Keto diet versus Vegan diet


#1

I am a TYPE 2 DIABETIC… So I would like my answers to more focused on the Type 2 perspective.

I have been doing strict veganism for a year and few months. I am looking at doing the KETO diet because my new boyfriend is practicing it and does extreme low carbs. I am concerned because I am on insulin and trulicity about doing low carbs. Any thoughts.


#2

I don’t have Type 2 diabetes, but what Type 2 specific questions do you have? What are your concerns with a very low-carb diet?


#3

@Christalyn Pay attention to your bg numbers and reduce your insulin as you move forward. My husband, a type 2, reduced I believe 80% of his insulin needs going keto. Test often. You may want to lower your insulin (I don’t know anything about trulicity) in anticipation of needing less, opting to stay a little high, rather than going too low, while you’re in your initial phase of reducing carbs and perhaps losing some weight, which will also reduce how much insulin your body will need. My husband did extremely well. I tried to get him to use a CGM, but he was opposed. If you’re open to it, a CGM will help you a lot.


#4

I am worried about dropping low. I don’t feeling the lows as I used too.


#5

Approach the keto diet slowly and test often. Always have fast acting carbs nearby; it defeats the purpose of going keto, but it will help you ease into it with less anxiety.

Are you on basal/bolus therapy or just on basal? What kind of basal insulin are you using? My husband is using lantus. When did you begin trulicity? Is it (trulicity) something you can adjust as you go? Is it (trulicity) something you can easily set aside and not use?

We would adjust his lantus gradually depending on his bg before bed and in the morning; he splits his dose of lantus. We’d usually drop no more than two units at a time and wait at least three days before we would make any further changes (we were prepared to make adjustments up or down if needed though, during that three days). It worked well for him. I hope the same can be said for you too.


#6

I am a T2 who has done very low Carb (6 years) and started the Ketosis diet.
Three big buts.
But #1 I do produce a lot of my own insulin, just don.t use it well. I do not use insulin or any medication to control my T2 (A1c 5.6). I cannot speak to doing the diet while adding insulin. I agree it should be watched closely.
But. # 2 What is your goal with Ketosis? Other than sharing an experience with your boy friend. Which can be a questionable motive. I have seen super intense athletes. shoot for crazy high ketone numbers, Which I dont believe is good for anyone.
But #3. What is your carb intake range and A1c now? I found that when I was eating low carb (30 to 50 carbs a Day) I was already in the nutritional Ketosis range. .5 to 2.5
If you can borrow a meter and test to get an idea where you are. (they vary through out the day)

I don’t follow any Keto diet program, I found it very restrictive, and since I was already tightly controlling my diet and in “nutritional Ketosis”. I have just continued on with what I was doing.

Dr. Mowll has a good posting for introduction to Keto. He is a diabetic “expert” (i am not recommending him)
I have actually talked with him a couple of times and considered joining (and paying for) the program. Then I realized I know more about me and what I need than he does. So I would leave it at he seems to have an informative post.

Important point nutritional Ketosis is not the same or related to Ketoacidosis The latter is quite dangerous