This is just my thought and may well not be right for you, but you will know if it is or not. Your SIBO diet seems very restrictive anyway and to me that is the most important health issue for you to address since your BG's are already excellent. Do you think a small amount of honey every day could help? This could help you increase calories a little quite easily, it looks as if your BG's would stand it. As LGC says it looks like you need more calories than most people your height and weight just to stay the same.
It's a shame about the peppers
I worry about falling out of ketosis if I eat honey. If I was still within my acceptable carb limit for the day would this mean I would stay in ketosis? I'm going to have to trial honey again to see if it effects my SIBO. I was very bloated yesterday, so it was hard to tell what was having an effect and what wasn't. Would a couple of teaspoons of honey really up my calorie count by an awful lot? Would I not be better sticking to fat? I'll give it another go though and see what happensAlso, I read that protein should be eaten in small portions per meal, does anybody know what the amount should be? I read around 15g, this seems quite low to me though.
I thought it might be relevant to mention that one of the characteristics of MIDD is small stature and low body weight. Both my mum and my nan (who also had MIDD, (it's genetically inherited through the female line) were very small and slim/skinny. My sister,who hasn't yet developed diabetes but has the deafness, is also very small and very thin and she eats a 'normal' diet. Just so you know that my being thin can't be solely attributed to the effects of the SIBOThat being said, I really don't want to lose any weight if I can help it while trying to get rid of this bl**dy persistent SIBO!
With respect, sometimes you can't have it all ways. You have a bit of a portfolio of conditions going on there, and sometimes we have to pick from a list of least bad, rather than best options. If these things were easy, and a one-size fits all solution available, none of us would be here.
I think you have to write yourself a plan, with the things you are curious about (like honey) and execute the steps (like adding xml of honey y times a day for 3 days, for example), measure the results - in terms of bloods, ketosis, how you feel and weight and review after a suitable period. Then move onto the next item on your plan. Adding or removing too many things at once is unhelpful as it is not usually possible to be sure what has caused any change that occurs.
It's not easy, but planning and executing to your plan, will give you a structured approach with evidence based reasoning for changes.
(Sorry, I'm a bit grumpy today.)
@Sirzy One thing - I am not sure why you want to be in ketosis?
I can see this as an aim for adopting a LCHF lifestyle for good BG control with little or no medication, plus helping with your body's insulin cycle, but I would think that your SIBO is a more pressing problem and staying in ketosis may not be essential to best cope with SIBO.
I haven't Googled much, but what I have read doesn't seem to recommend LCHF and ketosis as a treatment for SIBO - then again the advice is more generic, and not, I think, aimed specifically at diabetics.
I would be inclined to focus on foods that you can eat without spiking your BG and without aggravating your SIBO.
I realise that this diet is similar in many aspects to LCHF but you perhaps need to remind yourself that it is not identical to the LCHF diet that diabetics follow.
I did see a reference to bone broth which seemed to make sense - plenty of nutrients, no carbs, and easily assimilated.
The traditional chicken soup might also be an option.
I must confess that I am nervous about giving too much advice because SIBO isn't anything that I have had to deal with, and I expect that most other posters here do not have direct experience either.
Best of luck.
LGC
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