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Low Carb diet problems Type 1
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<blockquote data-quote="Mathewted" data-source="post: 2061841" data-attributes="member: 496982"><p>Hello</p><p></p><p>I have been treated as living with T1DM for 30 odd years and have always been given healthcare advice that pretty much mirrored what my standard diet was before diagnosis and attempted to balance sugars with insulin - albeit first with mixed insulin twice a day and then with the not so 'rapid' and not so long lasting basal/bolus.</p><p></p><p>I started a Ketogenic lifestyle to get healthy and to balance glucose levels as part of this and it has worked superbly with my Freestyle Libre glucose meter estimating my current HbA1c at 5.0% (31mmol/mol) - I'm told that this is better than most people who do not live with T1DM and my suggestion is that maybe those people risk insulin resistance and T2DM as a consequence so perhaps they should adopt Keto / LCHF.</p><p></p><p>Im not keen to add carbs back in to my diet for the simple reason that in ketosis there are ill-defined but very real cognitive and energy benefits - it seems mitochondria are well suited to ketones as fuel rather than glucose. My only real concern is the weight and so i do a small (and I mean really small at the moment) amount - but increasing - of High intensity Interval Training every other day and immediately after have about 20 grams of a mix of carbs - half from a source of glucose like kombucha or a slice of gluten and whet free bread and half fructose like juice. The i eat much more fat than is usual on the keto diet and hope that this is going to help give me a calorie surplus and build muscle rather than fat.</p><p></p><p>One other thing i've noticed and this - like all the above - should not be used for your own therapy and treatment is that my cognitive and muscular-skeletal functioning while in ketosis is better even when my glucose level drops down below 3.0 mmol/l - i couldn't believe it at first but - while i don't really want this it has been off the scale LO at times because I have not noticed it; i did have diminished warning signs but if ever I was below 3 I used to get somewhat confused, panicky, and shaky until necking 100ml of juice! </p><p></p><p>Having said all that it is paramount that you understand your own body, consult with the HCPs - even if you disagree with them so that they can still monitor progress - and listen to your body. My question if my nurse had told me to re-introduce carbs is "Why?" and if it was in order to put fat back on then it feels like I wouldn't want that as most would be probable that it would be around my organs thus putting strain on all my metabolic functions not to mention increasing the amount of insulin that would increase insulin resistance and drive other metabolic disease consequences but also give me a renewed risk of hypos while carbohydrate adapted thus being risky in comparison to my current clinical hypos which cause neither the previous bad feeling not the catastrophic seizures, and I would be asking for a better solution.</p><p></p><p>That's some of my journey and I hope it helps you to look into all the ups and downs in order to get things right for you.</p><p></p><p>Mat</p></blockquote><p></p>
[QUOTE="Mathewted, post: 2061841, member: 496982"] Hello I have been treated as living with T1DM for 30 odd years and have always been given healthcare advice that pretty much mirrored what my standard diet was before diagnosis and attempted to balance sugars with insulin - albeit first with mixed insulin twice a day and then with the not so 'rapid' and not so long lasting basal/bolus. I started a Ketogenic lifestyle to get healthy and to balance glucose levels as part of this and it has worked superbly with my Freestyle Libre glucose meter estimating my current HbA1c at 5.0% (31mmol/mol) - I'm told that this is better than most people who do not live with T1DM and my suggestion is that maybe those people risk insulin resistance and T2DM as a consequence so perhaps they should adopt Keto / LCHF. Im not keen to add carbs back in to my diet for the simple reason that in ketosis there are ill-defined but very real cognitive and energy benefits - it seems mitochondria are well suited to ketones as fuel rather than glucose. My only real concern is the weight and so i do a small (and I mean really small at the moment) amount - but increasing - of High intensity Interval Training every other day and immediately after have about 20 grams of a mix of carbs - half from a source of glucose like kombucha or a slice of gluten and whet free bread and half fructose like juice. The i eat much more fat than is usual on the keto diet and hope that this is going to help give me a calorie surplus and build muscle rather than fat. One other thing i've noticed and this - like all the above - should not be used for your own therapy and treatment is that my cognitive and muscular-skeletal functioning while in ketosis is better even when my glucose level drops down below 3.0 mmol/l - i couldn't believe it at first but - while i don't really want this it has been off the scale LO at times because I have not noticed it; i did have diminished warning signs but if ever I was below 3 I used to get somewhat confused, panicky, and shaky until necking 100ml of juice! Having said all that it is paramount that you understand your own body, consult with the HCPs - even if you disagree with them so that they can still monitor progress - and listen to your body. My question if my nurse had told me to re-introduce carbs is "Why?" and if it was in order to put fat back on then it feels like I wouldn't want that as most would be probable that it would be around my organs thus putting strain on all my metabolic functions not to mention increasing the amount of insulin that would increase insulin resistance and drive other metabolic disease consequences but also give me a renewed risk of hypos while carbohydrate adapted thus being risky in comparison to my current clinical hypos which cause neither the previous bad feeling not the catastrophic seizures, and I would be asking for a better solution. That's some of my journey and I hope it helps you to look into all the ups and downs in order to get things right for you. Mat [/QUOTE]
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