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Results after 3 months of Low Carb diet

martijnpeters

Newbie
Messages
2
Type of diabetes
Type 1
Treatment type
Diet only
Let me start by giving you some background information:
In november 2017 I was hospitalized after having atrial fibrillation at work. It turned out to be caused by a combination of genetics, having had way too much coffee (with sugar) and apparently having a burn out. In the hospital I remember hearing the remark that my BS was a bit high, but I brushed that aside as being caused by the cups of coffee and just having had my lunch before the ambulance ride.. After a day in the hospital I was sent on my way with some medication to counter the a-fib and started my recovery from the burn out.

Fast forward to mid January:
I was slowly reintegrating at work, and was looking for ways to speed up the process. I came across some articles that where suggesting that a lot of western health problems could be caused by a vitamin D deficiency. Being curious I asked my GP to perform a blood test to check my values.

To my surprise I was called by the doctors assistant informing me that I had diabetes and could get my medication at the pharmacy. I was completely shocked by this diagnosis, being 30 years old and weighing "only" 79 kg at that point (length 182cm). I asked for an appointment with the GP to discuss the results and got that the next day.

He just repeated what the assistant told me over the phone and that my blood glucose fasting value was 8.1 mmol/l and ha1bc value was 47 mmol/l. He also told me that my cholesterol was too high as well for being a diabetic (total cholesterol of 5.1 mmol/l and LDL of 3.2 mmol/l). I was given Metformin 500mg and Atorvastatin 40mg to be taken once a day.
For the curious: the test showed my vitamin D value to be on the lower limit of what's acceptable: 52 nmol/l.

I was gutted by hearing this and when I got home I immediately started Googling diabetes and what could possibly be done to fight it. Fortunately I quickly found the Low Carb approach and was immediately reassured that something could be done and that I could take some control over the disease.

That night I ordered a symbolic "last meal" pizza with my girlfriend and started the low carb diet. The first week was a bit rough; not because I didn't like eating low carb, but because I had to learn how to cook again. Luckily the two cooking books I ordered had a lot of recipes that fit our preferences. My girlfriend doesn't eat meat, so that restricted my options a bit further (though she does eat fish, otherwise this would have been mission impossible for me).

The first month I was super strict, but when I started working more and more I found that eating low carb in the morning and during lunch was too restrictive and taking too much time to prepare (please give me workable alternatives if you have them). I was also starting to hate eating fried eggs. That's when I decided to eat 3 wholemeal crispbreads with toppings in the morning and 5 at lunch (they're called knäckebröd here in The Netherlands). For dinner I still stuck to the low carb meals (spiralized zuchini is a big hit :), even bought a spiralizer!).

In March I bought a blood glucose meter after searching what was the best buy (I have to say that it really isn't that obvious what the best device is, and I'm still not sure if I have the best meter). I saw that my fasting values where already excellent (4.4-5.2 mmol/l range). Seeing those results were enormously motivating!

Last Friday I received my latest blood results from the GP. He was very pleased by my progress and suggested to stop taking the Metformin. Seeing the results and my super low cholesterol values I was also confident enough to tell him I wanted to stop taking the Atorvastatin. He was reluctant at first, but eventually caved in and remarked that "we'll see were it will take us..".

So now the results!

Before (19-01-18):
Glucose: 8.1 mmol/l
HbA1c: 47 mmol/l
Cholesterol total: 5.1 mmol/l
HDL: 1.3 mmol/l
LDL: 3.2 mmol/l
Triglycerids: 1.25 mmol/l
Weight: 79 kg

After (12-04-18):
Glucose: 5.0 mmol/l
HbA1c: 34 mmol/l
Cholesterol total: 2.2 mmol/l
HDL: 1.0 mmol/l
LDL: 0.9 mmol/l
Triglycerids: 0.92 mmol/l
Weight: 71 kg


I'm extremely pleased by the results! Please note that these results are a combination of medication and a low carb diet. I have just started slowly working out since a few weeks. My main focus is to gain some confidence in my own body and slowly work my way up from there. I already noticed that my post meal glucose levels after 2 hours were lower up to two days after working out! I guess working out really improves your insulin response (to the point where I actually experienced three hypos thus far :bag:)!

I do have a few questions though:
1. I know my HbA1c will probably rise again since I stopped Metformin. Since I recently started working out, what can I expect my fasting and HbA1c values to do over the next 3 months?
2. What can I expect to happen with my cholesterol values? They seem incredibly low, and probably will also start to rise again since I stopped taking the Atorvastatin, but to what extents?

Sorry for the super long post, it has been quite, ehm, interesting the last couple of months :D. Also sorry for the probably tons of spelling errors, English is not my native language.
 
Hi. Well done and your English is very much better than my Dutch btw!
Re cholesterol the results to keep an eye on are the ratio between triglycerides and HDL...Hopefully your HDL will rise as a result of the healthy fats you are now eating and your rigs have already fallen which reflects the fact that you are eating much less carbohydrate. The ratio should be lower than 1:1 ie. if you lapsed and the rigs climbed up again, this would be a sign of metabolic ill health as would rising blood sugars, weight gain etc.
Your decline in cholesterol is due to the statin but that drug takes out not only the harmful small and dense ldl but also the more neutral large fluffy variety so the fact that your cholesterol may rise will not necessarily indicate a problem in the context of your low carb diet.
Re exercise, doing something intense after any carbs will help to clear glucose and stop it being stored in the wrong places. More importantly if you can make muscle work your mainstay you will become more insulin sensitive thus decreasing the insulin resistance that you're clearly prone too. So work those legs, pectorals, deltoids and back. ( High intensity training e.g. 30-60 secs kettlebell swings/sprints/press ups/squat jumps, rest and repeat is also a good way to signal your body to use up sugar during and after the exercise.
Hope you continue to feel good on this lifestyle!
 
Welcome on the forum and gefeliciteerd with turning things around so quickly! I can't advise you on what will happen with the changes you've made recently as I'm on insulin myself, but I guess using your meter a lot will keep you informed.
I saw this is your first post, so I'll tag @daisy1 who will post some excellent information on this thread shortly, a lot of which you've obviously already found out for yourself.
Keep up the good work and keep coming on this forum :)
 
Hi and welcome! You have done amazingly as far as blood glucose is concerned, so have a big gold medal for that. Well done. :)

When you did your diabetes research, did you also research modern thinking on cholesterol and lipids? I somehow doubt it or you would most likely have refused the Atorvastatin from the start. :arghh: There was nothing really wrong with your initial results. I'm afraid that the NHS offer statins to all diabetics as a matter of routine without first looking at the full picture. Also, statins raise blood sugar levels! However, you are now off them and on course for having perfect cholesterol/lipid levels. You need to increase your good cholesterol (HDL) as that needs to be as high as possible. In my opinion your cholesterol is too low, and that is down to the statins.

If you use the search box on here and find all the hundreds of threads on cholesterol and statins you will see what I mean.

Keep up the good work, read round the forums, and ask as many questions as you like.
 
@martijnpeters

Hello Martijn and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you need to and someone will be able to help.



BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
hi @martijnpeters - just want to say, those are amazing results, you should feel very pleased with what you've achieved so quickly!
 
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