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<blockquote data-quote="increasingly cynical" data-source="post: 66251" data-attributes="member: 13842"><p>Hi Fergus (the male Imelda Marcos),</p><p></p><p>Do you measure your ketones also? My most recent consultant (who actually seems quite bright!) is in favour of a low carb diet, but suggested that I start to measure my ketones since my standard diet doesn't consist of a lot anyway (max 14g of carbs and max 2g of sugar in any one meal). Having done so with Ketostix I am a bit down about this... the mechanism behind the following is clear (when the body thinks it is starving it burns fat) but it does give a bit of a catch 22:</p><p></p><p>My BGs run currently between 11.9 to 32 or so. (The consultant is planning an insulin regime but not for another month or so, whilst they check for Pheochromacytoma). When I am 'pleased' with the effect of low-carbing (BGs go down to around 14 average) I find that my ketones (now that I measure them!!) go up to 8 mmol/l (+++ on ketostix). This is not good. If I let my BS rise (to about 18-20) ketones go down to zero or max 0.5 mml/l (trace/+/- on ketostix)</p><p></p><p>Strikes me that this may in fact be a lose/lose scenario!??</p></blockquote><p></p>
[QUOTE="increasingly cynical, post: 66251, member: 13842"] Hi Fergus (the male Imelda Marcos), Do you measure your ketones also? My most recent consultant (who actually seems quite bright!) is in favour of a low carb diet, but suggested that I start to measure my ketones since my standard diet doesn't consist of a lot anyway (max 14g of carbs and max 2g of sugar in any one meal). Having done so with Ketostix I am a bit down about this... the mechanism behind the following is clear (when the body thinks it is starving it burns fat) but it does give a bit of a catch 22: My BGs run currently between 11.9 to 32 or so. (The consultant is planning an insulin regime but not for another month or so, whilst they check for Pheochromacytoma). When I am 'pleased' with the effect of low-carbing (BGs go down to around 14 average) I find that my ketones (now that I measure them!!) go up to 8 mmol/l (+++ on ketostix). This is not good. If I let my BS rise (to about 18-20) ketones go down to zero or max 0.5 mml/l (trace/+/- on ketostix) Strikes me that this may in fact be a lose/lose scenario!?? [/QUOTE]
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