Interesting story. I am seeing my GP on Friday for review. I am hoping and praying that he is an LCHF convert.It's been a long time since I posted. I've been busy sorting my life, and the lives of my nearest and dearest out... but that's another story for another day.
In my absence from this forum I had an appointment with my Consultant. As usual she was rude, condescending, and talked to me like a big fat sugar-gorging child. I decided to do something about it and I found Dr Jason Fung's books - I devoured them. The Diabetes Code changed me. It made sense, it explained everything in ways that made me understand why I was piling on the weight whilst injecting huge quantities of insulin, and why my blood sugar was sluggish in responding. Right after reading it I started proper Keto, along with intermittent fasting. Not the lazy low carb approach I've taken for years... measured, weighed, recorded keto. It's been four weeks and today I had an appointment with the Diabetes Sister at the hospital (I've been put on detention for being a big fat sugar-gorging child, and I now have to see her once a month). First off, the HCA took my urine sample, dipsticked it and sent me on my way. Then she came to find me with a paper cup of water telling me to drink it because I had ketones. I explained that it's my diet, she looked blankly and left me to it.
The Sister acted as if I was the first person ever to mention any form of low carb approach to her. She looked at my weight - down 1 stone in 4 weeks, then my hba1c (74 four weeks ago, 64 now), and declared that I'm doing all of this too quickly.
She demanded that I start eating healthy carbs and follow a low-calorie diet instead. Then she instructed me to go to the hospital cafe, purchase something carby, eat it, and return for a urine dip and a ketone test. I told her it wasn't possible (it was, but I wasn't doing it!), and she instead did a ketone test (2.2 - I'm chuffed) and told me that if it had been 3 then she'd have to hospitalise me. ***! Dodged that bullet, high tailed it out of the hospital with lots of nodding and agreeing to eat more bananas and porridge. She did send me home with a ketone meter and some strips though... very useful!
Four weeks and four days until the next appointment, and I'm contemplating nudging myself out of nutritional ketosis the day before and pretending like I've been a good low-calorie low-fat lady.
This inflexible approach of the NHS frustrates me. I'm a person with my own brain, and they don't seem to realise that I don't pay rent on this body that I'm in, I own it outright.
Interesting story. I am seeing my GP on Friday for review. I am hoping and praying that he is a LCHF convert.
What complete and utter b***ocks ..... so sorry you had to go though that . Obviously they know nothing of ketosis and aregetting confused with ketoacidosis.. but you have done so well... great results well done!- down 1 stone in 4 weeks, then my hba1c (74 four weeks ago, 64 now), and declared that I'm doing all of this too quickly.
Please don't do this. Do what is right and remain in ketosis. You've taken your diabetes and your health into your own hands and the results speak for themselves.Four weeks and four days until the next appointment, and I'm contemplating nudging myself out of nutritional ketosis the day before and pretending like I've been a good low-calorie low-fat lady.
Please don't do this. Do what is right and remain in ketosis. You've taken your diabetes and your health into your own hands and the results speak for themselves.
They are simply there to advise, and clearly their advice isn't great. I told my consultant, when he tries to get me on Statins, to never bring up the subject again. And I will NEVER taken them.
Your body, your decisions.
I have said this before. People have to take more care with testing bg and ketones when changing their diet when the object is to reduce medications/insulin, however in all my reading and viewing of lectures on Type 2 Diabetes the only time that Keto could be considered dangerous is if the person is taking SGLT2 inhibitors.
This class of drug has a heightened risk of DKA alone so embarking on a ketogenic way of eating obviously raises that risk further but the diet itself promotes nutritional ketosis which some HCPs simply do not care to fully investigate.
Please don't do this. Do what is right and remain in ketosis. You've taken your diabetes and your health into your own hands and the results speak for themselves.
They are simply there to advise, and clearly their advice isn't great. I told my consultant, when he tries to get me in Statins, to never bring up the subject again. And I will NEVER taken them.
Your body, your decisions.
Thanks - I used to be on Canagliflozin, but that was stopped about six months ago. I was just on insulin when I started the diet. This nurse had no idea that nutritional ketosis could even exist, and I find that quite scary. I know a few low carbing type 2's - a couple of older ladies I work with. They know about low carb, but I doubt that they'd know about nutritional ketosis... so if they presented for an appointment after a few days of being stricter with their diet, would they be rushed in and treated for impending DKA ?
I think you are right. I'm just going to have to put my big girl pants on and not be bullied by them. Might take my husband or sister in law along for some moral support as they both are my biggest cheerleaders at the moment.
This is the hardest with doing things that are not 'normal', been there, done that.
The way I have handled it, is by knowing more than my doctor, being able to argue with them and believing that I'm right and they are wrong.
If you believe in all of us here, then just stay strong. (she is wrong!!!)
So for you, in this case, I found the place that she is referring to about the 'over 3 mmol/L'.
See https://www.nhs.uk/conditions/diabetic-ketoacidosis/
Check your blood sugar and ketone levels
Check your blood sugar level if you have symptoms of DKA...
Thank you for that - it's very interesting and clearly where she's pulling her info from.
One of the biggest things I'm learning with this is to trust my body. It does actually know what it's doing when fed right! No matter how qualified a medical professional is, they don't live with this disease. They may be professionals, but those of us who live with this for years... we are the experts.
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