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Type 2 Diabetes
T2 or NAFLD? ...or, a funny thing happened on the way to the surgery
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<blockquote data-quote="Chris24Main" data-source="post: 2748158" data-attributes="member: 585131"><p>So - ignore most of it - the key thing is that the red line (the average fasting blood glucose) has settled around 5 mmol/L - it will be higher through the day - so that isn't going to predict my HbA1c (which I will get at the end of Feb) but you can see that it's doing what I expected, and the wiggly measurement line is less wiggly.</p><p></p><p>The blue ketone line is going up. I'm finding that I'm now (only really in the last month or so) quite reliably in ketosis in the morning. Where the blue line started off wobbling quite a lot - mostly down, then spiking high (usually on account of fasting - and that one very high spike was me paddling for two hours solid after fasting for a day and continuing to fast... that was quite the shock, though I felt fine, and had to actually calm myself down - it can't be DKA, because my blood glucose level is around 4... it <em>can't </em>be DKA...</p><p></p><p>For reference - that level is what this type of ketone monitor sets as dangerous - so 40 or so on this graph equates to 3 on the classic (you need to go straight to hospital) charts. - I was definitely above that level.</p><p></p><p>Anyway - the very short version of this is that I'm interpreting all of this as good evidence that I am gradually becoming fat-adapted. I'm going into, and staying in ketosis much more easily, so I'm burning more fat, and breathing out calories all the time (for those calories-in calories-out advocates).</p><p></p><p>All of that is good, and largely as predicted.</p><p>Bizarrely, what I need to consider next - is that being in ketosis all the time is not good, in exactly the same way that being in glucose-burning all the time is not good.</p><p></p><p>Part of the benefit of low insulin is that it promotes autophagy - which sounds horrendously complex, but is simply to health what recovery is to exercise - it's all a balance. Autophagy allows broken down bits of cells to be recycled; but you cannot be in a state of breaking stuff down all the time - sometimes you need to build - and that is what insulin is all about.</p><p></p><p>So - the next stage of the journey for me might well involve some of the things I've been avoiding for a year - I want to be able to knock myself out of ketosis, say one day a week - kind of the opposite of fasting, I'll probably want to deliberately have some carbs...</p><p></p><p>The next phase is about becoming <em>metabolically flexible</em>...</p><p></p><p>(I just need to think about how to do it without feeling unwell - I know if I have a plate of fried rice, I'm just going to feel terrible.)</p></blockquote><p></p>
[QUOTE="Chris24Main, post: 2748158, member: 585131"] So - ignore most of it - the key thing is that the red line (the average fasting blood glucose) has settled around 5 mmol/L - it will be higher through the day - so that isn't going to predict my HbA1c (which I will get at the end of Feb) but you can see that it's doing what I expected, and the wiggly measurement line is less wiggly. The blue ketone line is going up. I'm finding that I'm now (only really in the last month or so) quite reliably in ketosis in the morning. Where the blue line started off wobbling quite a lot - mostly down, then spiking high (usually on account of fasting - and that one very high spike was me paddling for two hours solid after fasting for a day and continuing to fast... that was quite the shock, though I felt fine, and had to actually calm myself down - it can't be DKA, because my blood glucose level is around 4... it [I]can't [/I]be DKA... For reference - that level is what this type of ketone monitor sets as dangerous - so 40 or so on this graph equates to 3 on the classic (you need to go straight to hospital) charts. - I was definitely above that level. Anyway - the very short version of this is that I'm interpreting all of this as good evidence that I am gradually becoming fat-adapted. I'm going into, and staying in ketosis much more easily, so I'm burning more fat, and breathing out calories all the time (for those calories-in calories-out advocates). All of that is good, and largely as predicted. Bizarrely, what I need to consider next - is that being in ketosis all the time is not good, in exactly the same way that being in glucose-burning all the time is not good. Part of the benefit of low insulin is that it promotes autophagy - which sounds horrendously complex, but is simply to health what recovery is to exercise - it's all a balance. Autophagy allows broken down bits of cells to be recycled; but you cannot be in a state of breaking stuff down all the time - sometimes you need to build - and that is what insulin is all about. So - the next stage of the journey for me might well involve some of the things I've been avoiding for a year - I want to be able to knock myself out of ketosis, say one day a week - kind of the opposite of fasting, I'll probably want to deliberately have some carbs... The next phase is about becoming [I]metabolically flexible[/I]... (I just need to think about how to do it without feeling unwell - I know if I have a plate of fried rice, I'm just going to feel terrible.) [/QUOTE]
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