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Rising trend on my numbers- should I be concerned UPDATE

lovinglife

lovinglife

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Staff Member
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5,997
Type of diabetes
Type 2
Treatment type
Diet only
Need some input from you guys please

I've being doing DD keto less than 20g usually around 12g carb a day since middle of January- at first everything was great - I've lost 16lb and for the first few weeks all my numbers were in between the high 4s to mid 5s. For the last 3 weeks I've been seeing a slow rise in them all and have been in the high 5s low 6s - today I've had high 6s even a low 7 on all my tests. Not seeing spikes as such just all round rising

I dropped my gliclizide completely when's I started - I went keto once before and experienced the same and had to go back onto a small dose of gliclizide and about 60 - 70g carb to get my numbers down.

I really don't want to have to do this again as I feel so much better, enjoying my food more and the freedom of not thinking about hypos.

There's no carb creep as I follow a meal plan and recipes and weigh/measure the carbs and protein - not ill, no more stress than normal

Example for breakfast - fasting 6.5 - breakfast 2 slices of bacon - 2 hours 6.9 - did a 3 hour one out of curiosity and it's 7.1 - retest was same :(

Any ideas or theories would be welcome thanks guys :) (sorry it got a bit long winded)
 
Any ideas guys - just tested for my before lunch and it's now 7.3! Never had numbers like this for years - do I eat? I'm hungry- staring to feel food anxieties kicking in that I had in the past.
 
Hi,

I would eat.
If your rising bg this morning is the result of a liver dump, then eating something v low or no carb would for me stop it in its tracks.

I have found that the only way for me to stop the morning bg rise is to eat protein or fat, otherwise the dratted thing can rise until late morning, at which point it crashes and leaves me wobbly.

Obviously, if it turns out that my suggestion doesn't work for you, then do something different tomorrow. :)

Any chance you could be brewing a virus? Under more stress? Bad sleep? They can all have a big impact for me.
 
It could be physiological insulin resistance (PIR), which is not the same thing as diabetes-related insulin resistance. It is when the body decides you have insufficient glucose in your system so tells the cells to reject the circulating glucose in order to spare it for the brain. The effect of this is raised base levels (fasting, pre meal etc), which of course have the effect of raised post meal levels simply because you are starting higher. Nothing to do with spiking. It is something that can happen in some people when they are very low carb.

It happened to me once, 2 or 3 years ago. I experienced similar to what you are saying. Mine lasted a few weeks, then I raised my carbs slightly and it all went back to normal. I have no idea if "normal" would have happened anyway or if the small increase in carbs was the reason.
 
Bluetit1802 said:
It could be physiological insulin resistance (PIR), which is not the same thing as diabetes-related insulin resistance. It is when the body decides you have insufficient glucose in your system so tells the cells to reject the circulating glucose in order to spare it for the brain. The effect of this is raised base levels (fasting, pre meal etc), which of course have the effect of raised post meal levels simply because you are starting higher. Nothing to do with spiking. It is something that can happen in some people when they are very low carb.

It happened to me once, 2 or 3 years ago. I experienced similar to what you are saying. Mine lasted a few weeks, then I raised my carbs slightly and it all went back to normal. I have no idea if "normal" would have happened anyway or if the small increase in carbs was the reason.
Click to expand...

As posted above. I eat some carbs with meals, veggie carbs, helps make the insulin work better or I'm in a state of physiological IR if I don't.
 
Thanks guys all very helpful:) @Brunneria - bad sleeping, high stress are my norm for at least 15 years so although I "suffer" them it's nothing that's changed. I may have a low level infection somewhere - who knows lol @Bluetit1802 and @Tophat1900 you've put my mind at rest - I only had 9g carb yesterday even though I had veg with all 3 meals. Will persevere for a couple of days if it continues I will add a few more carbs - thanks all :)

p.s. I ate my lunch - leftover half a portion of DD keto beef stew - will see how I go with that - I don't like to miss meals unless I'm genuinely not hungry as it takes me to a bad place
 
This is an identical story to what used to happen to me fairly regularly. 48h fasts would fix it, but it would soon come back as sure as the sun would rise. For me it turned out to be excessive protein. Excessive being that which was over and above my body’s maintenance requirement at that time.
 
Jim Lahey said:
This is an identical story to what used to happen to me fairly regularly. 48h fasts would fix it, but it would soon come back as sure as the sun would rise. For me it turned out to be excessive protein. Excessive being that which was over and above my body’s maintenance requirement at that time.
Click to expand...
Will recheck my protein Jim thanks :)
 
Jim Lahey said:
This is an identical story to what used to happen to me fairly regularly. 48h fasts would fix it, but it would soon come back as sure as the sun would rise. For me it turned out to be excessive protein. Excessive being that which was over and above my body’s maintenance requirement at that time.
Click to expand...

Jim out of interest, what level of protein did you find you could tolerate? I know I have this problem but find it so hard to eat lower protein as my diet is so restricted now. Thanks
 
Flora123 said:
Jim out of interest, what level of protein did you find you could tolerate? I know I have this problem but find it so hard to eat lower protein as my diet is so restricted now. Thanks
Click to expand...

I found my personal ideal to be 60-70g per day of animal protein (inc. cheese). I didn’t count it as such, but I know the approximate percentages and was mindful of not having more than ~20-30g per meal, and always packaged with plenty of real animal fat. 60-70g doesn’t seem much, but I only weigh ~63kg so it’s actually about right by some estimates. Excess never spiked me postprandial, but I would see the creeping effect over a period of days.

It took me a long time to figure out the cause, but once I’d cracked it I completely eliminated all upward creep and dawn phenomenon. My insulin sensitivity is now such that this doesn’t seem to happen anymore - evidenced by a few protein blowouts with no measurable effect - but I habitually tend to stick with a similar amount of protein anyway.

To be very clear, no one should avoid protein. It’s critically important. I’m only sharing my personal experience of finding my optimal level, and it worked wonders for me. In fact it was the final piece of the puzzle that cracked my diabetes code. The lightbulb moment that seemed to fix everything that previously had me at a complete loss with seemingly inexplicable glucose trends.
 
Have just checked my protein intake for last couple of weeks and I'm averaging 65 -70g which for my weight is a little bit under so not overdoing the protein but thanks for the tip @Jim Lahey - it's always wise to be mindful.

Latest numbers - before dinner (tea) of sesame seed salmon and curried cabbage 4.7 2hrs later 5.8 so better - hope it stays that way. Clear as mud eh!:wacky:
 
Jim Lahey said:
I found my personal ideal to be 60-70g per day of animal protein (inc. cheese). I didn’t count it as such, but I know the approximate percentages and was mindful of not having more than ~20-30g per meal, and always packaged with plenty of real animal fat. 60-70g doesn’t seem much, but I only weigh ~63kg so it’s actually about right by some estimates. Excess never spiked me postprandial, but I would see the creeping effect over a period of days.

It took me a long time to figure out the cause, but once I’d cracked it I completely eliminated all upward creep and dawn phenomenon. My insulin sensitivity is now such that this doesn’t seem to happen anymore - evidenced by a few protein blowouts with no measurable effect - but I habitually tend to stick with a similar amount of protein anyway.

To be very clear, no one should avoid protein. It’s critically important. I’m only sharing my personal experience of finding my optimal level, and it worked wonders for me. In fact it was the final piece of the puzzle that cracked my diabetes code. The lightbulb moment that seemed to fix everything that previously had me at a complete loss with seemingly inexplicable glucose trends.
Click to expand...

Thanks Jim. I need to start taking more notice of my protein intake. I do like to snack on meat and gave noticed an upward trend in my readings when I do. Time to get strict!
 
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