Hi
I was diagnosed as T2 in July last year and only found out recently it is LADA. I have been taking Lantus/Novorapid for last 3 months. I have found that unless I severely restrict my carbs ( less than 30g p/day ) I find it impossible to manage my sugars. Frequent hypo's and high spiking sugars. Do others have experience of / recommend keto diet?
Hi
@MightyReds1892 , welcome to the forum, and welcome to being T1.
Three months is a very short time to have been dealing with insulin, it usually takes longer than that to find your optimal doses.
On top of that, your pancreas is likely still producing some insulin, possibly erratically and unpredictably, the honeymoon period.
How have you so far made your dosing decisions on both basal (long acting) and bolus (short acting) insulins?
I'd say things start with your basal dose, which should keep you mostly stable in the absence of food (except for some in the early morning, which is a different story).
If your basal keeps you mostly steady, looking at what happens around meals can pay off:
Are you on fixed doses per meal at the moment?
Are you carb counting and adjusting your doses to the carbs you eat yet?
Are you familiar with using correction doses?
Have you worked out your different ratios for different times of day?
Have you looked into the timing of injecting, how long before eating do you take your insulin?
Do you use a CGM or rely on fingerpricks?
Yes, like
@lovinglife said, I eat mostly (but not always) lowish carb. I find it easier and more predictable, and I'm lazy like that.
I'm puzzled by your 30g p/day, for me, it's very much a per meal thing, not a per day thing. Having 30 grams of carbs for breakfast would mess my numbers up for the rest of the day, even if I'd had no carbs after.
Having the same 30 carbs and more spread out over the day would be very easy to dose for for me.
At only 3 months in, I'd focus on getting the hang of adjusting doses, not on going on a keto diet. Cutting the carbs a bit may well be helpful, it is for me, but I wouldn't make it my main goal.
Good luck!
