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Hypo danger?

Seansie.

Member
Messages
22
Hi, I have been on very low carb for around 10 days now. I noticed the last few days I am forgetting to have lunch and don't have much appetite. I just realised i hadn't eaten since breakfast and it was 4.45 p.m
When I tested I was 4.1 which i read is almost dangerous. I didn't feel unwell or shaky. Should I be concerned?
 
If you are not on insulin or other blood-glucose lowering medication (for most metformin does NOT count as such as wont cuse such issues) that is a perfectly fine number that you dont need to worry about.
 
Low blood sugar /hypos are not a symptom of diabetes, it is a symptom of too much or incorrect dose of medication.
If you are on any meds that can cause low blood sugar, then the low 4's is cutting things a bit fine.
If on the other hand you are diet controlled or just taking metformin, which isn't usually known for causing hypos. Then well done, 4.1 is an excellent result.
 
@Seansie.
It would be really helpful if you could add a little information about yourself.
If we can see what type of diabetes you have and any medication you take, it helps people to give relevant advice, and avoids any confusion.
 
@Seansie.
It would be really helpful if you could add a little information about yourself.
If we can see what type of diabetes you have and any medication you take, it helps people to give relevant advice, and avoids any confusion.
I'm type 2, and have been doing a keto diet for past 10 or so days. Metformin once daily 500 mgs. Again, strangely when I did eat around 4.30 p.m I had 3 oatcakes late last night and nothing but water since. BG reading this morning was 5.5.
 
I'm type 2, and have been doing a keto diet for past 10 or so days. Metformin once daily 500 mgs. Again, strangely when I did eat around 4.30 p.m I had 3 oatcakes late last night and nothing but water since. BG reading this morning was 5.5.
No @Seansie that's not particularly strange for a couple of reasons.
The meters are not particularly accurate, the standard they have to comply with is +/'15% so the number it gives is not necessarily your actual level. Your true level could be 15% higher or lower, our meters just give us an idea of where our levels are.
This means that the 4 you got yesterday could actually be anywhere between 3.1 and 4.8,
Today's 5.5 means somewhere between mid 4's to mid 6's. They are still very good numbers that many people would love to see.
The other thing you need to bear in mind is something called the dawn phenomenon.
Your liver will release some stored glucose when it's needed, it usually happens just as you are getting ready to wake, hence "Dawn Phenomenon", although it can happen at any time of the day, any time your liver thinks you need a boost, when exercising of haven't eaten in a while. Your blood sugar is on the move all day depending on your needs, it is not just our food affect it.
That's why hypos are unlikely for T2's not taking any meds that artificially force the blood sugar down. before your level get anywhere near something dangerous, your liver will step in with a shot of glucose to help you out
 
No @Seansie that's not particularly strange for a couple of reasons.
The meters are not particularly accurate, the standard they have to comply with is +/'15% so the number it gives is not necessarily your actual level. Your true level could be 15% higher or lower, our meters just give us an idea of where our levels are.
This means that the 4 you got yesterday could actually be anywhere between 3.1 and 4.8,
Today's 5.5 means somewhere between mid 4's to mid 6's. They are still very good numbers that many people would love to see.
The other thing you need to bear in mind is something called the dawn phenomenon.
Your liver will release some stored glucose when it's needed, it usually happens just as you are getting ready to wake, hence "Dawn Phenomenon", although it can happen at any time of the day, any time your liver thinks you need a boost, when exercising of haven't eaten in a while. Your blood sugar is on the move all day depending on your needs, it is not just our food affect it.
That's why hypos are unlikely for T2's not taking any meds that artificially force the blood sugar down. before your level get anywhere near something dangerous, your liver will step in with a shot of glucose to help you out
Thank you very much for taking time to explain this. I have to say, this is the first place I have found where people seem so patient, kind & informative with some solid sounding facts. I am so grateful. Having not had potato bar a tiny bit in big pot of soup, no fruits bar a few berries, no carb sugar free cookies which were a habit, and no breads, my body and mind feel different. I would generally always need a nap in afternoons when not working, but the last week, i haven't napped once. My appetite though is suddenly quite weird, i don't seem to feel hungry much.Eating feels like a chore currently. And my timings have gone mad as a result.
 
Thank you very much for taking time to explain this. I have to say, this is the first place I have found where people seem so patient, kind & informative with some solid sounding facts. I am so grateful. Having not had potato bar a tiny bit in big pot of soup, no fruits bar a few berries, no carb sugar free cookies which were a habit, and no breads, my body and mind feel different. I would generally always need a nap in afternoons when not working, but the last week, i haven't napped once. My appetite though is suddenly quite weird, i don't seem to feel hungry much.Eating feels like a chore currently. And my timings have gone mad as a result.
All quite usual reactions to changing to a keto diet. Carb drive hunger whilst keto is highly nutritious without the cravings. It took a while for me to adjust when I went keto originally. Just make sure you still get all your nutritional needs met somewhere in the day and don’t mistake hunger for success. Not sure how oatcakes fit into keto I have to say.
 
All quite usual reactions to changing to a keto diet. Carb drive hunger whilst keto is highly nutritious without the cravings. It took a while for me to adjust when I went keto originally. Just make sure you still get all your nutritional needs met somewhere in the day and don’t mistake hunger for success. Not sure how oatcakes fit into keto I have to say.
Ah, I did wonder if they would be okay. 5 grams carbs each? I haven't been eating those either actually. I was just concerned that I hadn't eaten since 4.30 p.m and that was early for me. I had only lunch instead of dinner . I am feeling amazed today about much of this already. I feel less bloated, less tired, no naps needed first time in ages. More mentally alert, but also a bit spaced. And my sweet cravings which are always there have kinda vanished last few days. This all seems bizarre compared to the 'diet' I have been following the last few years since diagnosed in lock down. So, I am pretty sure I have been mainly extremley low carbs since I started this. Eggs, fish, chicken, nuts, yogurt, butter, avocado, veg, tomatoes. 4 ryvitas, which I read were okay for keto, but I imagine you'll tell me otherwise. I guess google has loads of bad information, well of course it does, that's where I have gotten most of my dietary bad tips from. Duh.I'm in the Canary Islands and the temp last week has been 32-34 lowest 27. Today far cooler and i feel that is much easier for my bg as i felt pretty ****** in those temps. I will start reading properly when I return to Uk in 2 days. Which keto books would you suggest I start with?
 
Ah, I did wonder if they would be okay. 5 grams carbs each? I haven't been eating those either actually. I was just concerned that I hadn't eaten since 4.30 p.m and that was early for me. I had only lunch instead of dinner . I am feeling amazed today about much of this already. I feel less bloated, less tired, no naps needed first time in ages. More mentally alert, but also a bit spaced. And my sweet cravings which are always there have kinda vanished last few days. This all seems bizarre compared to the 'diet' I have been following the last few years since diagnosed in lock down. So, I am pretty sure I have been mainly extremley low carbs since I started this. Eggs, fish, chicken, nuts, yogurt, butter, avocado, veg, tomatoes. 4 ryvitas, which I read were okay for keto, but I imagine you'll tell me otherwise. I guess google has loads of bad information, well of course it does, that's where I have gotten most of my dietary bad tips from. Duh.I'm in the Canary Islands and the temp last week has been 32-34 lowest 27. Today far cooler and i feel that is much easier for my bg as i felt pretty ****** in those temps. I will start reading properly when I return to Uk in 2 days. Which keto books would you suggest I start with?
Well 15 g carbs is a large chunk of a daily amount to remain in ketosis. Generally it’s advised under 20g a day is pretty much guaranteed ketosis. Man6 people get there at levels above this though. Up to 50g a day isn’t uncommon. Depends what version of keto you want to follow. In its most basic form it’s solely about achieving ketosis no matter what you eat to get there. There are versions that are very clean and stick to unprocessed, non grain, non chemical real foods and everything in between. So the ryvita fall in the “dirty” keto where only the grams count (and like oat cakes they add up fast for little nutritional benefit).

I started out on sites like dietdoctor.com and ditchthecarbs.com

Make sure you are aware of the differences in the way fibre is counted and included in recipes and allowances and nutritional labels between anything USA based and anything European. The Americans included fiber in their (total) carb numbers and then deducted it to get what they call net carbs. Many swear blind you need to count fiber in keto. You really don’t as we don’t absorb it. Europeans have already got fibre listed separately to carbs so don’t deduct it again or you’ll get falsely low carb numbers. Effectively we already use what stateside call net carbs.

if you feel a bit spacey make sure fluid intake is high and you’re getting e enough electrolytes- common for these to be low especially in the early weeks of keto - sodium, magnesium, potassium especially.
 
Thank you very much for taking time to explain this. I have to say, this is the first place I have found where people seem so patient, kind & informative with some solid sounding facts. I am so grateful. Having not had potato bar a tiny bit in big pot of soup, no fruits bar a few berries, no carb sugar free cookies which were a habit, and no breads, my body and mind feel different. I would generally always need a nap in afternoons when not working, but the last week, i haven't napped once. My appetite though is suddenly quite weird, i don't seem to feel hungry much.Eating feels like a chore currently. And my timings have gone mad as a result.
No hunger is a bonus, for me anyway. I found that I often easily "forget" to eat as I don't feel hungry. 24 hrs is not unusual. I normally eat a bit more often as my other (non-diabetic) half has a more usual eating pattern. I do eat when I want to , though, and I don't think I "should" have something.

I think you're also seeing the end of the post-meal drowsiness that carb intake gives some people. I really don't miss that.

Sounds like things are going well, although I'd endorse the caution about oatcakes and ryvita. Why go to all the trouble of taking carbs out of the main diet and then add them back in? Far as I'm concerned, keto(sis) is the end product of the diet, not the diet itself - there are lots of routes to achieving and staying in ketosis, you find the one that works best for you.
 
Well 15 g carbs is a large chunk of a daily amount to remain in ketosis. Generally it’s advised under 20g a day is pretty much guaranteed ketosis. Man6 people get there at levels above this though. Up to 50g a day isn’t uncommon. Depends what version of keto you want to follow. In its most basic form it’s solely about achieving ketosis no matter what you eat to get there. There are versions that are very clean and stick to unprocessed, non grain, non chemical real foods and everything in between. So the ryvita fall in the “dirty” keto where only the grams count (and like oat cakes they add up fast for little nutritional benefit).

I started out on sites like dietdoctor.com and ditchthecarbs.com

Make sure you are aware of the differences in the way fibre is counted and included in recipes and allowances and nutritional labels between anything USA based and anything European. The Americans included fiber in their (total) carb numbers and then deducted it to get what they call net carbs. Many swear blind you need to count fiber in keto. You really don’t as we don’t absorb it. Europeans have already got fibre listed separately to carbs so don’t deduct it again or you’ll get falsely low carb numbers. Effectively we already use what stateside call net carbs.

if you feel a bit spacey make sure fluid intake is high and you’re getting e enough electrolytes- common for these to be low especially in the early weeks of keto - sodium, magnesium, potassium especially.
I have had some today and will continue to monitor this, thank you. I am slowly understanding how this all works. Just realised Barleycup must be ditched along with oatcakes etc. That's fine, i'll deal with it. I have such better energy and am loving this new freedom that I don't HAVE to eat every 4-5 hours. No wobbles like before and the lack of sugar cravings are so unusual, it's marvelous! I'll check those links out, thank you.
 
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