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Low carb but continued high BG (type 1)
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<blockquote data-quote="JoshPowJenks" data-source="post: 2398205" data-attributes="member: 542766"><p>Hi all - my first post here so please be gentle!</p><p></p><p>I've been type 1 for almost 8 years and my control has been pretty poor for a few years now - in fact, it's probably never been good, but I just didn't pay as much attention previously.</p><p></p><p>Anyway, I've recently got myself a Libre 2 and, in doing so, noticed how insanely high my spikes were when following the traditional carb-heavy diet. For instance, a breakfast of oats, whey protein and a banana would send me up in the 20s (mmol) and would occasionally drop back to a normal range, but usually stay in the 12-15 range regardless of how much insulin I would take.</p><p></p><p>About 2 weeks ago, I started a low carb diet to try and get some control, with a macro ratio of roughly 50-70g carbs/150g protein/150g fat. This has helped <em>somewhat</em> - for example, my Libre 14 day time in target has increased from 48% to 61%, and >13.3 has decreased from 16% to 3% - however, I'm finding myself stuck around the 9-12mmol range constantly.</p><p></p><p>I seem to be gradually increasing throughout the day which leads to me injecting more and more Novorapid throughout the day. An occasional pattern seems to be a spike 2 hours after I've eaten, followed by a gradual rise for a few hours later, so I have to take up to three separate injections for a meal, one immediately for any carbs, one 2 hours later, and occasionally an additional a few hours after that (although at that point it's usually time to eat again).</p><p></p><p>As an example, today I've only eaten about 40g carbs from blueberries, a glass of milk, some spinach and a few squares of dark chocolate, yet I've had to inject 8.5u Novorapid to cover this (and I'm still around 10mmol on average). As a comparison, when I was on a carb heavy diet, my ratio would usually be 1:10 to 1:15, so it seems as if my insulin resistance has somehow increased which surprises me as I'm in pretty good shape - 5'8, 150lbs, about 15% body fat and lift weights 3x a week.</p><p></p><p>I've only recently dropped my basal (Levemir) dosage after a few basal fasting tests indicated my dose was too high, and my current dosage seems to keep me pretty level, albeit too high.</p><p></p><p>I know I'm still new to the low carb diet so it could be my body adapting to it, but I'm already a little frustrated as the general consensus seems to suggest BG levels drop more or less straight away, while mine are a still too high.</p><p></p><p>Does anybody have any suggestions or insights that could help? I'm in the middle of reading Diabetes Solution but I'm not sure how much of the method I'll be able to put into practice without being on regular insulin.</p><p></p><p>Thanks in advance, looking forward to discussing in more detail.</p></blockquote><p></p>
[QUOTE="JoshPowJenks, post: 2398205, member: 542766"] Hi all - my first post here so please be gentle! I've been type 1 for almost 8 years and my control has been pretty poor for a few years now - in fact, it's probably never been good, but I just didn't pay as much attention previously. Anyway, I've recently got myself a Libre 2 and, in doing so, noticed how insanely high my spikes were when following the traditional carb-heavy diet. For instance, a breakfast of oats, whey protein and a banana would send me up in the 20s (mmol) and would occasionally drop back to a normal range, but usually stay in the 12-15 range regardless of how much insulin I would take. About 2 weeks ago, I started a low carb diet to try and get some control, with a macro ratio of roughly 50-70g carbs/150g protein/150g fat. This has helped [I]somewhat[/I] - for example, my Libre 14 day time in target has increased from 48% to 61%, and >13.3 has decreased from 16% to 3% - however, I'm finding myself stuck around the 9-12mmol range constantly. I seem to be gradually increasing throughout the day which leads to me injecting more and more Novorapid throughout the day. An occasional pattern seems to be a spike 2 hours after I've eaten, followed by a gradual rise for a few hours later, so I have to take up to three separate injections for a meal, one immediately for any carbs, one 2 hours later, and occasionally an additional a few hours after that (although at that point it's usually time to eat again). As an example, today I've only eaten about 40g carbs from blueberries, a glass of milk, some spinach and a few squares of dark chocolate, yet I've had to inject 8.5u Novorapid to cover this (and I'm still around 10mmol on average). As a comparison, when I was on a carb heavy diet, my ratio would usually be 1:10 to 1:15, so it seems as if my insulin resistance has somehow increased which surprises me as I'm in pretty good shape - 5'8, 150lbs, about 15% body fat and lift weights 3x a week. I've only recently dropped my basal (Levemir) dosage after a few basal fasting tests indicated my dose was too high, and my current dosage seems to keep me pretty level, albeit too high. I know I'm still new to the low carb diet so it could be my body adapting to it, but I'm already a little frustrated as the general consensus seems to suggest BG levels drop more or less straight away, while mine are a still too high. Does anybody have any suggestions or insights that could help? I'm in the middle of reading Diabetes Solution but I'm not sure how much of the method I'll be able to put into practice without being on regular insulin. Thanks in advance, looking forward to discussing in more detail. [/QUOTE]
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