https://ketodietapp.com/Blog/post/2013/11/30/Ketosis-Measuring-KetonesHi Kristin - it seems that your body has well adjusted to your diet - can I ask, what would a normal ketone reading be for you?
I find these things fascinating @Odin004 so do tell as you learn more.Hi @Fleegle - I also didn't know that either, until today - my dietician tells me that low carb diabetics often need to increase their carb/insulin ratio - but didn't know why this is. Following @azure's comments above, I've done some googling, and although it's too early in my research for me to recommend a reliable source of information (as is often the way with the internet!) I can see that it's certainly a "known" issue. It appears that insulin resistance can happen when carbs are very low - but what constitutes "very" low seems to vary from person to person. Also, it may well be different between T1s and T2s.
Hi @Fleegle - I also didn't know that either, until today - my dietician tells me that low carb diabetics often need to increase their carb/insulin ratio - but didn't know why this is. Following @azure's comments above, I've done some googling, and although it's too early in my research for me to recommend a reliable source of information (as is often the way with the internet!) I can see that it's certainly a "known" issue. It appears that insulin resistance can happen when carbs are very low - but what constitutes "very" low seems to vary from person to person. Also, it may well be different between T1s and T2s.
@Odin004 I think what happens is in the absense of enough carbs (as in too severe a low carb diet) the injected insulin starts processing protein more instead of the carbs (energy food) absence. Then if not enough protein the liver and other organs and muscles cause IR (releasing glucose into the bloodstream. The glucogen gets stored far much easier and first). To compensate.Yes, your 45-65g is extremely low, but, as you say, your 'sweet spot' for carbs may be different than another person's.
I don't know precisely why the IR happens, but I believe it's to do with the fact that Type 1s have little/no insulin so VLC doesn't work for us in the same way that it might work for Type 2s who have adequate or even extra insulin production. Our metabolism reacts differently. In addition, the higher level of fat can impact blood sugar. Added to that, I believe the body can see the lack of carbs as 'starvation' so induces IR.
If you've ruled out the obvious things like dodgy insulin, infection, etc,,etc, then perhaps you could try upping your carbs ever so slightly across the day and see if that helps get back your sensitivity.
https://ketodietapp.com/Blog/post/2013/11/30/Ketosis-Measuring-Ketones
Not necessarily a reliable internet source, but the levels are consistent with other reseach I have done. I believe that a keto diet with strenuous exercise can push it up to around 5 mmol/l. The danger levels from ketoacidosis are significantly higher
I think it's essentially due to lack of practice. If your body isn't used to you eating carbs, it forgets how to process and deal with them as efficiently and effectivly as it was doing when you were eating carbs. That's why they say before doing an oral glucose tolerance test (you're never going to do one because you have type 1) you should eat the RDA carb intake for a week or two before hand because someone on a low carb diet is much more likely to "fail" an OGTT, possibly with a false positive.
I have noticed a change to my ratios on a low carb diet and would prefer to reintroduce carbs to get my I:C ratio back to where it was. I have read that it will readjust as carbs are reintroduced, but there may be a period of flux.
@Odin004 I think what happens is in the absense of enough carbs (as in too severe a low carb diet) the injected insulin starts processing protein more instead of the carbs (energy food) absence. Then if not enough protein the liver and other organs and muscles cause IR (releasing glucose into the bloodstream. The glucogen gets stored far much easier and first). To compensate.
I'm quite confident I'll never go back to a high carb diet - I think my goal should be to have just enough carb to avoid any of the above issues; if I've gone too low with the carbs, then hopefully by adding some carb, I can reverse the situation. I'd rather try to deal with it by dietary changes before thinking about medication, although I appreciate that's not possible for everyone.
No I wouldn't go back to a high-carb diet as that's not necessary, very few type 1 members follow a high-carb diet and most try and control their carb intake somewhat.
Understand your reasons for not wanting to introduce more drugs, hopefully with a few dietary adjustments it won't be necessary @Odin004
I'm going to tag in a very experienced and knowledgeable member (who follows a low-carb diet with great success) who may be able to assist @robert72
Good luck.
I'd go further and say even type2s on insulin injections!There was a study published recently that showed that meals containing high fat content can acutally increase IR in T1D.
Its known colloquially as the Pizza Effect.
Only if there is sufficient good insulin. Whether type1 or type2.Thank you @ickihun - this seems to suggest that adding carbs to the diet may work to reverse the situation - let's hope so!
According to Phinney and Volek the normal level for a LC keto diet is <0.6 mmol/l, for light ketosis, but for Optimal ketosis, the levels need to be between 1 and 3 mmol/l, The important thing to note is that the bgl levels for dietary ketosis will be low, whereas for diabetic DKA they will be high (> 15 mmol.l usually) so as an insulin dependant, then the signs of DKA comes from having HIGH bgl levels. then testing for ketones. I think the level of 5 mmol.l I quoted came from Tim Noakes, who was talking about diabetic athletes in HIT training.Thanks - I have to say, I'm quite dubious about the information in that link; see the below link here, which states that levels above 3.0 mnol/L are "a dangerous level of ketones which will require immediate medical care":
http://www.diabetes.co.uk/diabetes_care/testing-for-ketones.html
It's also important to note that the link you provided isn't tailored to diabetics - who have to be careful about the difference between nutritional ketosis, and DKA!
Thanks - I have to say, I'm quite dubious about the information in that link; see the below link here, which states that levels above 3.0 mnol/L are "a dangerous level of ketones which will require immediate medical care":
People with insulin dependent diabetes should take a ketone test:
- Any time your blood sugar is over 17 mmol/l (300 mg/dl)
- If sugar levels have repeatedly been over 13 mmol/l (230 mg/dl)
- If you are unwell and have any of the symptoms of ketoacidosis
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