Keto diet- "keto flu" and adjustment to exercise?

[jlury]

Hi. Has anybody done a strict low carb/keto diet and can advise me on these issues:
When you started did you get any kind of "keto flu" or side effects?
Did you get to a stage where when you did exercise your body kept your Blood Glucose up and you did not get hypos? and if you did, how long did it take you to get to this stage?
Ive been trying a strict keto diet (like in the "Zero Five 100" project on the type 1 keto website) but I felt fatigue and stomach ache, so Ive stopped it for a while.
Thanks in advance.

 

[Inka]

Have you tested for ketones @jlury ? Stomach ache can be a sign of ketoacidosis.

 

[Inka]

@jlury If you’re on insulin, your body won’t “keep your glucose up”. You’ll need to adjust your insulin and take hypo treatments if you’re going hypo.

TBF, my advice is not to eat keto. I tried it for around a month and my control was no better. In fact, it was harder to keep my normal control. My body pumped out glucose in the absence of carbs; turned protein to glucose; and my digestion was messed up. I also had ketones so had to watch those like a hawk. A keto diet puts Type 1s at higher risk of DKA.

If you want to lose weight, just go on a normal diet and use something like MyFitnessPal to monitor calories. Low carb can be anything up to 130g carbs a day, which is much safer.

 

[Dragonheart]

Broadly speaking keto flu is largely either adaptation to lower but more normal glucose levels (ie false hypos) or a lack of electrolytes due to higher fluid levels and carbs not holding water in the body.

There is a thing called adaptative glucose sparing or physiological insulin resistance whereby fasting levels remain a little higher due to limited intake of carbs helped by liver dumping. It’s quite different to pathological insulin resistance.

Exercise has variable effects depending on intensity etc but longer term is beneficial to levels but short term may cause either a drop or rise. Keto tends to allow longer, less intense activity without “bonking” or hypos once fat adaption takes place after a few weeks of ketosis but higher intensity efforts might struggle and cause lows. Have a look at Volek and Phinney “the art and science of low carb performance” perhaps.

Specifically in regards to type 1 I can’t comment as my knowledge is type 2 based. I’d assume greater awareness of the difference between nutritional ketosis and DKA would be essential in this case. I’ve heard mention of the insulin dosing requirements for protein changing in type 1 when very low carb as a consideration. Dr Ian lake is another person to look up perhaps as a type 1 that does some intense exercise on keto

 

[jlury]

Broadly speaking keto flu is largely either adaptation to lower but more normal glucose levels (ie false hypos) or a lack of electrolytes due to higher fluid levels and carbs not holding water in the body.

There is a thing called adaptative glucose sparing or physiological insulin resistance whereby fasting levels remain a little higher due to limited intake of carbs helped by liver dumping. It’s quite different to pathological insulin resistance.

Exercise has variable effects depending on intensity etc but longer term is beneficial to levels but short term may cause either a drop or rise. Keto tends to allow longer, less intense activity without “bonking” or hypos once fat adaption takes place after a few weeks of ketosis but higher intensity efforts might struggle and cause lows. Have a look at Volek and Phinney “the art and science of low carb performance” perhaps.

Specifically in regards to type 1 I can’t comment as my knowledge is type 2 based. I’d assume greater awareness of the difference between nutritional ketosis and DKA would be essential in this case. I’ve heard mention of the insulin dosing requirements for protein changing in type 1 when very low carb as a consideration. Dr Ian lake is another person to look up perhaps as a type 1 that does some intense exercise on keto

Thanks HSSS. Much appreciated.