Pizza night!

[SimonP78]

It certainly seems to have that effect on many type 1’s. I see fewer type 2 reporting that. Personally I don’t seem to have issues with protein. there was an explanation for this and from memory it was around insulin resistance v lack of insulin but I can’t remember the details right now. If it comes back to me I’ll add it to the post.

https://en.wikipedia.org/wiki/Gluconeogenesis - I don't know whether this is mediated by insulin, presumably if you have some level of insulin on board/ability to produce it the low levels of glucose that are generated this way will be stored pretty quickly, but I've not looked into it as much as I should.

 

[HSSS]

https://en.wikipedia.org/wiki/Gluconeogenesis - I don't know whether this is mediated by insulin, presumably if you have some level of insulin on board/ability to produce it the low levels of glucose that are generated this way will be stored pretty quickly, but I've not looked into it as much as I should.

Yes gluconeogenisis is the pathway turning proteins to glucose and causing those spikes. The question is why (if indeed it does) cause more issues to type 1 than 2. Insulin and resistance to it would seem the most likely suspects but I still have a foggy brain and can’t quite grasp the explanation/theory that’s hiding in my brain.

 

[becca59]

I don’t know scientifically re protein spikes, but simply I would suggest for a Type 2 those spikes are slow enough for the body to cope with and correct. For a Type 1 those spikes still need dealing with by injecting insulin. I know if I eat a small piece of plain haddock with broccoli and cauliflower I will still need insulin. It requires a lot of management and quite frankly it is easier to eat a small amount of carbs and inject for those.

 

[tiredgirl91]

Ah yes, @tiredgirl91 - it will be very interesting, and important for you of course! To find out if you are a LADA/MODY case - having an autoimmune disease rather than a metabolic one at least.

The issue of you possibly having anemia, and that affecting your blood glucose readings has been posed. (And you are just within the very low prediabetes range, for many countries at least.)

The matter of nutrition, and keeping you well fed is much more straight forward! You need a decent amount of protein and healthy dietary fat to survive and thrive. With those two macronutrients, and water, those macros are not 'options on the menu' in the way choosing a way of eating is, and what level of carbs to eat is. If you are skinny, and getting skinnier because fats make you feel sick, and proteins spike you so you are choosing not to eat them? - you have a really big immediate health issue at stake. Malnutrition can kill you, or at least go a long way to causing the organ damage that puts your life in danger. I hope you don't mind me being direct about this.

You need to eat protein, regardless of the spiking involved demonstrated on your blood glucose meter. And some fat. Just to repeat - Eating protein and fats and getting enough water are not options for us to live and thrive.

You may already be being seen by a nutritionist? What are your loved ones, and your doctor saying about your being nourished properly by food? If you don't mind me asking... I know it's pretty personal. But the deep dive into food and nutrition is pretty par for the course in this Forum, due to the dietary nature of metabolic disease, and the fact that management of the autoimmune diabetes also requires knowledge of food and macros and so on. This means that in depth discussions of diet and exercise sometimes, are a big part of what we share.

I see.
As for the anemia, it has been ruled out on my recent test which was not so long ago.

My current "diet plan" if I can call it that way, is what I called ballanced and with enough calories. As I mentioned in some of the threads, I'm very active and I feel like it contributes to me not gaining the much needed weight and even losing, but I have to work extra hard these days. I do eat enough protein (regardless of the spikes that I encounter), some fat (mostly animal fats such as red meat and full fat dairy), carbs and fiber.

Still not seeiing a nutritionist though, I planned to because of the weight loss, but this prediabetes "thing" came suddenly and left me puzzled for a bit. But I realize I have to. My doctor wants to make sure that my first priority is getting enough calories. After the next appointment (when I have my recent labs) we will discuss how to proceed. Until then, I have to make sure I eat enough, without restrictions.

 

[AloeSvea]

Yes indeed @tiredgirl91. When getting enough nutrients is your priority so you don't get seriously malnourished and your life is in danger - absolutely. I'm pleased you are thinking along these lines too. And your loved ones too I am supposing?

Being highly active should be giving you good muscles, which is why the exercise component of 'diet and exercise' for someone who is gaining muscle and losing fat in storage on their bodies, often comes out even, or even weight gain. I know this is the case for me. But you have no fat in storage on your body, and it seems like you are not getting enough nutrition to keep your body in maintenance mode even. Active bodies need lots of/ protein, I would say (and a dietician will say too I am sure). And we all need dietary fat. And we all need dietary protein, for sure.

Where your issues differ to many of us on this forum is - what is referred to as a 'balanced diet' is antithetical to our dietary needs, because excess carbs have become toxic for us, in blood glucose system breakdown. No one, it sounds like, and I quite understand, wants you to restrict your diet in any way because your body is probably breaking down the muscle you have to get enough protein to keep your body running/you alive. Forgive me again if I am being too blunt. I am hoping my compassion for your situation is coming through, which it would I am quite sure if we were in face to face. (And I have a strong maternal component when discussing these issues with you, as you are the same generation as my adult children.)

I hope if once you get enough nourishment, and blood glucose regulation is still a problem - that you come back to us to discuss eating moderate carbs only to keep your blood glucose system healthy - which 'moderate' is what I would always say is only necessary for someone with an HBA1c of 41, and suffering from undernutrition. Carbs, for all humans, according to the science and theory behind LCHF at least (which is always my point of view), is the macronutrient not necessary to eat in order to survive and thrive. (Because, we can make our own glucose 'in house' from protein and fat, to keep the brain glucose fed). The rest of our bodies and metabolisms can either run on glucose, or on fat. This is the basis of where people with diabetes treating with diet are coming from.

But you have a much more pressing nutritional priority for sure. I wish you the best of luck with getting more nourished! And that energy back, dear tiredgirl.

 

[tiredgirl91]

@AloeSvea

First off, thank you for your kind words and wishes! My loved ones are very concerned just as I am, to be honest, maybe even more than me... But I guess that is normal. We all wish that I can work this out very soon.
Right now, I make sure that I eat enough. I can't, by any means, allow myself to lose any more weight (although my weight loss is unintended) but I hope that at least I can stop it.
I will keep you updated with my newest lab results for sure!