Non low carbers

It's actually on this website. http://www.diabetes.co.uk/diabetes-and-ketones.html

'The presence of ketones in the bloodstream is a common complication of diabetes, which if left untreated can lead to ketoacidosis'

'Sugar is the primary fuel that the body uses for energy. Insulin, a hormone produced in the pancreas that metabolises blood sugar, is either deficient or non-existent in the blood of diabetes patients. If the body cannot burn sugar, it will burn stored fat, and ketone build up will begin. When ketone levels become too high, the risk of ketoacidosis is raised, and this emergency condition can lead to coma and even death in serious cases. '

I stand by what I say.

Peace!

Hello Sweet3x,

Low level ketosis is not an inherently harmful process, but unintentional and uncontrolled ketosis can often lead to ketoacidosis (which is most certainly a harmful process).

Intentional ketosis is caused by a relative lack of dietary carbohydrate, whereas uncontrolled ketosis/ketoacidosis is caused by a relative lack of insulin.

All the best,
timo.

My diet averages 30 grams of carbs per day all from vegetables and never more than 50. Some would consider it high fat i.e. lots of cheese, cream and olive oil. I check for keytone readings around 3 times per week with Bayer Ketostix and never go above 1.5 mmol this is a perfectly safe. This high fat/ low carb diet has lead to a low HbA1c of 5.4, low trigs and improved cholesterol levels. I am a type 2 on nil med's. The lower the carbs. the better the numbers.

Fenster

Im a type 1 and i choose not to follow a low carb diet... Why? Because I enjoy foods like pasta, potato's, bread and pastry...

I've learned how these types of food affect my blood glucose and how best to control it. To me... that's the most important thing and one of the best advantages to basal/bolus, matching insulin to carbs.

I think on average i eat about 150-200 carbs a day. I had 150 carbs just for lunch yesterday, 4 apple & cinnamon hot crossed buns(only wanted 2 but they were moorish so i finished them ) and a cake bar... thoroughly enjoyed it! Yeh ok i had a high after, but i can excuse that because i've just gone to a pump and not got my basal rates right yet :shock:

I checked for ketones today in my blood 0.0mmol/L! YEH!

Hi Stuboy

Are you aware an HbA1c of 7.9 equates to an average BG of ten. This is more than twice the level of a non diabetic.

Fenster

yes im more than aware of that thanks, i dont need reminding of my hba1c or it's equivant.

it happens that MDI wasn't working for me and i've been put on a pump to try and resolve my own issues. and in the past week my numbers have been much better.

Because i have an A1c of 7.9 i suppose that means i dont know what im talking about!? Dont try and discredit me because of my A1c. You no next to nothing about my personal situation. High blood sugars can be a cause of a lot of things you know, not just carb intake.

Pleased to meet you Stu
Next time you're on the hot cross buns, let me know, and I'll come join you
Nice to have another non-low carber actually replying to the thread, rather than low-carbers trying to muscle in :lol:

(seriously, no offence to anyone who prefers that way of life I really don't have any problems with it, despite how it may come across in some of my posts )

It depends on what I'm doing. Its not just a matter of carbs/insulin. Exercise needs to be taken into account and is very much part of my management.
ie, if I'm sitting down on the computer all day, I will eat less carbs. If I'm going for a long hill walk I might eat far more. When backpacking, I not only eat loads more carbs, I reduce my basal insulin to almost zero. If I'm running more than 20 miles a week basal reduces and carbs go up. As I've said before, I do select the carbs I eat and avoid highly refined ones (though when backpacking that isn't always possible)
I don't need to lose weight, nor to reduce my insulin, nor to reduce my HbA1c (always in the fives
Now to get off this computer , put it into practice and go for a long walk along the cliffs

To avoid a shooting war, In the main those who choose not to reduce carb intake are T1, which of course says they have no choice but to inject insulin which means they have the option of covering their intake by adjustment of the dose. Simple but arbitrary-no say in it.

For T2 there isnt the same flexiblity in medication but by making changes ie diet and exercise it is possible to minimise and in some cases dispense with meds to good effect. Argueably a harder option because it does mean deliberatly say no to certain things.

Dave P

Yes, absolutely, sixfoot. Having been one who has sat in both camps, I can sympathize with Type 2's (especially the ones not on insulin) who really have to say no to certain foods BUT have the enviable reality of changing diet and even coming off meds if that is the route they choose. Likewise, now as a Type 1 I can indeed cover 'naughty' foods with insulin, if I choose to. As an honest person, I cannot deny I do this when I have a bad day and something beckons that I shouldn't have.It is possible on MDI but I just didn't do that as a Type 2. Of course, many of us do not want to go down the 'up the insulin to cover food' route but we cannot deny that option is there if we choose it.
My personal aim is to find a level that allows me as little insulin usage as possible, with as 'safe' a diet as possible. By safe I mean a diet that does not send my blood sugars soaring, nor leaves me lacking in vitamins or tearing my hair out mentally.

The thing T2s see is Insulin Resistance bought on by high levels. So if you take the hint you do what you can to reduce those levels ie weight loss exercise diet etc. Not easy and requires some will power.

This may explain why the Lo Carb Lobby ( of which i am one ) rallies stronly when "up the dose" gets mentioned. Our mentality is "get the dose lower" and has to be or the weight goes back on.
I fear the two camps will not be reconciled as their circumstances require different approaches that appear totally contrary to boot.

Dave P

There will always be differences in approach.If it works for you go for it,if it doesn't work try something else!!The important thing is control and leading as normal and healthy a life as possible.