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<blockquote data-quote="catapillar" data-source="post: 1556517" data-attributes="member: 32394"><p>That does suggest you arent using your insulin correctly. The point of a basal/bolus regiem is to allow you to manage your blood sugar and either eat no carbs, or all the carbs, or any amount in between. </p><p></p><p>The basal should be keeping blood sugars relatively flat when not eating or bolusing - so that should mean that you don't have to eat to feed your basal insulin. Have you done a basal test to check you aren't taking too much basal insulin?</p><p></p><p>Then the bolus dose is adjusted to match the carbs that are eaten. Are you carb counting? Are you confident your carb counts at less than 30g carb for breakfast days are correct? Are you confident you are using an insulin to carb ratio that actually works for you in the morning?</p><p></p><p>There's no reason a type 1 diabetic on a basal/bolus regiem who understands how to adjust their insulin can't eat paleo or keto. If you are considering keto there are a few things to be aware of in deciding whether to do it: 1) physiological insulin resistance - if you low carb you might find you need a stronger insulin to carb ratio to deal with carbs as your body gets out of practice in dealing with carbs; 2) the impact of protein on blood sugar - if you aren't eating carbs, your body wants to get glucose from somewhere, it will do this by turning the protein you eat into glucose in a process called gluconogenesis, so many type 1s on a low carb diet will bolus for the protein they eat - this might require a bolus after eating as the gluconogenesis process takes a while.</p><p></p><p>And yes, a keto diet is mainly aimed at type 2 diabetics aiming to manage their diabetes through diet alone - they will not have the complications of insulin adjustment to deal with when eating keto.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1556517, member: 32394"] That does suggest you arent using your insulin correctly. The point of a basal/bolus regiem is to allow you to manage your blood sugar and either eat no carbs, or all the carbs, or any amount in between. The basal should be keeping blood sugars relatively flat when not eating or bolusing - so that should mean that you don't have to eat to feed your basal insulin. Have you done a basal test to check you aren't taking too much basal insulin? Then the bolus dose is adjusted to match the carbs that are eaten. Are you carb counting? Are you confident your carb counts at less than 30g carb for breakfast days are correct? Are you confident you are using an insulin to carb ratio that actually works for you in the morning? There's no reason a type 1 diabetic on a basal/bolus regiem who understands how to adjust their insulin can't eat paleo or keto. If you are considering keto there are a few things to be aware of in deciding whether to do it: 1) physiological insulin resistance - if you low carb you might find you need a stronger insulin to carb ratio to deal with carbs as your body gets out of practice in dealing with carbs; 2) the impact of protein on blood sugar - if you aren't eating carbs, your body wants to get glucose from somewhere, it will do this by turning the protein you eat into glucose in a process called gluconogenesis, so many type 1s on a low carb diet will bolus for the protein they eat - this might require a bolus after eating as the gluconogenesis process takes a while. And yes, a keto diet is mainly aimed at type 2 diabetics aiming to manage their diabetes through diet alone - they will not have the complications of insulin adjustment to deal with when eating keto. [/QUOTE]
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