If you are seeing lows after waking up my guess is that your 200% DP basal was wrong and was being used to cover a carby breakfast that is now missing because you are low carbing. In other words I think that your morning basal was too high and instead you should have used a higher IC ratio at breakfast. And my further guess is that if you change to those settings now, your problem will go away, and stay away even if you stop low carbing.
For protein by the way when low carbing I dose 1/3 of normal IC for the same amount of carbs. So I dose for 60g of protein like it was 20g of carbs. If I dose 50% I consistently go hypo. I use a 2 hr delayed bolus, ie delivery spread over 2 hours rather than immediate.
I found it easiest to eat similar meals at similar times - i.e.: keep the carb/protein/fat ratios for breakfast lunch and dinner until I had worked out patterns. Your body will make as much glucose as it needs from protein apparently, but you also need enough protein to repair muscle etc so you might need more protein if you exercise or work out. I have my protein goal at around 1g per kilo bodyweight but I only do light exercise.So I'm around 15 days in, ketones have ranged between 0.2-1.7, had one bad day (90g carbs) but other than that pretty good (30g per day avg).
The tricky things I'm finding are:
1) The protein affect - creeping BGs hours after eating (currently bolusing for 1/3 of protein, prob need extended bolus for 50% although carbs messes up this guesstimate). Need a better formula for bolusing for protein, especially if carbs are included.
2) Still getting DP, BGs ok till 4am then creep up 3-4mmol by 9am. What causes this? Is it muscle breakdown? Should DP disappear when in optimal ketosis? Planning to experiment with more fat at bed time...
I found it easiest to eat similar meals at similar times - i.e.: keep the carb/protein/fat ratios for breakfast lunch and dinner until I had worked out patterns. Your body will make as much glucose as it needs from protein apparently, but you also need enough protein to repair muscle etc so you might need more protein if you exercise or work out. I have my protein goal at around 1g per kilo bodyweight but I only do light exercise.
DP is caused by your liver dumping glycogen to give you energy when you wake up (it doesn't know your pancreas is broken) If it's a repeatable pattern then you will be able to programme your pump to cover this. I'm not a pumper so can't help with that.
You may have less, but you will still have enough glycogen to give DP - you wouldn't want to not have any if you were to go hypo.Thanks, similarly I am having a minimum 1g per kg body weight.
With regards to DP, I understand what causes it, but was assuming on LCHF the liver's stores are meant to be depleted so DP should stop should it not??
This makes sense! I'll try the extra fat before bed, then work on the basal rate (again), thanks!You may have less, but you will still have enough glycogen to give DP - you wouldn't want to not have any if you were to go hypo.
Possibly the creep up of BG is your body creating glucose? Up your basal slightly I suppose.Update, still low carbing, ketones are in the light range (0.2-1) blood sugars are starting to creep up throughout the day - basal rates appear to be returning to pre LCHF days!
1) The protein affect - creeping BGs hours after eating (currently bolusing for 1/3 of protein, prob need extended bolus for 50% although carbs messes up this guesstimate). Need a better formula for bolusing for protein, especially if carbs are included.
My main worry insulin resistance (some days I'm down to <20g carbs), also I am finding it easy to over eat on the protein (aiming for 86g a day based on 86kg weight). I'm surprised my basal has returned to pre lchf levels and concerned I may need even more than before!Possibly the creep up of BG is your body creating glucose? Up your basal slightly I suppose.
Try 50% of protein with 100% of that as Extended. What period is your Extended over? I do it over 2 hours for protein.
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