Reply to Thread

Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2025 »

Message: <blockquote data-quote="HSSS" data-source="post: 2705573" data-attributes="member: 480869">Broadly speaking keto flu is largely either adaptation to lower but more normal glucose levels (ie false hypos) or a lack of electrolytes due to higher fluid levels and carbs not holding water in the body. There is a thing called adaptative glucose sparing or physiological insulin resistance whereby fasting levels remain a little higher due to limited intake of carbs helped by liver dumping. It’s quite different to pathological insulin resistance. Exercise has variable effects depending on intensity etc but longer term is beneficial to levels but short term may cause either a drop or rise. Keto tends to allow longer, less intense activity without “bonking” or hypos once fat adaption takes place after a few weeks of ketosis but higher intensity efforts might struggle and cause lows. Have a look at Volek and Phinney “the art and science of low carb performance” perhaps. Specifically in regards to type 1 I can’t comment as my knowledge is type 2 based. I’d assume greater awareness of the difference between nutritional ketosis and DKA would be essential in this case. I’ve heard mention of the insulin dosing requirements for protein changing in type 1 when very low carb as a consideration. Dr Ian lake is another person to look up perhaps as a type 1 that does some intense exercise on keto</blockquote>

Top Bottom