Low Carb for Type 1? Not Me!


#21

Just want to add that my protein levels are now in the middle of range and when low carbing I was always low in protein.


#22

@Marilyn6, I was diagnosed with insulin resistance (IR) in 1998. Many T1D’s have been diagnosed with IR. I had gained weight after switching from animal to synthetic insulin. That was the beginning of my IR. I used Metformin and lost the extra weight, but I will always have IR to some degree. If I ate a higher carb diet than the 130 carbs I am following now, I would gain weight again. I am healthy with a lower carb diet. I am no longer using Metformin.


#23

Richard, this way of eating is specifically designed to make the body more sensitive to insulin which certainly worked for me. Fat is limited to 10 to 15% of the diet. I lost 10 lbs when switching from low carb to low fat plant based.

So glad you were able to get off of metformin!


#24

WOW! Great job!


#25

hi Richard - I want you to know I read your story last week and it stuck with me - I thought, just because I have always done it one way (25 years), doesn’t mean there isn’t time to change. As of 10 days ago I’ve gone from a daily average of 190 g/day to 130g/day. Thanks for the inspiration to try limiting carbs, the most significant driver of blood glucose fluctuation. Using a new Medtronic 630G pump and CGM to help transition well. Thanks!! Hope to see improved HBA1Cs next time. (7.5 now) Aidan


#26

@ArcherAidan, I took my time reducing my daily carb count to 130. It had to be done gradually. I also avoid some foods that cause a quick rise in my BG.
I am also using the Medtronic 630G pump, but I liked the Revel pump better (Medtronic 523).


#27

Kudos Richard157 on maintaining excellent long term control!

I’m judicious about the carbs I eat. I back into a carb “allotment” if you will based on what my Total Daily Dose of insulin should be for a person my weight.

I have my basal settings divided into 3 day parts based on inuslin resistance and activity which totals 50% of my TDD, currently my TDD is 72u so my 24 hour basal regimen is 36u total.

The remaining 50% of my TDD is for carb coverage. My carb ratio in the morning when I am more resistant is 1:3 and the remainder of the day is 1:5.

Breakfast: 12u x 3g carbs = 36g carbs
Lunch: 12u x 5g carbs = 60g carbs
Dinner: 12u x 5g carbs = 60g carbs
Total Daily Carb Allowance = 156g

I don’t necessarily eat 156g of carbs per day, generally I average 110-120g daily. I rarely eat 60g carb at a meal but might have 30-40g carb meal and a 20g carb snack a few hours later to keep things on an even keel. I always aim to have protein alongside my carbs which helps flatten the BG rises for me, avoid anything with sugar and foods that rapidly spike BG.


#28

I’ve never seen anyone use this method before but it makes sense. I have a few questions, if you don’t mind.

Does your daily consumption of about 110-120 grams of carbs per day represent a reduction of a former way of eating? Are you happy with the blood sugar control this enables? Do you use a continuous glucose monitor? What are your typical waking blood sugar and your post meal blood glucose level?

I think your tactic of deliberately mixing protein with your carbs so that you moderate blood sugar swings is a good one. It sounds like you’ve tamed your diabetes beast!


#29

I’m a nerd at heart!

Yes, prior to going on MDI therapy 3 years ago I was on metformin which ceased to be effective and I was probably consuming 200g+ a day in carbs. Honestly I am not even sure since I didn’t track what I ate.

Insulin therapy is a whole other adventure which IMHO required much more attention to detail so that’s when I got serious with what I ate, how I dosed, and became more outcome oriented. I needed a way to be both flexible AND consistent. I have a Dexcom G6 which I’ve used for 5 months now and transitioned to a pump in January.

My last A1C in January was 5.6%, in October it was 5.9%. My morning fasting numbers are 95-100 with no overnight lows below 70, mostly it bottoms out around 80. Two hours post meal average 110-120 and three hours post meal average 90-100 consistently. This is my last two weeks Dexcom Clarity report (range is 80-180)…

image

And t:connect report…
image


#30

It’s a never ending battle against the beast. I’m a long way from the 12.8% A1C in 2015 and I aim to stay that way.


#31

does that amount of insulin include your basal or is that bolus?


#32

It is both bolus and basal.