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Feeling dreadful

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Copepod said:
How's the extra eating going @SlowRunner?
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I think it will be a slow process to get it right. The last thing I want is to put loads of weight on or start getting huge swings in blood sugar levels. Then again, I don't want to take 2 days to recover from a steady 6 mile run & feel so drained that i can barely move! There's a balance there somewhere, I've just got to find it 🙂
 
Glad to hear it was something simple and easily-fixed, Slow Runner.🙂 I've always been a "gannet" (according to my mum) and nothing stops me from eating, not even gastroenteritis! Hubby's off his food at the mo and I just can't get my head around it.😱😉 Tuck in!
 
And you think just because Trudi (acknowledged for her T2 training course, not her T1 one) and a GP (who happens to have been on telly with a T2/almost T2 family, not a T1 one) think it's OK - the Uni Medical Profs will teach the students in their medical schools, to teach the diabetic patients how to adjust everything they need to adjust, on a ketogenic diet? And the Profs will teach their own patients? And we will therefore get our own clinicians to agree with our adopting the diet, and we won't get lectured in A&E should we ever be scraped up almost in DKA ?

A lot of UK medics actually have come round to things the likes of Malcolm Kendrick, John Briffa, Zoe Harcombe and their ilk have been telling us for years about fats, statins and cholesterol. Do the NHS believe it?

Ditto the need for such a high proportion of carbs in everyone's diet - but has the Eatwell plate really changed?

It's not even like that many people want to adopt a keto diet in the first place but if they do, that's up to them - it's as well for them to be aware that of it goes tits up, they'll be on their own - BEFORE they choose to go down that route.
 
You asked for UK reference to low carb and I gave a couple.
What a diabetic talks with their dietitian, nurse and Dr about a low carb ketogenic diet is between them. 20g to 130g carb is normally considered low carb.

DKA? did you read up about ketogenic diets? OP went to A&E for hypo problems and the Dr said he wasn't eating enough. The opposite of DKA.
If I were to say anything, I would suggest he talks with his nurse about doing a basal check, It sounds like its too high.
https://mysugr.com/basal-rate-testing/

I am aware of numerous T1s on a low carb diet posting on DCUK. I'm sure there would be some low carb T1s here too
From reading their posts, they do their basal and inject bolus for the carbs and a delayed bolus for some of the protein. Both on MDI and pump.
The ones that go low carb ketogenic are generally the ones who need better control or/and weight loss.
 
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Hi Slowrunner
I had some similar problems when newly diagnosed, it's really hard to get the balance right isn't it. I hated seeing my blood sugar spike, made me panic when it got above a 7 at any point, still not keen and it's changed my relationship with food quite a lot. I'm working on calming myself but it's a process. I've found I have to add more fat to keep myself fuelled, mostly that comes in the form of nuts, avocados and olives as snacks. Doesn't impact the blood sugar but does give me that extra bit of fuel. Then I'm not low carb, I eat about 100g of carb a day and I'm very happy with that. Have you tried slower release carbs? Beans, pulses, seeds etc? I find they keep me fuelled for longer. Anyway hope you're feeling better soon and managing to do some good satisfying runs 🙂
 
@KookyCat , yes that's exactly how I feel - I hate seeing spikes. Unfortunately I am getting them through exercise too & when I test before a meal & I'm high I lose my appetite or deliberately leave all the carbs in the meal. Then when the exercise spike drops I end up low & feeling awful.

I have to keep telling myself that I do need SOME carbs for energy, can't run a half marathon on a cheese omelette and a pint of water & not feel a bit drained at the end! I've never been a "low fat" eater, it always worried me what they were replacing good old fashioned fat with! But I have increased my intake of nuts, olives, etc to keep me fuelled and I do enjoy my food when I'm not worrying so much about it!!

I guess it's just been a big shock to the system, I've never been concerned about what I eat before, always had a good, rounded diet of whatever I felt like eating, not ever had much of a weight issue or health concerns & this has come as a bolt out if the blue & left me feeling & a bit confused by it all! I've got a lot out of this forum but there is still so much to learn!
 
I'm VERY low carb then LOL - I usually eat between 80g and 100g a day - same as I did before I was diagnosed!

That, is just normal for a sedentary woman my size, is what my mother fed me, and what I carried on feeding myself afterwards. I'd be like a BARREL if I ate more! - I'm fat now!

I don't run now, but thinking about it when I did, my diet was exactly the same except I'd just have a poached egg and one round of toast before I went out to train, instead of a full meal.
 
Yes, at 100g, you are well and truely low carb 🙂
http://www.nutritionjrnl.com/article/S0899-9007(14)00332-3/pdf
*Very low-carbohydrate ketogenic diet (VLCKD) Carbohydrate, 20–50 g/d or <10% of the 2000 kcal/d diet, whether or not ketosis occurs. Derived from levels of carbohydrate required to induce ketosis in most people. Recommended early phase (“induction”) of popular diets such as Atkins Diet or Protein Power.
*Low-carbohydrate diet: <130 g/d or <26% total energy The ADA definition of 130 g/d as its recommended minimum.
*Moderate-Carbohydrate Diet: 26%–45% Upper limit, approximate carbohydrate intake before the obesity epidemic (43%).
*High-Carbohydrate Diet: >45% The 2010 Dietary Guidelines for Americans recommends 45%–65% carbohydrate.
 
SlowRunner said:
@KookyCat , yes that's exactly how I feel - I hate seeing spikes. Unfortunately I am getting them through exercise too & when I test before a meal & I'm high I lose my appetite or deliberately leave all the carbs in the meal. Then when the exercise spike drops I end up low & feeling awful.

I have to keep telling myself that I do need SOME carbs for energy, can't run a half marathon on a cheese omelette and a pint of water & not feel a bit drained at the end! I've never been a "low fat" eater, it always worried me what they were replacing good old fashioned fat with! But I have increased my intake of nuts, olives, etc to keep me fuelled and I do enjoy my food when I'm not worrying so much about it!!

I guess it's just been a big shock to the system, I've never been concerned about what I eat before, always had a good, rounded diet of whatever I felt like eating, not ever had much of a weight issue or health concerns & this has come as a bolt out if the blue & left me feeling & a bit confused by it all! I've got a lot out of this forum but there is still so much to learn!
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Sounds very familiar @SlowRunner - I was very much the same as you in the early months after my diagnosis. But things do get better as you become more familiar and experienced with the 'new you' 🙂 In my case, I'd had 49 years of not having any real concerns about what I was eating and drinking, then all of a sudden that changed and I had to start thinking about everything. Now, 8 years on, I feel very familiar with my reactions to my food choices and very rarely experience spikes. My HbA1c has always been good, but for the first couple of years it masked quite a few ups and downs - now it represents a generally stable situation. I think I will always have a greater fear of spikes than lows, but generally nowadays there is little I can't explain either way - the chief complication is timing of insulin doses and the fact that it's a pretty blunt tool when you stop and consider all the factors and potential influences.

You will become more confident, I am sure, it's a learning process and you are the type of person who can learn from the lessons being taught. 🙂
 
Reviewing the conversation, it strikes me that it might have been a case of Keto Flu, a common occurrence as the body is becoming Keto Adapted (perhaps takes a few days).... So relieved to see that it was nothing serious & you are feeing better now.

BTW, there is a growing movement within the Ultrarunning community toward LCHF
 
It isn't low anything - it's merely an appropriate amount for my body.
 
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