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Might be interesting for Type 1's and keto Dr Ian Lake
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<blockquote data-quote="Scott-C" data-source="post: 1751655" data-attributes="member: 374531"><p>No, I don't think it's an exaggeration at all. </p><p></p><p>One doesn't need to look very far on this site to find posts from recently dx'd T1s who have developed serious eating disorders because they have read that, "carbs are bad", "you'll be on a constant roller-coaster if you look at carbs", "insulin makes you fat", "you'll have really bad hypos if you eat carbs".</p><p></p><p>There's been a few recent posts where newbies have said they would actually like to eat more carbs, but feel they can't because, erm, well, they're carbs and it might affect their levels because keto people have said so.</p><p></p><p>And people who seem to be eating either barely anything at all, or things which they don't want to eat but feel they need to because they're not carbs, when they would prefer to eat something more like their old pre-T1 life.</p><p></p><p>These people are likely candidates for eating disorders. It is unnecessary.</p><p></p><p>One has to bear in mind that the T2 population is 90% and the T1 one is only 10%. So there's numerically bound to be more posts advocating low carb/keto. </p><p></p><p>Newbies, by definition, are new to this, they likely know f all about diabetes in general, and if they come on to a site like this, they're bound to read lots of posts about low carb, and probably don't appreciate the differences in biology between the conditions, and then think that when a T2 says limit carbs as a necessity, it applies to them too. Which is why we end up with T1s terrified of eating carbs, even though they can if they use insulin properly.</p><p></p><p>We're not actually that far apart on this issue. </p><p></p><p>It's sometimes assumed that people who don't low carb must therefore be constantly binging on junk food. Maybe some do. </p><p></p><p>I don't. I eat generally healthy food in moderation. Where we differ, though, is in what healthy food means. I'm quite fond of Baxter's Soups - a typical tin of their, say, Highlander's Broth or Scotch Broth, is cutting around the 28 g mark, I'll maybe have a slice of toast to dip in, 12 g, then a punnet of raspberries, 10 g, so call it 50 g. </p><p></p><p>That's technically a low carb meal which I consider tasty and nutritious, and doesn't do anything dramatic to my bg, and there's no reason at all why any T1 can't learn some simple skills to do just that in terms of matching insulin and food absorption patterns. But...</p><p></p><p>But, that meal contains barley, wheat, some underground vegetables, more than a few raspberries - a whole damned punnet! - so it'll be written off as a travesty, a threat, food of the devil, by ketonians.</p><p></p><p>Even though it's perfectly manageable. But newly dx'd will read posts saying, oh, steer clear of that sort of stuff and that's the point they start needlessly restricting their food options.</p><p></p><p>I can perfectly understand why T2s limit those foods, but the biology is different with T1 - these are still options for us.</p><p></p><p>One of things I'm curious about is for how long T1s who have recently started keto actually maintain it. I can see how attractive it seems to a newly dx'd T1 to read here's a keto solution. But when being T1 means being T1 forever, have they considered whether they are still going to be as enthusiastic about it in 10, 20, 30 years time once the initual enthusiasm wears off?</p><p></p><p>That's not an abstract, theoretical question. It boils down to the intensely practical, real world issue of how confident the person is that in 25 years time, they'll still be ok with leaving out the hash brown, tattie scone, toast, probably the black pudding too, when they pop out for brunch on a Sunday. </p><p></p><p>T2s, sure, they'll maybe have to because of the different biology, T1s not, because it can be bolused for. That distinction is often not clear to newly dx'd T1s.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1751655, member: 374531"] No, I don't think it's an exaggeration at all. One doesn't need to look very far on this site to find posts from recently dx'd T1s who have developed serious eating disorders because they have read that, "carbs are bad", "you'll be on a constant roller-coaster if you look at carbs", "insulin makes you fat", "you'll have really bad hypos if you eat carbs". There's been a few recent posts where newbies have said they would actually like to eat more carbs, but feel they can't because, erm, well, they're carbs and it might affect their levels because keto people have said so. And people who seem to be eating either barely anything at all, or things which they don't want to eat but feel they need to because they're not carbs, when they would prefer to eat something more like their old pre-T1 life. These people are likely candidates for eating disorders. It is unnecessary. One has to bear in mind that the T2 population is 90% and the T1 one is only 10%. So there's numerically bound to be more posts advocating low carb/keto. Newbies, by definition, are new to this, they likely know f all about diabetes in general, and if they come on to a site like this, they're bound to read lots of posts about low carb, and probably don't appreciate the differences in biology between the conditions, and then think that when a T2 says limit carbs as a necessity, it applies to them too. Which is why we end up with T1s terrified of eating carbs, even though they can if they use insulin properly. We're not actually that far apart on this issue. It's sometimes assumed that people who don't low carb must therefore be constantly binging on junk food. Maybe some do. I don't. I eat generally healthy food in moderation. Where we differ, though, is in what healthy food means. I'm quite fond of Baxter's Soups - a typical tin of their, say, Highlander's Broth or Scotch Broth, is cutting around the 28 g mark, I'll maybe have a slice of toast to dip in, 12 g, then a punnet of raspberries, 10 g, so call it 50 g. That's technically a low carb meal which I consider tasty and nutritious, and doesn't do anything dramatic to my bg, and there's no reason at all why any T1 can't learn some simple skills to do just that in terms of matching insulin and food absorption patterns. But... But, that meal contains barley, wheat, some underground vegetables, more than a few raspberries - a whole damned punnet! - so it'll be written off as a travesty, a threat, food of the devil, by ketonians. Even though it's perfectly manageable. But newly dx'd will read posts saying, oh, steer clear of that sort of stuff and that's the point they start needlessly restricting their food options. I can perfectly understand why T2s limit those foods, but the biology is different with T1 - these are still options for us. One of things I'm curious about is for how long T1s who have recently started keto actually maintain it. I can see how attractive it seems to a newly dx'd T1 to read here's a keto solution. But when being T1 means being T1 forever, have they considered whether they are still going to be as enthusiastic about it in 10, 20, 30 years time once the initual enthusiasm wears off? That's not an abstract, theoretical question. It boils down to the intensely practical, real world issue of how confident the person is that in 25 years time, they'll still be ok with leaving out the hash brown, tattie scone, toast, probably the black pudding too, when they pop out for brunch on a Sunday. T2s, sure, they'll maybe have to because of the different biology, T1s not, because it can be bolused for. That distinction is often not clear to newly dx'd T1s. [/QUOTE]
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