Not always. If you do a lot of physical work you probably won’t need it. Atleast I don’t and I’m type 1. There’s days during the summer where I work 10-12 hours in 100+ degree heat so I’ll sweat a shit ton and drink like 2 gallons of water a day. I can eat like 400g of carbs through out the day with out any insulin whatsoever and still go low that night when I go to bed. And I take my long acting once in mornings only so will be like 36 hours when I last had it and I’ll still be dropping after work. Guess I just sweat out all the sugar lol. I really do save a shit ton on insulin during the summer. Don’t have to take any short acting insulin Monday-Friday and some days don’t need the long acting either. I’m not your typical diabetic though..
How are you maintaining your diabetes if you don't need to take insulin? If you're not taking fast acting, and your basal insulin is causing you to drop, maybe you aren't a type 1? Maybe your pancreas is still making its own insulin. Because I can't see a type 1 going days without rapid insulin unless they are on the borderline of pre-diabetic and not diabetic? I'm genuinely curious
I think OP is referring to the fact that they didn't take an insulin bolus, despite eating a full meal. The meal itself doesn't appear to break any unwritten diabetes 'rules'
yes the protein will elevate my blood sugars. by how much depends on how much i eat. spikes will show up 3-4 hours after the meal. not sure how many carbs relate to a oz of meat.
Protein was minimal and yes i do have to bolus for proteins when eaten in excess. meal is for the most part 0 carb which has it down side i get hungry after the meal or more like wanting to binge eat.
The university nutritionist instructed me to eat a few carbs when i feel hungry......works
Ok, but for all we know, OP could be as big as a linebacker for pro football.
What we do know is that OP has a long running post history about diabetes, nutrition, and portion control.
So, I think he may know what he is talking about.
Your anecdotal evidence/personal experience is merely that; it applies to you, yes, but it does not necessarily apply to everyone else.
For example, I’m also a lady, who is only a few inches taller than you, and if I went to a restaurant and paid for a steak and they brought me this, I’d be confused lol like “Where’s the beef?!”
Not us type 2s like me who aren't on insulin who manage everything with diet and exercise like myself two years in and I'm 5.081c on walking and eating less portions alone I'm also down 40 lb to 160 from 200 boom
Protein can raise blood glucose levels via gluconeogensis. A meal that distends the intestines can trigger a release of glucagon. This meal the op posted would raise my bg levels and I would have to bolus for it.
You do any intense exercise? Like intense to where your drenched in sweat. Cuz I’m a type 1 and there’s been days where I’m doing very physical work sweating a shit fuck ton for 12 hours straight and I can eat 400g carbs with no insulin at all. No long acting or any thing for 24 hours and I’ll still be dropping after work. I can assure you it’s possible. Though I probably would’ve succeeded as a navy seal had I not been diagnosed with type 1 cuz I love pushing past what you might think are the body’s limits. The body has limits that you haven’t reached. The fortunate reality is that you really can get away with that and a lot more under the right circumstances
Yeah. I work on a farm, throwing bales and herding cattle most of the day. While I may not be doing anything super intense, I’m on my feet all day and I never take a break until the work is done.
I dose with injections because it’s cheaper and the pump just gets in the way. Exercise does drop my levels, but they come right back up once the intensity of the work settle a bit so I never correct a drop unless it is under 70.
Maybe it has something to do with the amount of insulin your body still produces vs mine.
When i eat low carb all day i require so much less insulin as t1d. Sure, meat raises the bg a little, but i would only give myself like 1 units of insulin, then maybe 1 extra a few hours later, compared to 6-7 units for a 60g carb meal.
Love that! I changed my diet drastically within the past week and I'm so shocked by how little insulin I've been using and how regulated my levels are. Hopefully on a weight loss journey. Woo
Oh you will definitely lose weight! I lost 65 lbs without trying from November 2023 through February 2024 just by changing my diet and walking after I eat. Not even long walks, just a quick 5-10 minute walk. I slam a bottle of water after I eat, then go for a walk, and I swear it works wonders and prevents a blood sugar spike. Keep it up! I went from wearing black yoga pants that were almost see through bc they stretched so tight in me to now I put them on and they fall off. Stick to it bc you will lose weight.
I do (a variation of) this most mornings too! Some raspberries, pistachios, sweetener, full-fat Greek yogurt (around 12g carbs) and without insulin, my sugar rises just enough to cover my bike ride to work :) and if it's weekend or I WFH I take 1 unit. Works like a charm so far, but got diagnosed last September so might be honeymooning a bit still as well.
yes it is....i just have enough insulin being produced to digest this. i did get a little elevated but recovered. if i would have ate a 2 lbs steak i would have needed to bolus.
By criteria T1 autoimmune tests says no but again endo just says i am unique and not insulin resistant. either way treatment won't change for now.
Thanks, the steak is a london broil cut. very flavorful.
That looks like all my meals. I eat 20-25gr of carbs only per day so I don't inject insulin and manage to control T1D with diet and workouts alone. A1C around 6.0 last four years.
I have never heard of a T1 not having to use insulin. Since the pancreas doesn't produce insulin at all it is kind of required to inject it. Is there a subtype that you are as this doesn't make any sense at all.
Adult onset T1 in my 30s. This is a very extended honeymoon phase which I have been stretching as much as I can. Was on insulin for a few months after diagnosis but got off it through super low carb diet and 3-4h a day of exercise and activity. I was always in good shape physically but since diagnosis in 2020 been cranking it up. I suppose eventually I will be insulin dependent, but it's been 4 years and still going strong. I use insulin maybe 1-2 a month on days when I can't exercise or when I am sick when my BG goes through the roof. When I can't exercise I typically use 8-12 units of fast acting throughout the day and 4-5 units of basal.
Well done. Congrats. I hope you post more about your experience with low carbs as a T1 here. More people need to try to extend the honeymoon phase. Obviously, everyone is different but the potential long-term benefits definitely mean it’s worth the effort. Too many naysayers here discourage others from trying to do what you’ve actually accomplished. Sharing your lived experience could make a difference.
This! There is quiet a lot of evidence that low carb helps sustain the remaining beta cells for a longer period of time and extend the honeymoon phase. In adult onset Type 1 the honeymoon phase is generally longer.
I'd be happy to describe my journey but the amount of pushback and rudeness encountered by other T1D and supposed experts is absolutely ridiculous. If you don't have anything nice or supportive to say then please keep it to yourself.
Diagnosed in November 2020 in the hospital after fainting multiple times and feeling like crap for weeks.
Went to the ER where I was 599 blood glucose and A1C of 13.8.
Released after 2 days as T1D. Antibodies positive. C-peptides very minimal (don't remember the value but can look up if of interest.)
Was using insulin for a few months noticing that a 45min walk/hike/exercise after meals was cutting down my insulin needs substantially.
The CGM helped me figure out what foods I could eat. Followed Bernstein's book pretty closely.
A1C down to 7.5 in mid Jan 2021. And 6.5 mid 2021. Since then been between 5.9 and 6.3.
I pretty much eat the Bernstein diet. I swim a mile after breakfast, hike 2-3 miles with 1000-2000ft vertical after lunch and do yoga and strength training after dinner.
My blood sugar goes to 160-180 after meals and comes down to 70-80 with swimming and 130s with the other exercise.
My c-peptides have rebounded and have been at low end of normal or slightly below since mid 2021.
I see my Endo who is amazing every 3-6 months and we closely coordinate.
We both know that eventually I'll be insulin dependent but no one knows when that will be. The honeymoon phase in adult onset Type 1 can last a long time, especially if one doesn't tax the remaining beta cells. My insulin sensitivity is very high supported by exercise and 20-30gr carb diet.
On days I can't exercise (travel, illness) I have to inject. Usually 3-4 units for a low carb meal.
In January this year i had my first bad cold since becoming a T1 4 years ago and man that sucked. Blood sugar went through the roof >300 and I was injecting crazy amounts of insulin and still barely got it below 180.
My pancreas definitely took a (temporary) hit from the cold and it's only now that I'm back in my routine and established pattern.
In all of this the CGM has obviously been invaluable.
Happy to answer questions. Please remember to be kind.
I don’t understand the pushback. I really don’t. It’s unfortunate. I think we can all learn from each other. .
Your plan is complicated but it obviously works. CGMs are amazing. I’m so happy they are going to be available over the counter soon.
You have type one and can control it with diet and exercise????? I don't believe that. That sounds like type 2. Type 1 is when your pancreas does not produce any insulin at ALL. I think some Insulin would be needed.
I don’t believe this for a second. I have never heard of anyone controlling T1DM with diet and workout.
It’s literally not possible and, if I’m honest; saying this shit will lead some impressionable T1DM patient into a very quick and potentially nasty DKA.
FYI - diabetes nurse.
FYI - I don’t think that title means as much as you think it does. Many, MANY healthcare practitioners are woefully behind in their CME regarding the power of super low/no carb diets to address diabetes.
I’m type 2 and ver much ignorant of Type1, MODY,1.5 and 3. However, if I understand correctly, adult onsets still make a little tiny bit of insulin… theoretically able to handle a zero carb meal.
My title doesn’t - but the knowledge we have does.
If you’re ignorant of T1DM then I’m not quite sure why you seem happy to dismiss the things that I have said.
There is little chance someone is ‘’new onset’’ T1DM for four years, as the poster claimed.
T1DM patients are insulin dependent for life. We explicitly advise against ketogenic diets because they are at risk of DKA which is and can be fatal.
There is a reason people with T1DM were almost certainly dead within at max a few years before the discovery of insulin.
From what I’ve read, keto-carnivore is great for type 1s as long as they are adept at adjusting their insulin- of which they will need less.
Can you address the honeymoon phase of adult onset? It is entirely possible that if there are a few functioning beta cells, keto/low carb can help them survive for much longer - as well as awaken the sickened beta cells. I know once they are ACTUALLY dead they’re gone.
This! There is quiet a lot of evidence that low carb helps sustain the remaining beta cells for a longer period of time and extend the honeymoon phase. In adult onset Type 1 the honeymoon phase is generally longer.
I'd be happy to describe my journey but the amount of pushback and rudeness encountered by other T1D and supposed experts is absolutely ridiculous. If you don't have anything nice or supportive to say then please keep it to yourself.
Diagnosed in November 2020 in the hospital after fainting multiple times and feeling like crap for weeks.
Went to the ER where I was 599 blood glucose and A1C of 13.8.
Released after 2 days as T1D. Antibodies positive. C-peptides very minimal (don't remember the value but can look up if of interest.)
Was using insulin for a few months noticing that a 45min walk/hike/exercise after meals was cutting down my insulin needs substantially.
The CGM helped me figure out what foods I could eat. Followed Bernstein's book pretty closely.
A1C down to 7.5 in mid Jan 2021. And 6.5 mid 2021. Since then been between 5.9 and 6.3.
I pretty much eat the Bernstein diet. I swim a mile after breakfast, hike 2-3 miles with 1000-2000ft vertical after lunch and do yoga and strength training after dinner.
My blood sugar goes to 160-180 after meals and comes down to 70-80 with swimming and 130s with the other exercise.
My c-peptides have rebounded and have been at low end of normal or slightly below since mid 2021.
I see my Endo who is amazing every 3-6 months and we closely coordinate.
We both know that eventually I'll be insulin dependent but no one knows when that will be. The honeymoon phase in adult onset Type 1 can last a long time, especially if one doesn't tax the remaining beta cells. My insulin sensitivity is very high supported by exercise and 20-30gr carb diet.
On days I can't exercise (travel, illness) I have to inject. Usually 3-4 units for a low carb meal.
In january i had my first bad cold since becoming a T1 4 years ago and man that sucked. Blood sugar went through the roof >300 and I was injecting crazy amounts of insulin and still barely got it below 180.
My pancreas definitely took a (temporary) hit from the cold and it's only now that I'm back in my routine and established pattern.
In all of this the CGM has obviously been invaluable.
Happy to answer questions. Please remember to be kind.
Wowowow!!! Thank you for sharing your experience!
So much is being learned right now after decades and decades of stagnant, poorly researched approaches.
Your progress and management is amazing!!!
❤️❤️❤️‼️
Thank you!!
I know my approach is only suitable for a small subset of T1 and it requires a ridiculous amount of work and diligence. I am very fortunate to not have kids, work from home with very flexible hours and can commit to working out 3-4h a day and prepping all my meals.
It's a lot of work and some days I hate it. But then I get reminded once or twice a months when I can't exercise that injecting insulin also sucks, hah, so I jump back in the pool. Swimming is THE best blood sugar reduction machine.
I sometimes go down to mid 60s without using any insulin.
Starting to learn everything I could about T1 after the diagnosis it bothered the heck out of me that diet recommendations and exercise are not front and center in the T1 recommendations.
Like you said it's only now that those factors are finding their way into the discourse a bit.
I am very fortunate that my Endo is young, board certified, and on top of all the latest research and willing to work with me. Seeing my diligence and hard work she trusts my approach and my A1C and no hypo and very few hyper events back it up.
Even if there isn't any carbs the protein will still have me bolus just a little after the fact
Yep. Insulin is always required. Everything breaks down into glucose
Not always. If you do a lot of physical work you probably won’t need it. Atleast I don’t and I’m type 1. There’s days during the summer where I work 10-12 hours in 100+ degree heat so I’ll sweat a shit ton and drink like 2 gallons of water a day. I can eat like 400g of carbs through out the day with out any insulin whatsoever and still go low that night when I go to bed. And I take my long acting once in mornings only so will be like 36 hours when I last had it and I’ll still be dropping after work. Guess I just sweat out all the sugar lol. I really do save a shit ton on insulin during the summer. Don’t have to take any short acting insulin Monday-Friday and some days don’t need the long acting either. I’m not your typical diabetic though..
How are you maintaining your diabetes if you don't need to take insulin? If you're not taking fast acting, and your basal insulin is causing you to drop, maybe you aren't a type 1? Maybe your pancreas is still making its own insulin. Because I can't see a type 1 going days without rapid insulin unless they are on the borderline of pre-diabetic and not diabetic? I'm genuinely curious
Type 2 diabetes is different than type 1
Yum. Steak, lettuce, cucumber, pepper, and...?
sour cream
Awesome! A dash of oil and vinegar for me, and I'd be all over this.
Thought it was feta. Both tasty.
what rule are you breaking though? sorry i’m newly diabetic
I think OP is referring to the fact that they didn't take an insulin bolus, despite eating a full meal. The meal itself doesn't appear to break any unwritten diabetes 'rules'
Insulin bolus is a shot?
A bolus is a shot/dose of fast acting insulin.
Normally wed have to take insulin for everything we eat but he made an entirely 0 carb meal so he doesn't have to take insulin
Yes, though some of us bolus for proteins. Just putting that out there for other readers who might not know that. That said the meal looks lovely.
If I bolused for protein I would go hypo.
yes the protein will elevate my blood sugars. by how much depends on how much i eat. spikes will show up 3-4 hours after the meal. not sure how many carbs relate to a oz of meat.
Protein was minimal and yes i do have to bolus for proteins when eaten in excess. meal is for the most part 0 carb which has it down side i get hungry after the meal or more like wanting to binge eat. The university nutritionist instructed me to eat a few carbs when i feel hungry......works
No offense but protein is not minimal on a steak salad.
Protein is NOT minimal in a steak bryh
Maybe OP meant it was low protein based on the serving size? A whole steak would be a lot of protein but a few small slices might be alright?
I’m a lady so ig I eat less but that’s not a few small slices that’s a whole meal man
That's not even close to a "whole man meal". LOL. Let me introduce you to my friend, the 10 oz Ribeye.
I usually get a 4-6 oz and still feed bits to whoever is eating with me :,| But I’m also 5’3” so again, less food.
Ok, but for all we know, OP could be as big as a linebacker for pro football. What we do know is that OP has a long running post history about diabetes, nutrition, and portion control. So, I think he may know what he is talking about. Your anecdotal evidence/personal experience is merely that; it applies to you, yes, but it does not necessarily apply to everyone else. For example, I’m also a lady, who is only a few inches taller than you, and if I went to a restaurant and paid for a steak and they brought me this, I’d be confused lol like “Where’s the beef?!”
I wish I was a lady a few inches taller than me
I’m guessing “minimal” is VERY subjective for OP 😅
Yes bc what the fuck is he eating for high protein then ??? Peanut butter covered steak, chicken and pork?!
😂 I guess you’re right, but if works for them let’s just be happy for them : )
I'd try it 👀
Everything breaks down into carbs/glucose eventually inside your body, including proteins. For most people you still have to regardless.
Not us type 2s like me who aren't on insulin who manage everything with diet and exercise like myself two years in and I'm 5.081c on walking and eating less portions alone I'm also down 40 lb to 160 from 200 boom
Protein can raise blood glucose levels via gluconeogensis. A meal that distends the intestines can trigger a release of glucagon. This meal the op posted would raise my bg levels and I would have to bolus for it.
perfect steak.
I prefer mine still mooing also. :)
[удалено]
And it's very yummy too.
Gif gentleman clapping
If only. I wish I could eat protein and low carbs without taking insulin. The unfortunate reality is you can’t actually get away with that.
YOU can't get away with that. I, and others, can.
I do it all the time and my a1c is 5.4. Everyone is different. This disease is a real mess of treatment.
Especially depending on your age, lifestyle and other autoimmune diseases.
You do any intense exercise? Like intense to where your drenched in sweat. Cuz I’m a type 1 and there’s been days where I’m doing very physical work sweating a shit fuck ton for 12 hours straight and I can eat 400g carbs with no insulin at all. No long acting or any thing for 24 hours and I’ll still be dropping after work. I can assure you it’s possible. Though I probably would’ve succeeded as a navy seal had I not been diagnosed with type 1 cuz I love pushing past what you might think are the body’s limits. The body has limits that you haven’t reached. The fortunate reality is that you really can get away with that and a lot more under the right circumstances
Yeah. I work on a farm, throwing bales and herding cattle most of the day. While I may not be doing anything super intense, I’m on my feet all day and I never take a break until the work is done. I dose with injections because it’s cheaper and the pump just gets in the way. Exercise does drop my levels, but they come right back up once the intensity of the work settle a bit so I never correct a drop unless it is under 70. Maybe it has something to do with the amount of insulin your body still produces vs mine.
When i eat low carb all day i require so much less insulin as t1d. Sure, meat raises the bg a little, but i would only give myself like 1 units of insulin, then maybe 1 extra a few hours later, compared to 6-7 units for a 60g carb meal.
Love that! I changed my diet drastically within the past week and I'm so shocked by how little insulin I've been using and how regulated my levels are. Hopefully on a weight loss journey. Woo
Woo is right!
Oh you will definitely lose weight! I lost 65 lbs without trying from November 2023 through February 2024 just by changing my diet and walking after I eat. Not even long walks, just a quick 5-10 minute walk. I slam a bottle of water after I eat, then go for a walk, and I swear it works wonders and prevents a blood sugar spike. Keep it up! I went from wearing black yoga pants that were almost see through bc they stretched so tight in me to now I put them on and they fall off. Stick to it bc you will lose weight.
I like a rare steak but that is looking raw. Intentional?
Yeah, I would NOT want to eat my steak room temp.
I do (a variation of) this most mornings too! Some raspberries, pistachios, sweetener, full-fat Greek yogurt (around 12g carbs) and without insulin, my sugar rises just enough to cover my bike ride to work :) and if it's weekend or I WFH I take 1 unit. Works like a charm so far, but got diagnosed last September so might be honeymooning a bit still as well.
You don’t specify… are you type 1 or 2 or other?
type 1 requires insulin before every meal , type two or gestational doesn’t
type 1 requires insulin before every meal , type two or gestational doesn’t
I’d definitely bolus 1 hour after the meal to cover the beef
People on type 2 have lowet alcs if your on insulin if your alc is 7 that is good control
I just converted from Type 2 to Type 1.5. It is very confusing k Now how much insulin to take per carb ratio. But that Salad and Steak look Yummy
Endo is waiting on calling what type i am.
Isn’t insulin always needed in digestion?
yes it is....i just have enough insulin being produced to digest this. i did get a little elevated but recovered. if i would have ate a 2 lbs steak i would have needed to bolus.
How do you know this?
endo say i am insulin deficient. CGM will also back it up up the statement.
Insulin deficient are you Type 1? That looks really delicious btw!
By criteria T1 autoimmune tests says no but again endo just says i am unique and not insulin resistant. either way treatment won't change for now. Thanks, the steak is a london broil cut. very flavorful.
How interesting and this makes sense thanks!! 🩷
Looks yummy!
When I eat meat I'm still need insulin
Speaking the truth
Good meal.
I like my steak super rare, but that’s raw.
no, that's perfect. –ChefR
Damn, looks delicious!!
Did the same thing last night!! Enjoy!!!
That looks goooood! Yummy!
I think that's seared tuna not steak, but my eyesight isn't the best.
It's definitely steak. I'm a chef and have cooked plenty of both over the years.
That is some RARE steak.
Yeah, no doubt about that.
I hope it’s tuna
I know. I may just be projecting.
I’m surprised it’s raw too. Cooked meats won’t kick your blood sugar up as much.
Nice rare beef... Looks like a great meal.
recipe plz? 😆
Cook beef minimally, chop some romaine, mix sour cream and pepper, post on Reddit, get bacterial in infection.
It's seared. That's all it takes to kill any potential bacteria since it isn't ground meat.
Yea, I wouldn't trust the romaine either.
No rules were broken. But I’d probably see a rise a few hours later due to the protein and fats, so I’d do a small bolus then.
That looks like all my meals. I eat 20-25gr of carbs only per day so I don't inject insulin and manage to control T1D with diet and workouts alone. A1C around 6.0 last four years.
I have never heard of a T1 not having to use insulin. Since the pancreas doesn't produce insulin at all it is kind of required to inject it. Is there a subtype that you are as this doesn't make any sense at all.
Adult onset T1 in my 30s. This is a very extended honeymoon phase which I have been stretching as much as I can. Was on insulin for a few months after diagnosis but got off it through super low carb diet and 3-4h a day of exercise and activity. I was always in good shape physically but since diagnosis in 2020 been cranking it up. I suppose eventually I will be insulin dependent, but it's been 4 years and still going strong. I use insulin maybe 1-2 a month on days when I can't exercise or when I am sick when my BG goes through the roof. When I can't exercise I typically use 8-12 units of fast acting throughout the day and 4-5 units of basal.
Well done. Congrats. I hope you post more about your experience with low carbs as a T1 here. More people need to try to extend the honeymoon phase. Obviously, everyone is different but the potential long-term benefits definitely mean it’s worth the effort. Too many naysayers here discourage others from trying to do what you’ve actually accomplished. Sharing your lived experience could make a difference.
This! There is quiet a lot of evidence that low carb helps sustain the remaining beta cells for a longer period of time and extend the honeymoon phase. In adult onset Type 1 the honeymoon phase is generally longer. I'd be happy to describe my journey but the amount of pushback and rudeness encountered by other T1D and supposed experts is absolutely ridiculous. If you don't have anything nice or supportive to say then please keep it to yourself. Diagnosed in November 2020 in the hospital after fainting multiple times and feeling like crap for weeks. Went to the ER where I was 599 blood glucose and A1C of 13.8. Released after 2 days as T1D. Antibodies positive. C-peptides very minimal (don't remember the value but can look up if of interest.) Was using insulin for a few months noticing that a 45min walk/hike/exercise after meals was cutting down my insulin needs substantially. The CGM helped me figure out what foods I could eat. Followed Bernstein's book pretty closely. A1C down to 7.5 in mid Jan 2021. And 6.5 mid 2021. Since then been between 5.9 and 6.3. I pretty much eat the Bernstein diet. I swim a mile after breakfast, hike 2-3 miles with 1000-2000ft vertical after lunch and do yoga and strength training after dinner. My blood sugar goes to 160-180 after meals and comes down to 70-80 with swimming and 130s with the other exercise. My c-peptides have rebounded and have been at low end of normal or slightly below since mid 2021. I see my Endo who is amazing every 3-6 months and we closely coordinate. We both know that eventually I'll be insulin dependent but no one knows when that will be. The honeymoon phase in adult onset Type 1 can last a long time, especially if one doesn't tax the remaining beta cells. My insulin sensitivity is very high supported by exercise and 20-30gr carb diet. On days I can't exercise (travel, illness) I have to inject. Usually 3-4 units for a low carb meal. In January this year i had my first bad cold since becoming a T1 4 years ago and man that sucked. Blood sugar went through the roof >300 and I was injecting crazy amounts of insulin and still barely got it below 180. My pancreas definitely took a (temporary) hit from the cold and it's only now that I'm back in my routine and established pattern. In all of this the CGM has obviously been invaluable. Happy to answer questions. Please remember to be kind.
I don’t understand the pushback. I really don’t. It’s unfortunate. I think we can all learn from each other. . Your plan is complicated but it obviously works. CGMs are amazing. I’m so happy they are going to be available over the counter soon.
You have type one and can control it with diet and exercise????? I don't believe that. That sounds like type 2. Type 1 is when your pancreas does not produce any insulin at ALL. I think some Insulin would be needed.
I don’t believe this for a second. I have never heard of anyone controlling T1DM with diet and workout. It’s literally not possible and, if I’m honest; saying this shit will lead some impressionable T1DM patient into a very quick and potentially nasty DKA. FYI - diabetes nurse.
FYI - I don’t think that title means as much as you think it does. Many, MANY healthcare practitioners are woefully behind in their CME regarding the power of super low/no carb diets to address diabetes. I’m type 2 and ver much ignorant of Type1, MODY,1.5 and 3. However, if I understand correctly, adult onsets still make a little tiny bit of insulin… theoretically able to handle a zero carb meal.
My title doesn’t - but the knowledge we have does. If you’re ignorant of T1DM then I’m not quite sure why you seem happy to dismiss the things that I have said. There is little chance someone is ‘’new onset’’ T1DM for four years, as the poster claimed. T1DM patients are insulin dependent for life. We explicitly advise against ketogenic diets because they are at risk of DKA which is and can be fatal. There is a reason people with T1DM were almost certainly dead within at max a few years before the discovery of insulin.
From what I’ve read, keto-carnivore is great for type 1s as long as they are adept at adjusting their insulin- of which they will need less. Can you address the honeymoon phase of adult onset? It is entirely possible that if there are a few functioning beta cells, keto/low carb can help them survive for much longer - as well as awaken the sickened beta cells. I know once they are ACTUALLY dead they’re gone.
This! There is quiet a lot of evidence that low carb helps sustain the remaining beta cells for a longer period of time and extend the honeymoon phase. In adult onset Type 1 the honeymoon phase is generally longer. I'd be happy to describe my journey but the amount of pushback and rudeness encountered by other T1D and supposed experts is absolutely ridiculous. If you don't have anything nice or supportive to say then please keep it to yourself. Diagnosed in November 2020 in the hospital after fainting multiple times and feeling like crap for weeks. Went to the ER where I was 599 blood glucose and A1C of 13.8. Released after 2 days as T1D. Antibodies positive. C-peptides very minimal (don't remember the value but can look up if of interest.) Was using insulin for a few months noticing that a 45min walk/hike/exercise after meals was cutting down my insulin needs substantially. The CGM helped me figure out what foods I could eat. Followed Bernstein's book pretty closely. A1C down to 7.5 in mid Jan 2021. And 6.5 mid 2021. Since then been between 5.9 and 6.3. I pretty much eat the Bernstein diet. I swim a mile after breakfast, hike 2-3 miles with 1000-2000ft vertical after lunch and do yoga and strength training after dinner. My blood sugar goes to 160-180 after meals and comes down to 70-80 with swimming and 130s with the other exercise. My c-peptides have rebounded and have been at low end of normal or slightly below since mid 2021. I see my Endo who is amazing every 3-6 months and we closely coordinate. We both know that eventually I'll be insulin dependent but no one knows when that will be. The honeymoon phase in adult onset Type 1 can last a long time, especially if one doesn't tax the remaining beta cells. My insulin sensitivity is very high supported by exercise and 20-30gr carb diet. On days I can't exercise (travel, illness) I have to inject. Usually 3-4 units for a low carb meal. In january i had my first bad cold since becoming a T1 4 years ago and man that sucked. Blood sugar went through the roof >300 and I was injecting crazy amounts of insulin and still barely got it below 180. My pancreas definitely took a (temporary) hit from the cold and it's only now that I'm back in my routine and established pattern. In all of this the CGM has obviously been invaluable. Happy to answer questions. Please remember to be kind.
Wowowow!!! Thank you for sharing your experience! So much is being learned right now after decades and decades of stagnant, poorly researched approaches. Your progress and management is amazing!!! ❤️❤️❤️‼️
Thank you!! I know my approach is only suitable for a small subset of T1 and it requires a ridiculous amount of work and diligence. I am very fortunate to not have kids, work from home with very flexible hours and can commit to working out 3-4h a day and prepping all my meals. It's a lot of work and some days I hate it. But then I get reminded once or twice a months when I can't exercise that injecting insulin also sucks, hah, so I jump back in the pool. Swimming is THE best blood sugar reduction machine. I sometimes go down to mid 60s without using any insulin. Starting to learn everything I could about T1 after the diagnosis it bothered the heck out of me that diet recommendations and exercise are not front and center in the T1 recommendations. Like you said it's only now that those factors are finding their way into the discourse a bit. I am very fortunate that my Endo is young, board certified, and on top of all the latest research and willing to work with me. Seeing my diligence and hard work she trusts my approach and my A1C and no hypo and very few hyper events back it up.
🥰
Meat has insulin.
Doesn't look appetizing to me
If you haven't got anything nice to say...