Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1 Diabetes
LADA Diabetes Fed up of being a guinea pig
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="kitedoc" data-source="post: 2064030" data-attributes="member: 468714"><p>Hi [USER=507802]@Hertfordshiremum[/USER],</p><p>Sorry to hear of your troubles. As a type 1 i recall the honeymoon phase where one is never sure what insulin is needed but whatever needs injecting is a constant dance with one's depleting internal supply!</p><p>You mention you are on a low carb and calorie restricted diet. That must be tricky, particularly with hypos and varying insulin From past experience as a type 1, and discussions with many other diabetics over the years but not as medicañ advice or opinion:</p><p>One approach i recall a friend trying was a tyoe of scaling of doses. For example if the evening bsl was less than 6 mmol/l then give x units long-acting, if between 6 and 9 mmol/l give say x +2 units, etc but if nearer 13 then proportionately more, remebering however that the Levemir will probably have a little peak about the 4 hour mark and that usually there are no meals until breafast.</p><p>Because the daytime involved 2 meals and that insulin seems to be less effective in the morning compared to later in the day, then a larger dose of say Levemir could be used, but still with some scaling.</p><p>But.. that pesky pancreas might just decide to respond to breakfast ir lunch etc. What to do.?</p><p>As a possibility, and you would need your nurse and you to read up and study this, ask questions etc:</p><p>Read Dr Bernstein's Diabetes Solution.</p><p>Essentially it is about adopting a very low carb diet, where the 50 % of grams of protein eaten eaten are counted towards carbs and the carb count is about 30 grams. It is in effect a keto diet. Why do this?</p><p>I cannot advise just suggest what such a diet does.</p><p>A) you burn fat and though you may be taking in more fat and calories weight loss and maintaining normal weight is far easier according to adherents than low calorie, miderately low carb diets. That is reported and researched but i can only suggest you look at it</p><p>B) very low carb intake means that your own pancreas is less challenged to send out insulin in larger amounts in response to a more carb filled meal. The smaller the carb intake the less stimulation of that curmudgeon. And you also need lower doses of insulin. From that viewpoint less insulin plus less carbs = less weigh gain.</p><p>C) because the liver can convert protein to glucose you still have sufficient glucose for your brain to function, only about 30% of the brain seems to need glucose exclusively, the other 70% manges quite well on ketones, derived from fat. That is why on very low carb diets some protein is counted as carbs. The beauty of it is that this glucose dervied from protein comes into the blood stream gradually and nearer the 3 hour mark so may be less likely to cause that pancreas curmudgeon to send out some insulin!</p><p>D) when very little or no insulin is produced by the pancreas no matter the level of stimulation, then insulin by injection is an absolute need. If insulin is not available blood sugars rise too high, the body breaks down fat stores into ketones, the blood becomes acidic and the person may become gravely ill. The condition is called diabetic ketoacidosis. Many type 1s and LADA use special strips in some glucose monitors to measure ketones if they feel unwell with high sugars, other more usual strips are used in the meter to measure blood sugars.</p><p>E) when we fast for a time usually more than 12 hours our body does break some fat down and ketone bodies appear in the blood. This is called nutritional ketosis and as long as there is sufficient insulin about ( say from injection, as one never knows when the curmudgeon is going to chime in), and one is well, hydrated etc then the nutritional ketosis as enabled by a keto/ very low carb diet, enables fat to burn as the preferred fuel with out thevextreme ketosis and acid build up. Or DKA occurring..</p><p>F) switch over from carb to fat burning is accompnied often by some days of ' keto flu' and dietdoctor.com helps explain this, that it is a temporary state of adjustment and how to ease it and manage on the diet from there.</p><p>G) having your health team on side is important as the doses of insulin will need adjusting to the lower intake of carbs.</p><p>This above is a suggestion but may form something to combat the challenges you currently face.</p><p>A number of diabetics on site do such diets but it is not every one's cup of tea. There are many dietary and insulin management options.</p><p>Best Wishes and please keep asking questions.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p>And apologies for naming your pancreas a curmudgeon, i am sure you can find a more fitting appelation!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2064030, member: 468714"] Hi [USER=507802]@Hertfordshiremum[/USER], Sorry to hear of your troubles. As a type 1 i recall the honeymoon phase where one is never sure what insulin is needed but whatever needs injecting is a constant dance with one's depleting internal supply! You mention you are on a low carb and calorie restricted diet. That must be tricky, particularly with hypos and varying insulin From past experience as a type 1, and discussions with many other diabetics over the years but not as medicañ advice or opinion: One approach i recall a friend trying was a tyoe of scaling of doses. For example if the evening bsl was less than 6 mmol/l then give x units long-acting, if between 6 and 9 mmol/l give say x +2 units, etc but if nearer 13 then proportionately more, remebering however that the Levemir will probably have a little peak about the 4 hour mark and that usually there are no meals until breafast. Because the daytime involved 2 meals and that insulin seems to be less effective in the morning compared to later in the day, then a larger dose of say Levemir could be used, but still with some scaling. But.. that pesky pancreas might just decide to respond to breakfast ir lunch etc. What to do.? As a possibility, and you would need your nurse and you to read up and study this, ask questions etc: Read Dr Bernstein's Diabetes Solution. Essentially it is about adopting a very low carb diet, where the 50 % of grams of protein eaten eaten are counted towards carbs and the carb count is about 30 grams. It is in effect a keto diet. Why do this? I cannot advise just suggest what such a diet does. A) you burn fat and though you may be taking in more fat and calories weight loss and maintaining normal weight is far easier according to adherents than low calorie, miderately low carb diets. That is reported and researched but i can only suggest you look at it B) very low carb intake means that your own pancreas is less challenged to send out insulin in larger amounts in response to a more carb filled meal. The smaller the carb intake the less stimulation of that curmudgeon. And you also need lower doses of insulin. From that viewpoint less insulin plus less carbs = less weigh gain. C) because the liver can convert protein to glucose you still have sufficient glucose for your brain to function, only about 30% of the brain seems to need glucose exclusively, the other 70% manges quite well on ketones, derived from fat. That is why on very low carb diets some protein is counted as carbs. The beauty of it is that this glucose dervied from protein comes into the blood stream gradually and nearer the 3 hour mark so may be less likely to cause that pancreas curmudgeon to send out some insulin! D) when very little or no insulin is produced by the pancreas no matter the level of stimulation, then insulin by injection is an absolute need. If insulin is not available blood sugars rise too high, the body breaks down fat stores into ketones, the blood becomes acidic and the person may become gravely ill. The condition is called diabetic ketoacidosis. Many type 1s and LADA use special strips in some glucose monitors to measure ketones if they feel unwell with high sugars, other more usual strips are used in the meter to measure blood sugars. E) when we fast for a time usually more than 12 hours our body does break some fat down and ketone bodies appear in the blood. This is called nutritional ketosis and as long as there is sufficient insulin about ( say from injection, as one never knows when the curmudgeon is going to chime in), and one is well, hydrated etc then the nutritional ketosis as enabled by a keto/ very low carb diet, enables fat to burn as the preferred fuel with out thevextreme ketosis and acid build up. Or DKA occurring.. F) switch over from carb to fat burning is accompnied often by some days of ' keto flu' and dietdoctor.com helps explain this, that it is a temporary state of adjustment and how to ease it and manage on the diet from there. G) having your health team on side is important as the doses of insulin will need adjusting to the lower intake of carbs. This above is a suggestion but may form something to combat the challenges you currently face. A number of diabetics on site do such diets but it is not every one's cup of tea. There are many dietary and insulin management options. Best Wishes and please keep asking questions.:):):):) And apologies for naming your pancreas a curmudgeon, i am sure you can find a more fitting appelation! [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1 Diabetes
LADA Diabetes Fed up of being a guinea pig
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…