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low carb know how

Lizzypier

Active Member
Messages
26
Type of diabetes
Type 2
Treatment type
Diet only
Hello
Brief info: Diagnosed 20 July. Readings at fasting test 10 and up to 15.5, and HBa1c 67. Opted to lifestyle and diet manage. Bought a metre and decided to low carb. So I have been doing around 2.5l water per day, 40g carbs to 65 protein and 80 fat - though sometimes more protein than fat. I am really not sure these are correct. My start weight was 81 kg and I am down to 74.5Kg. In the last three weeks I have readings between 4.7 and highest 5.9, and have felt fantastic and full of energy.Today I had a wave of feeling dizzy and tired and apparently went pale. So checked meter and it was 4.4 - the lowest I have been since I began. Could this be too low? Advice on carb ratios and low bs please.
 
I'm tagging @daisy1 for her helpful beginners guide. It sounds like you're doing great, well done on your weight loss.

Try looking for info on "false hypos" which may be what you've experienced today - it's not dangerous but you might decide to eat a little more if your levels dip down to an uncomfortable number again. I found this link really useful: http://www.phlaunt.com/diabetes/14045621.php
 
Hello
Brief info: Diagnosed 20 July. Readings at fasting test 10 and up to 15.5, and HBa1c 67. Opted to lifestyle and diet manage. Bought a metre and decided to low carb. So I have been doing around 2.5l water per day, 40g carbs to 65 protein and 80 fat - though sometimes more protein than fat. I am really not sure these are correct. My start weight was 81 kg and I am down to 74.5Kg. In the last three weeks I have readings between 4.7 and highest 5.9, and have felt fantastic and full of energy.Today I had a wave of feeling dizzy and tired and apparently went pale. So checked meter and it was 4.4 - the lowest I have been since I began. Could this be too low? Advice on carb ratios and low bs please.
I'd be dizzy and pale on so little food too. It seem to be seriously low in energy. I'd go for 180 grams of fat rather than only 80.

But a reading of 4.4 is very good!
 
I would try increasing your water, and fat (as @Totto suggests)

I would also look at increasing one or more of salt in diet, potassium, magnesium.

The Voleck and Phinney book 'art and science of low carb living' answers all your questions, in superb, well researched, well presented detail. :)
 
Well done on your weight loss, and your BS numbers. That is excellent progress, well done. :)

I agree with @Totto it doesn't sound to me like you are eating enough. Do you track your vitamins and minerals, and are you eating enough salt?
 
I also think that it's not enough food. You're losing weight at an impressive rate - a stone in a month! So you can afford to eat more and still lose weight.

It's a great start. Really well done.
 
I'm tagging @daisy1 for her helpful beginners guide. It sounds like you're doing great, well done on your weight loss.

Try looking for info on "false hypos" which may be what you've experienced today - it's not dangerous but you might decide to eat a little more if your levels dip down to an uncomfortable number again. I found this link really useful: http://www.phlaunt.com/diabetes/14045621.php

Thanks. I had used the calculator in the link but not looked further. Very interesting. Thank you.
 
Thanks for the info. I have had another good read and research and am going to raise the carbs to 50g. I am taking a multivit, but hope to investigate this further with some assistance. I was surprised that my weight loss was speedy and would much like to slow it down to steady. Admittedly much of it dropped off in week one!. Is half a kg per week still too fast? Mentally this is what I am aiming for as I need to lose around two more stone/ 13kg. Can anyone post how they would make up 100g fat - I cannot eat cream so greek yoghurt is as good as it gets. Happy with nuts, butter, cheese (but this throws by protein allowance a bit)
 
I would try increasing your water, and fat (as @Totto suggests)

I would also look at increasing one or more of salt in diet, potassium, magnesium.

The Voleck and Phinney book 'art and science of low carb living' answers all your questions, in superb, well researched, well presented detail. :)

Thanks for the book info. Another one to add to my bedside reading! More than 2.5 litres of water, plus to cups green tea. Should I aim for more?
 
@Lizzypier

Hello and welcome to the forum :) Here is the information we give to new members as mentioned above, amongst the useful information you have received from members so far. This should help you with your diet. Ask as many questions as you like and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Thanks for the info. I have had another good read and research and am going to raise the carbs to 50g. I am taking a multivit, but hope to investigate this further with some assistance. I was surprised that my weight loss was speedy and would much like to slow it down to steady. Admittedly much of it dropped off in week one!. Is half a kg per week still too fast? Mentally this is what I am aiming for as I need to lose around two more stone/ 13kg. Can anyone post how they would make up 100g fat - I cannot eat cream so greek yoghurt is as good as it gets. Happy with nuts, butter, cheese (but this throws by protein allowance a bit)
Eggs scrambled with butter, cauliflower mash with butter, salads with mayonnaise, or olive oil, curry with a generous amount of coconut oil, Stews are easy to make.

I go for 5%E carbs, 15 E% protein and 80E% fat and manage to keep BG normal more or less at all times.
 
Also if you like it a spoon of Bovril, feeling lightheaded can you are in ketosis, low salt and or magnesium can make you feel that way.
Do you like avocado? Great in salads or as guacamole.
 
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