There was an old person of Dean,
Who dined on one pea, and one bean;
For he said, 'More than that,
Would make me too fat,'
That cautious old person of Dean.
This Forum is dominated with postulations for curative treatment of Diabetes Type 2 by “Low carbo method”. For that I can say: Latin “ Quot homines tot sententiae”
Diabetes T2 is not represented by every person on the same way.
LC method is effective by the persons on prediabetic and the persons on the beginning for DM T2.
The treatment for these persons is with diet, exercise, Metformin and Sulphonylureas drugs.
The DM T2 treatment with Insulin and metformin can be difficult to control it effective.
The problem is the missing knowledge by the persons who have DM T2 and the useless explanation from the medical staff. NO one of this medical person explain exactly how to control the illness. All explanations are very superficially. Most people think if they take insulin, then all problems with DM T2 are away.
The intake of exogen insulin depend of the grade of insulin resistance.
I can tell You about my way how I control my DM T2.
I have very high insulin resistance. I take on the morning 15 IE- Insulin Tresiba (degludec), the best insulin on the marked, and 4 IE – insulin Novo Rapid and 1.5 g Metformin. My BG on the morning is from 4.0 to 5.0 mmol/L.
On the morning I eat 2 egg and one bread with butter and honey. (Ordinary office job)
On 12.00 my BG is 4.00 mmol/l and I eat a moderate meal (I eat what I like to eat, no diet meals and no LC- meals). After 1.5 hour I measure my BG. Normally the BG is about 10 mmol/l. After that I take my Electrical Bicycle and drive about 10 to 15 kilometers. (You can RUN if you prefer that) All that take about 0.5 hour. My BG after that is only 4.5 mmol/l. By 18.00 hour I eat normal meal and do not make exercise. On the morning my BG is 4.5 – 5.0 mmol/l.
If You control your BG only with insulin, without exercise, then you must take more insulin and the carbs will not be catabolized but they will be deposit in your adipose tissues. It will be difficult to control your weight.
If You are an obese person, then You can use Insulin Tresiba (degludec) mixed with Victoza. You will have 100% positive results for los of weight. Your “doctor” must be involved in that.
For all this the start point is to find what is your BMR (Basal Metabolic Rate).
You body use 24 Cal / kg weight and if you like to have a weight of 60 Kg, then you can multiplicate 24 x 60 = 1440 Cal / day. The composition of This daily energy of 1440 Cal is: 50% must be from carbs, 30 % from fat ad 20 % from protein.
The carbs and the proteins have 4 Cal / gram and the fat has 9 Cal/gram.
You MUST eat carbs because your body need the energy molecule ATP (Adenosine Triphosphate).
This energy molecules are used by every biochemical process in your body.
You can read on the English Wikipedia about ATP and Metformin. It is very important to understand how this molecule works in your body.
Ask me for all what you wish and you will get always a true answer.
Luna - It is excellent that you acknowledge, up front that everyone is different in their health and how they manage it, but then you appear to go on to suggest that your way is
the way to manage T2 diabetes.
One of the frustrating things about T2 is that each person really does have to find their way to move forward, managing their T2 for the longer term. To be clear, I am certainly not saying that insulin is bad, but nor am I say a Low Carb diet is bad. Indeed, I follow a low carb way of eating myself. Additionally, not everyone exercises. Some don't care for it, and for others it is impossible, due to other limiting factors and/or medical conditions.
Whilst I am pleased it looks like you have worke out how to balance your energy requirements by calculating a calories per kilogramme, I also find I am quite different in this regard. Personally, if I eat a lot of carbs, I can eat far less, in terms of calories, otherwise my weight creeps up. If I am eating a reduced carb diet, I can eat far more calories to maintain weight. I've just done a quite calculation and find on my LC way of eating, what I eat equates to about 51 calories per kilo, to maintain, and certaily way less that 50% of my calories are from carbs.
Congratulations on finding your way, but I find it pays to keep an open mind on how I or others can best manage their health. My health is excellent at the moment, I'm pleased to say, and my HbA1c is low. I'm quite happy following my own route.
With diabetes, whether T1, T2 or almost any other sort, there can be many routes to fulfull the same objective. Choice is important.