Interesting question. I suppose that was the goal before insulin could be used. I think it would still be possible to hypo due to all the various uncontrollable factors unless the liver (and the other organs involved) can maintain a stream of fuel responding to variable greater or lesser need. This is another reason it seems to me that it's a good thing for a Type 1 to consume as few carbs as possible. Fat seems to be a more reliable source of fuel.So a T1 eating a zero carb diet can still hypo without any exogenous insulin?
A T1 no longer in the honeymoon period will always need exogenous insulin irrespective of what their diet.So a T1 eating a zero carb diet can still hypo without any exogenous insulin?
A type 1 not taking insulin is signing their own death certificate. Hyper or hypo is irrelevant.But surely if a type 1 didn't take any insulin at all, then they would go hyper, not hypo? I believe this is what @bulkbiker was questioning?
But surely if a type 1 didn't take any insulin at all, then they would go hyper, not hypo? I believe this is what @bulkbiker was questioning?
As has been previously mentioned, someone with type 1 (I am more than my diabetes so refused to be called “a T1” and offer the same level of respect to someone with type 2), does not take zero insulin: they will still need basal insulin. Exercise, etc can lead to hypos without carbs due to the reduction in basal needs. For example, with an insulin pump, I suspend my basal when exercising to avoid hypos but when injecting, this is not possible.
And don’t forget that bolus insulin is needed for protein when someone with type 1 eats a low carb meal. Another reason why it is difficult for someone with type 1 diabetes to have no “exogenous insulin”.
A type 1 not taking insulin is signing their own death certificate. Hyper or hypo is irrelevant.
As I said earlier. We don’t do this for fun. We don’t inject exogenous insulin to justify eating carbohydrates. We inject insulin to live our lives.
Consider yourself fortunate you do not have this condition. Even your current diet wouldn’t negate a need for exogenous insulin.
I think one of the fundamental differences with T1 (and other flavours where there's no insulin produced) is that exogenous basal insulin cannot be immediately suspended when levels drop - usually because glucose is being processed by a mechanism that doesn't need insulin.I'm trying to understand a bit more about T1D. I have T2D.
If a T1D is starting to have a hypo (low bsl), can the liver release more glucose into the blood to correct the low levels?
- I know that T1D need to use some form of glucose to quickly raise the bsl, however, I'm trying to understand some of the reasons on why the liver is failing to boost the bsl accordingly.
I'm trying to understand a bit more about T1D. I have T2D.
If a T1D is starting to have a hypo (low bsl), can the liver release more glucose into the blood to correct the low levels?
- I know that T1D need to use some form of glucose to quickly raise the bsl, however, I'm trying to understand some of the reasons on why the liver is failing to boost the bsl accordingly.
I think one of the fundamental differences with T1 (and other flavours where there's no insulin produced) is
Injectable insulin may save our lives but it is a blunt tool compared to the sensitivity of a working pancreas!
Here's the proper techie stuff
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2991551/
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