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Low carb or no carb

Discussion in 'Ask A Question' started by UsmanMo96, Jun 26, 2020.

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  1. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    Hi all,

    Since my blood sugar are not coming down with my diet most meat and very few carbs I have decided to go no carbs. I will discuss with DN monday but I'm going to give it a go,
    Without the insulin and if I lose weight and my blood sugar come down and I get engergy then I will continue. I have always taken metformin so I will continue with that too.

    But today my sugar after having chicken was still high after 2 hours.

    I have had some blood tests done to check if my vitamin D is low and iron too.

    It will be good to get answers.
     
  2. Daphne917

    Daphne917 Type 2 (in remission!) · Well-Known Member

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    @UsmanMo96 has anybody considered that you might be Type 1 or LADA?
     
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  3. xfieldok

    xfieldok Type 2 · Well-Known Member

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    I think we established in your previous post, you are not eating low carb. Try less carbs and see how you go. Give it a week or so.
     
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  4. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    I will definitely give it a week or so, but I just had chicken and it still went up. I'm glad I got my bloods done today, will see whether my vitamin D is low and iron levels too
     
  5. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    Dr told me my c-peptide test results Indicate type 2, I cannot get it again because the DN said even without fasting the results would be the same but will try my best to get it again soon
     
  6. TypeZero.

    TypeZero. · Well-Known Member

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    The C-peptide test is not conclusive. It shows how much insulin you are producing based off the assumption that T1s produce little to no insulin while T2s produce significant amounts of insulin. However this is not always the case, some T1s are actually what’s known as LADA which a slower form of T1 where your beta cells are destroyed much slower than what it would be in a child. Your body might have reduced its insulin production since your last C peptide however there’s no point asking them to redo it because most times they refuse. The C peptide test is taking ages for me, 2 months and still waiting.

    It’s impossible to go carb-free, you still need fruits and vegetables but low carb is generally advisable for people with diabetes based off the experience of many people on this app.

    What are your blood sugars like? You think they’re high but they might not be that high. For example I was a 19.4 mmol/L when first diagnosed (no food for 12 hours)
     
  7. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    This is today, as you can see I am never coming into the normal range, after my meal I go up I can go into the high 20's and then after even 2 hours I will be high, I.will be high throughout the day, I will come down by 2-3 points, then my evening meal..up.again and then I will be around 15-16 in morning, this has been going on for more than 3 months, I'm on insulin now but thats still not helping me.
     

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  8. LaoDan

    LaoDan Type 2 · Well-Known Member

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    I cut all carbs when I was first diagnosed, only green leafy veggies with my meal, mostly fish. No fruits, and only water to drink. I’ve eased up slightly, still super low carb though. Go as low as possible, see if it works
     
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  9. ert

    ert Type 1 · Well-Known Member

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    The C peptide is conclusive. If doctors are sure you type 2 then the c-peptide will be abnormally high, which can't be LADA.
     
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  10. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    Do you feel like you have more energy from eating less carbs or zero carbs? I know I ain't eating low enough but I'm going to try my best, I want to feel energised at the moment I'm feeling really slow and tired. I would love low numbers but I'd prefer to feel better as well,
     
  11. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    Tbh with you, I will try get my hands on the blood tests results I'd like to see them myself and I will let everyone know
     
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    • Informative Informative x 1
  12. ert

    ert Type 1 · Well-Known Member

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    You get past this feeling when your body switches over from burning sugars to fat burning. It takes a couple of days/weeks.
     
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  13. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    If my sugars can come down from low carb, and from the result, my sleep improves, my energy is back, I in general feel better, no more going to the toilet at random o'clock, that would be a great results, but first, I will need to ask the DN to stop my insulin or gliclazide and I will see what she thinks of my low carb plan, I'm thinking she will not be interested but this is my life.
     
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  14. TypeZero.

    TypeZero. · Well-Known Member

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    The rapid progression onto exogenous insulin suggests T1/LADA in my opinion.

    Most T2s I know start insulin after years of having diabetes, it would be strange for someone to develop insulin resistance in a few months. The C peptide could be high due to pancreatic cancers like an insulinoma. A C peptide does not 100% confirm your diagnosis, it just reflects how much insulin your body is producing. A C peptide is also variable from person to person so it’s difficult to judge.

    Based off the person’s blood glucose readings I think there’s a high probability of T1/LADA but I cannot say for sure as I am not a doctor and haven’t seen any test results.
     
    • Agree Agree x 1
  15. TypeZero.

    TypeZero. · Well-Known Member

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    Your username has the numbers 96 so I’m assuming you are 24 years old, correct me if I’m wrong?

    How much insulin do you take? Do you vary it based on what you’re eating or is it a fixed dose? How many months in total have you been diagnosed with diabetes? Were your blood sugars better when first diagnosed and slowly worsened?

    2 hours after a meal your BG should be below 9mmol/L

    4-7mmol/L before meals

    Anything over 10mmol/L is personally alarming for me.

    IMG_1266.jpg

    This resource shows the factors that increase or decrease blood glucose, you may want to look at it. If you want to start a low carb diet you can try asking your dietitian but my one said no to me because I’m T1 and my BMI is 19 so apparently I’m at higher risk of diabetic ketoacidosis. To start a low carb diet you can try eliminating carbs from one meal a day then slowly progress e.g. instead of cereal for breakfast have some eggs and bacon
     
  16. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    I am 24, I have been diabetic since 2014, based on my hba1c the first 3 years were good but last 3 have been terrible;

    I take 15 units of novorapid and 21 of lantus
     
  17. Jaylee

    Jaylee Type 1 · Moderator
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    Hi,

    I'm a little confused by your dietitian's comment regarding T1 & low carbing..

    There is a difference between ketoacitosis caused by dangerously high BG levels due to the lack, not enough or ineffect of insulin.

    & there is nutritional Ketosis from something like a keto diet.

    Both do show ketone elevated traces when tested, however the clue with the former ("ketoacitosis") would also be accompanied by high blood glucose..
     
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  18. Jaylee

    Jaylee Type 1 · Moderator
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    Hi @UsmanMo96 ,

    You appear to me, to be prescribed other mesds to help with insulin resistance? (As well as the insulin.)
    You would need to speak with your DN.

    Regarding the insulin. I would start with finding out what the basal is doing first with a basal test.
    Link here. https://www.mysugr.com/en/blog/basal-rate-testing/
    Before working out whats happening with diet & what you bolus for...

    The other factor? How are you storing your insulin.? Lantus can be a bit iffy in the heat.. (Sorry, I gotta ask.)
     
  19. UsmanMo96

    UsmanMo96 Type 2 · Well-Known Member

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    Thanks for your message, keeping my insulin in the fridge at all times:)
     
  20. TypeZero.

    TypeZero. · Well-Known Member

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    I literally have no idea. A significant portion of people who use this app do low carb but I have been specifically advised against it.

    Here’s is my email:

    F0F9B16E-EBA1-4367-BEFD-F096517BB32F.jpeg
    I even had a bunch of people on this app discrediting my dietitian and calling her unprofessional because she said ketosis instead of ketoacidosis. In essence both things are the same thing, ketosis is the state of burning fat and producing ketones whilst ketoacidosis is when ketones have become in such a large quantity that it is dangerous


    Image edited by moderator to remove details identifying another individual
     
    #20 TypeZero., Jun 26, 2020 at 11:04 PM
    Last edited by a moderator: Jun 26, 2020
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