin?
Based on the fact your blood glucose stays the same Id say you’re producing some insulin. A c-peptide test can be enlightening.
The problem with ketogenic diets is that some people choose the wrong fats such as butter and red meat which can increase risk of heart disease. With very little fibre you’d likely be getting diarrhoea and the lack of carbs is probably leaving you tired all day.
I’d certainly advise low carb (<130g) diets but not a complete elimination. I know you make struggle with the injections but I’m afraid you can’t do much.
If you have the money you can finance a patch pump like the Omnipod which sits on the back of your arm and delivers insulin controlled by you via a device. You will have to insert a needle initially but it keeps for 3 days
Hopefully you are still taking your basal insulin?
Based on the fact your blood glucose stays the same Id say you’re producing some insulin. A c-peptide test can be enlightening.
The problem with ketogenic diets is that some people choose the wrong fats such as butter and red meat which can increase risk of heart disease. With very little fibre you’d likely be getting diarrhoea and the lack of carbs is probably leaving you tired all day.
I’d certainly advise low carb (<130g) diets but not a complete elimination. I know you make struggle with the injections but I’m afraid you can’t do much.
If you have the money you can finance a patch pump like the Omnipod which sits on the back of your arm and delivers insulin controlled by you via a device. You will have to insert a needle initially but it keeps for 3 days
Hopefully you are still taking your basal insulin?
Based on the fact your blood glucose stays the same Id say you’re producing some insulin. A c-peptide test can be enlightening.
The problem with ketogenic diets is that some people choose the wrong fats such as butter and red meat which can increase risk of heart disease. With very little fibre you’d likely be getting diarrhoea and the lack of carbs is probably leaving you tired all day.
I’d certainly advise low carb (<130g) diets but not a complete elimination. I know you make struggle with the injections but I’m afraid you can’t do much.
If you have the money you can finance a patch pump like the Omnipod which sits on the back of your arm and delivers insulin controlled by you via a device. You will have to insert a needle initially but it keeps for 3 days
I would agree that a variety of fats would be beneficial, I.e. some fats from avocados, olives and chia seeds. I would also agree that adding fiber is great advice. Disagree on the carb count. At least during the correction phase.Hopefully you are still taking your basal insulin?
Based on the fact your blood glucose stays the same Id say you’re producing some insulin. A c-peptide test can be enlightening.
The problem with ketogenic diets is that some people choose the wrong fats such as butter and red meat which can increase risk of heart disease. With very little fibre you’d likely be getting diarrhoea and the lack of carbs is probably leaving you tired all day.
I’d certainly advise low carb (<130g) diets but not a complete elimination. I know you make struggle with the injections but I’m afraid you can’t do much.
If you have the money you can finance a patch pump like the Omnipod which sits on the back of your arm and delivers insulin controlled by you via a device. You will have to insert a needle initially but it keeps for 3 days
The original poster was a T2, and while diabetic ketoacidosis is indeed a killer for T1's, a T2 doesn't run that risk unless other things factor in, like heavy steroids, and even then, it's rare. This forum is for all types of diabetes, T1, T2, T3c and other variants, gestational diabetes, Mody, LADA, and while they all have sub-forums, sometimes we mesh on other sub-forum topics.... You just happened to wander into a part where what applies to you, does not apply to the type of diabetes the original poster has. Believe me, you don't want to know how often I've stuck my foot in it, responding to a T1 with T2 advice. (Which is potentially lethal).You are all having a go at me for simply reiterating the official advice diabetic clinics give. I have the email from my dietician if that’s any consolation, she said as a diabetic I’m already at a high risk of ketosis and shouldn’t do a low carbohydrate diet (<130g). This advice is not personalised for me but applies to many people. My diabetes is not a new, different form of diabetes.
Here’s the part of the email:
“I normally don’t recommend low carb diet <130g per day as you have type 1 diabetes and there is a higher risk of ketosis.”
The question is asking “how many carbs is too few?” there’s no straight answer and the fact that you are all jumping at people’s throats for sharing their opinion is bizarre.
Some of you get frustrated quite easily because the thing I say contradicts your personal experience but not everyone is the same and the fact that you assume your personal experience applies to everyone is insane.
Needless to say I made the wrong assumption that it was a T1D forum so I’m going to just remove myself
You are all having a go at me for simply reiterating the official advice diabetic clinics give. I have the email from my dietician if that’s any consolation, she said as a diabetic I’m already at a high risk of ketosis and shouldn’t do a low carbohydrate diet (<130g). This advice is not personalised for me but applies to many people. My diabetes is not a new, different form of diabetes.
Here’s the part of the email:
“I normally don’t recommend low carb diet <130g per day as you have type 1 diabetes and there is a higher risk of ketosis.”
The question is asking “how many carbs is too few?” there’s no straight answer and the fact that you are all jumping at people’s throats for sharing their opinion is bizarre.
Some of you get frustrated quite easily because the thing I say contradicts your personal experience but not everyone is the same and the fact that you assume your personal experience applies to everyone is insane.
Needless to say I made the wrong assumption that it was a T1D forum so I’m going to just remove myself
You are all having a go at me for simply reiterating the official advice diabetic clinics give. I have the email from my dietician if that’s any consolation, she said as a diabetic I’m already at a high risk of ketosis and shouldn’t do a low carbohydrate diet (<130g). This advice is not personalised for me but applies to many people. My diabetes is not a new, different form of diabetes.
Here’s the part of the email:
“I normally don’t recommend low carb diet <130g per day as you have type 1 diabetes and there is a higher risk of ketosis.”
The question is asking “how many carbs is too few?” there’s no straight answer and the fact that you are all jumping at people’s throats for sharing their opinion is bizarre.
Some of you get frustrated quite easily because the thing I say contradicts your personal experience but not everyone is the same and the fact that you assume your personal experience applies to everyone is insane.
Needless to say I made the wrong assumption that it was a T1D forum so I’m going to just remove myself
You are all having a go at me for simply reiterating the official advice diabetic clinics give. I have the email from my dietician if that’s any consolation, she said as a diabetic I’m already at a high risk of ketosis and shouldn’t do a low carbohydrate diet (<130g). This advice is not personalised for me but applies to many people. My diabetes is not a new, different form of diabetes.
Here’s the part of the email:
“I normally don’t recommend low carb diet <130g per day as you have type 1 diabetes and there is a higher risk of ketosis.”
The question is asking “how many carbs is too few?” there’s no straight answer and the fact that you are all jumping at people’s throats for sharing their opinion is bizarre.
Some of you get frustrated quite easily because the thing I say contradicts your personal experience but not everyone is the same and the fact that you assume your personal experience applies to everyone is insane.
Needless to say I made the wrong assumption that it was a T1D forum so I’m going to just remove myself
It would help if you put what type of diabetic you are on your profile.You are all having a go at me for simply reiterating the official advice diabetic clinics give. I have the email from my dietician if that’s any consolation, she said as a diabetic I’m already at a high risk of ketosis and shouldn’t do a low carbohydrate diet (<130g). This advice is not personalised for me but applies to many people. My diabetes is not a new, different form of diabetes.
Here’s the part of the email:
“I normally don’t recommend low carb diet <130g per day as you have type 1 diabetes and there is a higher risk of ketosis.”
The question is asking “how many carbs is too few?” there’s no straight answer and the fact that you are all jumping at people’s throats for sharing their opinion is bizarre.
Some of you get frustrated quite easily because the thing I say contradicts your personal experience but not everyone is the same and the fact that you assume your personal experience applies to everyone is insane.
Needless to say I made the wrong assumption that it was a T1D forum so I’m going to just remove myself
Hi @CelalDari,
It's wonderful that you want to help.
However, what you write directly contradicts my personal experience. When I was first diagnosed, my GP said with blood sugars as high as mine, there would be no way around insulin. By reducing my carbs significantly (am sitting between 10g and 15g of carbs per day), I now have normal (not even prediabetic) blood sugar levels without any medication at all. Also, all other health markers (such as blood pressure, blood lipids, and markers for liver and kidney health) are all normal. Have you had a look at the results of the Virta Health studies on very low carb diets for T2s? Here is a link if you are interested https://www.virtahealth.com/outcomes. About half of the patients were able to drop all insulin. (Btw, these results were also published in peer-reviewed medical journals).
In the same way, @miss miss's numbers seem to be showing that she is doing well on very few carbs and no insulin at all. So, coming back to your question @miss miss, I agree with the other posters that the evidence seems to indicate that as a T2 you can go as low carb as you are happy with. My suggestion in light of your recent hospitalization with DKA and high blood sugars would be to keep regularly monitoring your blood sugars as I am sure you are doing anyway.
As fiber was mentioned, a ketogenic way of eating doesn't necessarily have to be low in fiber (mine definitely isn't). This having been said, I don't think the science on fiber is quite settled yet, especially in the context of a low carb diet. If you are interested, you might want to listen the following presentation by Zoe Harcombe, a Ph.D. in public health nutrition:
I feel for you, @CelalDari, as you are really just relaying standard advice. Might be a case of shooting the messenger. However, this standard advice, especially as it stands for T2s, is which many of us take issue with.
It is very rare for any T2 following standard advice to achieve remission (i.e. normal blood sugar levels) without medication. How many do you know? In fact, this advice is why T2 diabetes is generally considered a chronic progressive disease. So, many of us T2s here on this forum feel a bit left alone by the establishment and have succeeded by not following these mainstream guidelines.
The case for T1s is an entirely different one, even though as @bulkbiker mentions there are also some T1s who seem to do well on a lower carb diet.
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?