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<blockquote data-quote="EllieM" data-source="post: 2403445" data-attributes="member: 372717"><p>Welcome to the T1 club [USER=522049]@Jeremy.M[/USER] </p><p></p><p>Those are a really good set of questions and I suggest you take them to your diabetic team asap. It also sounds like they may be assuming you are on 30g a meal, which is considered low carb by many/most but is significantly different to 20g.</p><p></p><p>Some dieticians and doctors don't like T1s to eat too few carbs because they are worried about diabetic ketoacidosis (the blood develops high levels of ketones because you haven't got enough insulin in there.) High blood sugars and ketones are life threatening and some doctors worry that the normal ketones present due to dietary ketosis may mean you don't detect a DKA attack. I've never had a DKA in 51 years of T1 so they are by no means common, but they are something to worry about if your blood sugars go very high due to eg illness or skipping your insulin doses. (And the latter can happen accidentally if your insulin goes off in the heat or if there is a crack in your insulin vial.) Anyway, there are T1s out there who eat keto diets, just be aware that your team may or may not be supportive.</p><p></p><p>Hopefully your team have talked to you about hypos, which I would regard as one of the most important topics for a new insulin user. Most people get symptoms when their bg goes too low (eg shakiness, sweating, hunger, difficulty in concentration) and you need to always have access to some form of sugar so that you can treat them. (I'm a big fan of glucotabs because I don't feel tempted to eat them when I'm not hypo but other people just go for something like some jelly babies or some high sugar fizzy drink. If you drive, you'll need to tell the licensing authority and always test before you get in a car. (Those are UK rules and I appreciate you may not be in the UK, but the test before you drive is good practice anywhere.) </p><p></p><p>Anyway, good luck and once more welcome.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2403445, member: 372717"] Welcome to the T1 club [USER=522049]@Jeremy.M[/USER] Those are a really good set of questions and I suggest you take them to your diabetic team asap. It also sounds like they may be assuming you are on 30g a meal, which is considered low carb by many/most but is significantly different to 20g. Some dieticians and doctors don't like T1s to eat too few carbs because they are worried about diabetic ketoacidosis (the blood develops high levels of ketones because you haven't got enough insulin in there.) High blood sugars and ketones are life threatening and some doctors worry that the normal ketones present due to dietary ketosis may mean you don't detect a DKA attack. I've never had a DKA in 51 years of T1 so they are by no means common, but they are something to worry about if your blood sugars go very high due to eg illness or skipping your insulin doses. (And the latter can happen accidentally if your insulin goes off in the heat or if there is a crack in your insulin vial.) Anyway, there are T1s out there who eat keto diets, just be aware that your team may or may not be supportive. Hopefully your team have talked to you about hypos, which I would regard as one of the most important topics for a new insulin user. Most people get symptoms when their bg goes too low (eg shakiness, sweating, hunger, difficulty in concentration) and you need to always have access to some form of sugar so that you can treat them. (I'm a big fan of glucotabs because I don't feel tempted to eat them when I'm not hypo but other people just go for something like some jelly babies or some high sugar fizzy drink. If you drive, you'll need to tell the licensing authority and always test before you get in a car. (Those are UK rules and I appreciate you may not be in the UK, but the test before you drive is good practice anywhere.) Anyway, good luck and once more welcome. [/QUOTE]
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