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Why might we get stuck?

So sorry to hear that you are struggling at the moment. Extra stress, anxiety, depression, etc can on their own raise your BG levels and may have contributed as well to your latest HbAC1 result. @Oldvatr has beaten me to it, but a factor to consider is that on low carb & keto diets your liver will be producing glucose from metabolising protein. As a Type 1 injecting insulin I definitely find that I need to use extra insulin to account for protein in my diet. When you feel ready to return to a stricter low carb regime, perhaps consider reducing the protein amounts but add extra healthy fats (but not seed oils!) so that you are not starving yourself.
I would add to this that unless the fat is increased, then LC diets can scavenge muscle tissue to create that glucose that the brain cells and nerves demand. So it is not just diet protein that feeds the beast. The beast can be cannibal and carnivore on itself. This was a lesson I learnt when researching LCHF and it took me a while to make the switch since it is contrary to traditional nutrition mores (but our ancesors ubderstood it well enough. Pig roast, Sunday roast, sausages, bread and dripping were all on the menu when I was growing up).

I must admit I am now confused. Your bgl levels are better than many here, and your weight does not seem to be anything to be ashamed about. I my case I did get brief 'remission; but chose to add back some medication to give me freedom to breathe and not be tied to a strict regime. I eat many forbidden fruits now and maintain bgl in the prediabetes range. A small amout of medication lessens the stress. But I still get reminders that I remain carb intolerant (my bgl on pancake day rose to 11 mmol/l, but my bgl after a pecan slice from M&S had very little effect. I look at both of these transgressions as relatively low risk, compared to where I was 8 years ago when my readings were off the scales (I thought my meter was just being friendly when it said HI lol)

What surprised me was that when I was in hospital waiting for my bypass op, I was on Eatwell hospital fare for about a month. Because of my condition they took all my diabetic sweeties away from me, so I was having to cope on my own. I expected to spiral into the darkness without a wing and a prayer, but this was the occaasion when the docs pronounced me in remission, I maintained good control by NHS standards even though I was seeing levels that I had not seen for so long. But I was dropping overnight from a level of say 18 post digestive bics and cocoa nightcap down to my fasting 5.4 in the morning sans meds. This showed me quite graphically that I was producing insulin and was also able to use it without prompting. This was my Eureka moment, and proved to me unequivocally that LCHF had done what was claimed for it by my n=1 sample.
Needless to say it did not last and another month of hospital food set me back to needing medication again.

The problem with our bodies and diets is that after a while the body adjusts the metabolism to accommodate the new conditions. But the thermostat remains at the old setting, so it will tend to use liver dumps to maintain that level. Over time it can adjust the setting especially if you lose weight since that reduces the insulin requirement (the two are indeed linked as recent studies on c-peptide have demonstrated) but that is not a quick response. But your frustration shared with many here seems to be that your weight has plateaued and stopped short of what would bring your bgl into line. I think it is Jason Fung who floats the idea of Intermittent Fasting. Apparently if you fast to a repeating schedule the body gets used to it and it stops being effective, so the intermittent part is to surprise it . Maybe a different strategy is required to kick start things off again?
 
Maybe a different strategy is required to kick start things off again?
@HSSS I've been mulling over this thread as I fear it will be me in a few years time. I am also going to suggest some sort of drastic change/short sharp shock.

There are posters suggesting very low calorie, some fasting and one mentioning great changes after introducing exercise. Some people benefit from a change of exercise type.

I think you'd benefit by trying any or all of these for short durations, one might just be the kick start your body needs.

I seem to remember plenty of posts a while back (maybe 18 months ago) from people bemoaning they thought they got their t2 management right when all of a sudden whatever they were doing stopped working and change was needed. Can't find the threads now, but it certainly rings a bell.
Might be worth a try, if only so you feel you are trying something , it might help lift your low mood too.
 
@HSSS I've been mulling over this thread as I fear it will be me in a few years time. I am also going to suggest some sort of drastic change/short sharp shock.

There are posters suggesting very low calorie, some fasting and one mentioning great changes after introducing exercise. Some people benefit from a change of exercise type.

I think you'd benefit by trying any or all of these for short durations, one might just be the kick start your body needs.

I seem to remember plenty of posts a while back (maybe 18 months ago) from people bemoaning they thought they got their t2 management right when all of a sudden whatever they were doing stopped working and change was needed. Can't find the threads now, but it certainly rings a bell.
Might be worth a try, if only so you feel you are trying something , it might help lift your low mood too.
Well I sure as hell need to do something as nothing isn’t working so good right now, so you might very well be right.
 
Given the expense of (and the difficulty in interpreting) insulin assay, C-peptide etc, it might be worth assuming insulin resistance and working on trying to reduce that as the lifestyle changes required are likely to be beneficial in any case.

This website, Labtestsonline, explains both diagnosis and treatment of insulin resistance very well. It's well worth reading the whole page that is linked to:- https://labtestsonline.org.uk/conditions/insulin-resistance Note that it mentions increasing dietary fibre and exercise: these may be overlooked when people focus on low-carb. I haven't seen a mention of exercise in your posts (apologies if I've missed it) but even if you are doing the 30 mins per day recommended for the general population, as someone with diabetes, you might need more than this if you are chasing lower HbA1c levels. Exercise has the added benefit of reducing the risk of cardiovascular disease and it also improves mood which is always welcome when tackling a long-term condition - something that can be very draining.
 
I agree with the posts mentioning protein will raise blood sugars as i was having the same problem when i went carnivor and cut everything else out. I was eating 3 times a day and my weight stalled at 14 stone and bloods were 5.5 - 6 in the morning and ended up near 7 at end of day even though i had no carbs or sugar in my diet
I cut out the midday meal so i went from 140 grams of protein a day to 100 grams or less. I was also fasting from last meal to following morning and started loosing weight again. Morning bloods are now 4 - 4.5 and weight is 12 stone.
I am now trying to put weight on, add 20 grams of carbs a day into my diet (can only manage 10 grams at a time) and do some resistance training without it making my BS and A1c go up
Sorry i am rambling on a bit about myself when your struggling i realy hope you can get into a better place and get the ball rolling again. I thought i try and help with what worked for me (you most probley do it yourself) as i could be in the same position a few years down the road due to burn out or frustraion due to things not working like they used to
 
Jerusalem artijokes are a killer for me too. OK with onions. garlic and leeks, but chicory coffee is one I avoid.
 
I find even a tiny bit of inulin causes major intestinal upsets, be cautious!
Thanks. I will be cautious but like HSSS I need to do something drastic. My weight loss has stalled and my BGs aren't as good as they were.
 
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