Early type 1 diabetes shortens women's lives
https://www.sciencedaily.com/releas...80810091103.htm
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They seem to have forgotten to mention the importance of diet. :rolleyes: Hopefully they're right about modern sophisticated tools improving things. One problem is delivery of insulin. Normally the lion's share of insulin is sopped up by the liver and never makes it into general circulation. Obviously not something that's going to happen if the method of delivery is right into the general circulation. A diet that doesn't require as much insulin decreases the difference in how much insulin should be present peripherally and centrally. It's not just a matter of small numbers making for small errors and Dr. Bernstein always points out. |
How ironic you should post this.
About a month ago I started to talk diet to a friend that is T1, since a child. Over the last 9 years, she was put on abot 30 pounds. The insulin is just making her fatter. Twice I have talked food, carbs, the biochemistry. SHe doesnt want to know. SHe is having bg spikes, and the doc has altered her meds but it is not countering the spikes. THe spikes started after a course of prednisone. SHe uses a pump so readings are regular and insulin is trickled in as needed. The bottom line is that I see the typical SAD foods, and a 3 out of 4 are over weight. I cannot say anymore. The doctor needs to step up.... but he can only see the insulin, and bg NOT the food that drives it all. Is there a book I can hand a T1??? PS. Her sister is also T1. To help one, would to help the other, too. |
My burning question is how does a T1 do keto with out triggering ketoacidosis?
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I think the best book is probably still Dr. Bernstein's Diabetes Solution. He doesn't advocate actually being in ketosis necessarily--the plan he describes I'm sure will have some people in a mild state of ketosis at times, at least.
Obviously extra problems for a more ketogenic diet for type I's. I think you'd probably need to test blood ketones and glucose regularly, that could get expensive. If one of Dr. Bernstein's patients measured a blood glucose of 60, he'd have them taking a couple of grams of glucose to correct the hypo. But occasional glucose that low is within normal variation for somebody on a high fat ratio ketogenic diet. A few years ago when I first tried a higher ratio diet, my blood glucose went into to mid-60's pretty regularly sometime in the afternoon. You can't tell from that blood glucose number alone whether you're in a true hypo. A non-diabetic can probably figure it's fine if they feel fine, but type I's get resistant to the early signs of hypo, by the time it's more obvious, it can be too late. I think I've seen a case study for a type I diabetic who also had epilepsy... Quote:
Just the abstract... looks like type I probably developed when the child was already on the ketogenic diet, the ketogenic diet didn't cause ketoacidosis (it's even likely to have prevented it for a time, the extremely low insulin requirement of the ketogenic diet might have masked what would otherwise have shown as insulin insufficiency sooner on a diet with a higher insulin requirement). Urine ketones... okay, I guess that makes sense. At mild levels of ketosis, they're not a perfect match for blood ketones. But at ketoacidosis levels--they are always going to show deep purple, the colour depends on blood levels of acetoacetone available to pass into the urine, and the kidney's ability to reabsorb those ketones from the urine, at ketoacidosis levels, the levels in the urine will be far past the kidney's ability to reabsorb enough ketones to make the strips a paler colour. Dark purple does not mean you're in ketoacidosis, but a moderate colour means you're probably not, at least on a ketogenic diet (although on a non-ketogenic diet it will likely mean that you are insulin insufficient). Which all sounds like while you should get a good doctor to help with this if you're following Dr. Bernstein's not-quite-ketogenic plan, you might need an even better doctor if you want to tip over into ketosis a bit more. |
I'll have to read that book and give friend a copy.
Just frustrating that most people I talk to have no interest in changing their way of eating. When I read DANDR and learned I could change my stars I jumped on the band wagon. Maybe it is because Im ok with biology, biochem etc. And most people just want a pill. |
http://www.ketohackingmd.com/
Jimmy Moore has Dr. Carrie Diulus on to discuss his hypoglycemia issues. She's a type I diabetic does vegan keto, she goes into some of the ins and outs for doing keto as a type I. https://ketowomanpodcast.com/carrie-diulus/ Another interview here, I haven't listened to this one yet, but this podcaster usually does a decent interview. |
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I hope she'll read it. It was Dr. B's book that woke me up to low carb. A friend had been trying to get me to read it, but I thought it was just another fad thing. Dr. B describes diabetes - mostly T1, but also T2 - so well that even I, a non-scientific type, can actually understand it. Tho I had to read it about 3-4 times to really get it. ;) But even understanding it doesn't mean one will follow the diet. I've done fairly well until recently when some bad things going on in my life put me into an emotional tailspin. Trying to get back on the horse now - I feel too crappy to keep on this way. |
Thanks for the support BOnnie. I want to give it to a good friend. SHe is type 1 and seems to need a lot more support to control her blood sugars; and the dad , well, he had a heart attack in his 30's and went back to smoking asap. SHeesh. Im hoping I can reach her thru her children. SHe has one that will dependent on her for his lifetime...... and she needs her life to last as long.
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These suggestions in addition to Dr. B...
Dr Keith Runyon wrote a book for Type 1 with Ellen Davis. I haven't read it myself but have Ellen's cancer book, she's a good clear science writer. https://www.ketogenic-diet-resource.com And for practical help and wonderful support...TypeOneGrit Facebook page. Here is a link to the NYT article on the study about their results and to the page. https://www.nytimes.com/2018/05/07/...1-diabetes.html |
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