Starting low carb or keto with diabetes medications

Testing blood sugar

So you have diabetes and you want to try a low-carb or keto diet? Congratulations! It may be the single best thing you could ever do for your health. It can start to reverse your type 2 diabetes, and dramatically increase your blood sugar control with type 1 diabetes.

However, you need to know what you are doing. Once you start eating low carb you may instantly have to lower any insulin doses, a lot.

Avoiding the carbohydrates that raise your blood sugar decreases your need for medication to lower it. Taking the same dose of insulin as you did prior to adopting a low-carb diet might result in hypoglycemia (low blood sugar).

You need to test your blood sugar frequently when starting this diet and adapt (lower) your medication. This should ideally be done with the assistance of a knowledgeable physician.

No drugs

If you have diabetes and you’re treated either by diet alone or just with Metformin there is no risk of low blood sugar on low carb. You can get started right away.

Insulin

As a general guide you may need to lower your doses by 30-50% or more when starting a strict low-carb diet.

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Unfortunately there’s no way to know the doses required in advance. You’ll have to test your blood sugar frequently and adapt (lower) insulin doses. This should ideally be done with the assistance of a knowledgeable physician.

Note that as a general rule it’s easier to err on the low side, and take more insulin later if needed. That’s fine. If instead you overdose and get low sugar you’ll have to quickly eat or drink more carbohydrates, and that obviously reduces the effect of the low-carb diet.

Insulin in type 1 diabetes

The advice on insulin above generally applies to type 1 diabetes too. A low-carb, high-fat diet can be fantastic for empowering people with type 1 diabetes to get steady blood sugars. It results in much fewer and milder highs or hypos (when insulin doses are adapted).

If you get regular hypos you should consider lowering your insulin.

One word of warning though: A strict low carb diet results in ketosis, a normal physiological state. A very strict low-carb diet that also restricts protein to moderate amounts can result in quite high, but still physiological, ketone levels (>1.5 mmol/L).

This is fine for healthy people, but in type 1 diabetes this means you’re uncomfortably close to ketoacidosis (usually at least 10-15 mmol/L). All that’s needed then is forgetting an insulin shot or two, or an insulin pump malfunction, and you might end up very sick in the hospital.

Thus it’s probably best in type 1 diabetes to try a more moderate low-carb diet, with a minimum of around 50 grams of carbs a day, so that you stay out of deeper ketosis (>1.5 mmol/L).

Do not do a strict low-carb diet (below 20 grams a day) unless you’re certain of how to handle this risk. Adding for example a fruit or two a day to it is probably wise, if you have type 1 diabetes. Just to be safe.

With that said, a low-carb diet can have fantastic results for people with type 1 diabetes:

 

Insulin-releasing pills

Sulfonylureas

Some pills for type 2 diabetes work by releasing more insulin in the pancreas. These can also result in low blood sugar on a low-carb diet, even if the risk is slightly smaller than with injected insulin.

These pills are called sulfonylureas and include Minidiab, Euglucon, Daonil, and Glibenclamide.

You may need to reduce the dose or stop these drugs on a low-carb diet, as you may rapidly become too healthy for them. Discuss it with your doctor in advance.

Metformin

Metformin tablets can be safely taken on a low-carb diet. There’s no risk of low blood sugar if you’re only on Metformin.

GLP-1 agonists (e.g. Victoza) and DPP-4 inhibitors (e.g. Januvia)

These drugs should rarely lead to low blood sugar on a low-carb diet by themselves. But be observant, check your blood sugar often and discuss it with your doctor as needed.

 

SGLT2 inhibitors (e.g. Farxiga, Jardiance, Invokana)

These drugs1 are a good way to treat type 2 diabetes, but as a known side effect they increase the risk of a dangerous condition called ketoacidosis. It’s likely that this side effect could become more common on a strict low-carb diet. Proceed with caution and discuss it with your doctor.

If you get symptoms of ketoacidosis: extreme thirst, nausea, vomiting, confusion etc. you should stop the medication, eat carbs and contact a doctor immediately.

Learn more

How to reverse type 2 diabetes

Top diabetes videos

 
 

More

A low-carb diet for beginners

A keto (strict low-carb) diet for beginners

Low carb for doctors

Are you a doctor or do you know one? Here’s our low carb for doctors resource, with information on how to safely handle medications on a low-carb diet:

Low carb for doctors
 
 

  1. For more brand names and information check out the Wikipedia page about this class of drugs.

55 Comments

  1. Rob
    Type 1 and 2 diabetics may want to refer to Dr. Richard K. Bernstein's book 'Diabetes Solution' for more detailed information about eating low carb and managing blood sugars (as well as alot of other sound principles about managing diabetes).

    http://www.diabetes-book.com/

  2. Bern
    Yes Dr Bernsteins book is incredible. What makes it extra special is that he himself is a type 1 diabetic.
  3. Sue
    I have started to eat lchf and had some success, my doctor has left me on 8-12 of Lantus and changed my humalog to Trajenta once a day. I am trying to get off insulin and lose more weight. I don't know why she did this and if this is the right thing to do
  4. Michelle
    I am on Lantus and I feel like I am gaining weight and I really need to cut out my sugars and have a low carb diet... sadly I love pasta and potatoes so this is a real struggle for me but I do not want to be worrying about my sugars anymore.
    Reply: #38
  5. Sandra
    I am on generic actos and janumet. Are they the same cautions as januvia? And
    Reply: #49
  6. larry johnson
    I take Trulicity once a week. Can I do the low carb diet?
  7. Tammy Font
    I've tried LCHF 2x in the last two years and I have an unusual happening compared to what all benefit claims state. Each time I went on the eating plan, I've kept to no more than 25 grams of carbs. No processed or preservatives foods and no fruit. I joined a gym and was faithful to it. Instead of blood sugars lowering, they went higher!!! I lost weight great but sugars went as high as 400!!! I was forced to make a choice of losing weight or having blood sugar under control. My primary Doctor and endocrinologist both were upset with me! So now I'm trapped!!! ?
    Reply: #9
  8. denice
    i just discovered this site, after being diagnosed as type 2 several months ago... since i was diagnosed, i started eating low-carb, to try to minimize the medication i need and to stay as genuinely healthy as long as i can... since then, i've lost over 30 pounds, i'm three sizes smaller and both my A1c and cholesterol levels are down... so, even for a novice like me, low-carb diets work.

    and now that i've found this site, it will help me do even better... i've tried cauliflower rice (yum!) and zucchini noodles (they do the job)... but recipes for low-carb bread? i'm going to have to try them! thank you! :)

  9. Lewis E. Hathaway
    Actually, I read something about this not so long ago while reading about excercising while on insulin (cant remember where/find it now sorry).

    Basically when you startup with exercise (with or without a change in diet though I believe a change of diet at the same time has double impact and this is not just for diabetics, but mainly aimed at people who are unfit, like the vast majority of T2s) you can experience a rise blood glucose levels, it has something to do with your body/muscles not being used to it and releases stress hormones which in turn increases your BG, in addition you can also experience high morning as the liver to convert stored glycogen into glucose, and dumps it nicely into your bloodstream. I used to have horrible DP, would go to bed with a BG of say 8.1 and wake up to discover a BG of 13.8 it was regular, it almost doubles...I would moan at the doctor...how unfair it was...blah blah...

    I have been a T2 for a number of years now and use insulin in addition to oral meds, and in that time I have learned a few things about T2s, most (and please note folks, most means just that, moat, I am not tarring every single T2 out there, just most) of those T2s I ve met/encountered share a few common traits. Such as, generally being rather unfit, overweight, greedy, often in denial about their condition, their eating habits and their lack of effort to help put it right and very often give up and throw a stroppy moments when they realize things arent that easy, and very often, creating more issues, such as refusing to take certain meds after 3 days cos their legs ache etc...despite the fact they could have a heart attack at any moment due to their obesity, high cholesterol, and general unhealthiness.

    I even knew a girl, im sure we all have, who claimed she ate salad every day and didnt eat that much and it was all about hormones, well we know that for the vast majority, thats just pure BS, no one, absolutely no one ends up being 30St eating lettuce, but my point, she really and honestly believed she was eating OK, home made food, salad with everything, she would make out that somehow the diabetes nurse was a horrible b!tch, etc...and the truth, she was plain good ol fat, cos despite her eating 'salad' what she failed to highlight was it was usually covered in cheeseburgers, fried chicken, fries, pies etc...she was plain lazy, so never did anything and of course didnt want anyone or anything ruining her comfort zone.

    My advice to you, as a long time T2 and someone who has been through all those things I have mentioned (I didnt refuse the meds though cos I couldnt by the time i accepted I had near on killed myself by being a lazy lump with a greedy appetite at 20+stones) is stick with it, dont give up, you ll hear a lot, and i mean a lot, of nonsense about diabetes, mostly from people who dont know what they are talking about, even some T2s are utterly clueless, and the best advice any one can give you, or anyone else for that fact, is educate yourself, find out all you can and learn to separate the nonsense from the truth as best you can.

    Dont give up on your exercise plan/food plan, just go moderate and keep your changes small and keep an eye on your BG and it will absolutely start to go down once your body has adjusted itself and once you start accepting you are in a marathon not a sprint and every little thing you do and and achieve now will earn you credit further down the line.

    I walk, plenty, drink lots of water, managed to get a grip on my food intake, accept it is my own responsibility and have managed to drop 4St+, my morning BG is usually less than 5 and my evening BG is usually less than 10 and often near 8...

    Best wishes

    Best wishes...

    Replies: #16, #28, #30
  10. Ramakrishnan
    I am ramakrishnan from India I want your for diabetes book can you please help me
  11. Max
    Dear Dr. Andreas,

    I am aged 42 and used to be on Metformin (>3yrs) and have stopped it for awhile and changed to Forxiga (Dapagliflozin). For the past 2 years my blood test reports has been encouraging with the latest one done in Sep-2016. The results are all normal (except high urine sugar due to Forxiga). All along I do not have any high / low blood pressure problem. My diet are not strictly LCHF but avoid all starchy foods as much as possible.

    Even though the test results are normal, there is always a persistent discomfort on some area of my skin (joints area, rashes due to abrasions) for these years. It will not take along time to heal and not always recover. I am puzzled why even the blood sugar has been so well controlled, why is the skin condition not improved or healed? In fact recently some area has worsen. Is it due to daily hot, humid weather here or is it with controlled blood sugar does not equate to controlled insulin-resistance for T2 patient?

    AM CONFUSED please advise...
    Will (Strict) LCHF reverse T2 COMPLETELY and normalize insulin and even symptoms of T2 (such as my skin conditions or other upcoming chronic diseases).
    Look forward to your reply.

    Best regards,
    Max

    Reply: #12
  12. Peter Biörck Team Diet Doctor
    Hi Max!

    If you are a member you can direct questions to Andreas here:
    https://www.dietdoctor.com/member/ask-diet-doctor-new

    Dear Dr. Andreas,
    I am aged 42 and used to be on Metformin (>3yrs) and have stopped it for awhile and changed to Forxiga (Dapagliflozin). For the past 2 years my blood test reports has been encouraging with the latest one done in Sep-2016. The results are all normal (except high urine sugar due to Forxiga). All along I do not have any high / low blood pressure problem. My diet are not strictly LCHF but avoid all starchy foods as much as possible.
    Even though the test results are normal, there is always a persistent discomfort on some area of my skin (joints area, rashes due to abrasions) for these years. It will not take along time to heal and not always recover. I am puzzled why even the blood sugar has been so well controlled, why is the skin condition not improved or healed? In fact recently some area has worsen. Is it due to daily hot, humid weather here or is it with controlled blood sugar does not equate to controlled insulin-resistance for T2 patient?
    AM CONFUSED please advise...
    Will (Strict) LCHF reverse T2 COMPLETELY and normalize insulin and even symptoms of T2 (such as my skin conditions or other upcoming chronic diseases).
    Look forward to your reply.
    Best regards,
    Max

    Reply: #13
  13. Max
    Hi Peter,

    Thanks for the advise!

    Best regards,
    Max

  14. Clive phillips
    So far, lost over 45lbs in weight and insulin down from 50 units twice daily to 6-8 units twice daily. Bags of energy! Downside; I have to buy lots of smaller sized clothes!??. I have about another 45-50 lbs to lose and I'll do it. So delighted I found dietdoctor.com Sadly, in UK so called experts still spewing out calorie counting.
  15. Amit
    Hi
    I am a normal weight person and look quite lean. Would the lchf diet be ok for my type 2 diabetes. I am a t2 for last 8 years and mostly uncontrolled.
  16. nikki
    Lewis E. Hathaway..you're a bit of a arse aren't you......'most' diabetics do NOT carry on like you've described. You seem to think you're the expert on T2, get over yourself. You need a personality transplant mate, because the one you've got is shot to pieces......nasty piece of work.
  17. Colleen
    Hey there im 25 with pcos been on this ketogenic diet for about a week and Im confused, i thought it was only good to do this diet temporarily, like ive heard a few months at most, but are you saying that for someone with diabetes or pcos, it is good to make this a lifestyle for eating? Thank you very much
  18. Alrette
    Hey lewis, usually when we perform hiit exercise, our liver releases stored glucose but in a few hours blood sugar plummets. I'm a type 1 and love exercising.
  19. 1 comment removed
  20. Jacqueline buchanan
    Denice.....go to pintress and search recipe for Cloud Bread..
  21. Chioma
    Can a 73 year old female go on this diet?
  22. Olive
    I suffer from psoriasis and was put on Forxiga and my psoriasis immediately started to flare up in places I had never had patches on before. My diabetes nurse stopped the Forxiga and the patches went away and skin settled down again. Perhaps the skin problems you had were due to the Forxiga also?
  23. Ann buckfield
    Ime a woman of 76 living in France very confused I left England just when I found I was aDiabetic trying to keep blood low but very clued up and nobody to ask, can you give names of books for recipe s that I can take back to France. At this time I have been feeling very tired itchy and sweat y please help.
  24. mary
    I am diabetic 2 as well, and have just been looking through the program. Fantastic, i am not waiting at all to go ahead with this. Sounds good to me, and i think they know what they are doing. Good on them.
  25. Lee Avery
    I don't think what Lewis is saying is particularly far from the truth. He could be describing in both accounts. I was diagnosed with T2 a year ago when I weighed 21 stone. I immediately jumped fully into a LCHF diet and in three months lost 3 stone and returned my blood sugar to somewhere near normal levels. I then treated myself to a normal christmas which resulted in me falling off the wagon and now eight months later i've put half the weight back on and now face having to start again. With the weight going on, the energy levels drop and the procrastination begins! I become lazier and ultimately unhealthily and unhappily. The feeling of failure is all emcompassing and it is really difficult to go again. In all honesty it is laziness, greed, lack of focus and complacency. However, my main problem is the lack of replica replacements for breads and pastas. I tried pies with almond flour and it's too sweet and sickly. I tried the zoodles and they're sickly and so far removed from spaghetti it's untrue. I love poached or scrambled eggs on toast and would eat it every morning . How do I replace bread? Does anybody know of a non-sweet flour to make bread and pie crust? I'm so frustrated and get so depressed by my options. Also, I'm sick to death of Greek yoghurt. Are there any safe ways of adding sweetness to it where i'd usually have had honey? How often is it safe to treat yourself to a pizza, Chinese or fish & chips, once a month? What do I eat when away from home or out at a festival or the like? Any advice as I get prepared to jump back in for the long haul would be gratefully received. HELP!!!!!
    Reply: #34
  26. Susan
    Why have a comments page if it's clearly not monitored
    Reply: #27
  27. Peter Biörck Team Diet Doctor
    Hi Susan!

    I am sorry, but we simply don’t yet have the resources to respond to questions in the comments or via email.

    We do respond to questions about the membership, but for other questions, it would be great if readers could help each other in the comment section.

    Why have a comments page if it's clearly not monitored

  28. Madeleine Clark
    Hi Lewis. I totally understand and agree with everything you said in your post.
    I'm type 2 overweight and like carbs.
    BUT after reading your post I'm going to make a big effort and do the low carb programme.
    I so want to get of humulog insulin.
    Many thanks and best wishes to you Maddy.
  29. Jan Pancheri
    Lee Avery,
    Try Stevia to sweeten your yogurt.
  30. Gina C.
    OMG thank you for your post....I surely needed that real deal spill!!! I need a swift kick in the butt. Really need to get my health in order. I hope all is great with you.!
  31. V. Boyd
    I am 64 and my boyfriend is 63. My weight has hovered at just under 300 pounds for years. I REALLY do have low thyroid, which synthyroid siimply did not help. To lose weight I have to take my calories down under 600. Truly starvation level. In fact I did manage to get down to 280 this summer, but developed a heart condition called long Q T syndroome because all my fat soluable electrolytes were at critical levels. If my Dr hadn't caught it, I would have died. I believe the keto diet may be my one chance to lose enough weight so that I can exercise again.

    My boyfriend is a Type 2 taking Metformin, and currently not managing his disease well. He believes that exercise will offset his poor eating habits. I can see from reading about how our bodies handle glucose that his best hope is the keto diet initially, until his disease is under control. Then he might be able to add a few complex carbs.

    The thing that gives me the most hope for both of us is that I now realize that the current advice of calories eaten minus calories expended means NOTHING! Most doctors and nutritionists in the US preach that garbage like it is something carved in stone. The food pyramid, as taught in the US, is upside down. No wonder I weigh nearly 300 pounds. No wonder obesity is skyrocketing in this country, even among children and adolescents.

    Thank you! I'm moving in with my boyfriend next weekend, and I'm going equipped with a 2 week ketogenic plan and a shopping list. I will be leaving all my "bad food" behind.

  32. 1 comment removed
  33. Cherie
    1 minute ago
    Lee Avery, I hear you. As a former mostly-vego eater, who has just stopped eating wheat and starches (again) this week, I feel sick of meat having eaten it 5 times in a row. Previously, I've also overdone the greek yoghurt on LCHF. There's a tasty No Grain-ola in the I Quit Sugar book that I often eat for breakfast with 4 strawberries and either greek yoghurt OR whipped/ double cream, and that makes breakfast more interesting. (Choose lower carb nuts, and reduce the coconut.) Re eating eggs, I had eggs benedict at a restaurant today, and asked them to put my two eggs on two thick slices of fried tomato instead of a muffin or toast: I love this as a substitute and it's a no-fuss solution I do at home often. On a bed of spinach with a bit of avocado on the side, it makes a very satisfying meal. As for bread, it's not cheap, but an Aust. company, The Protein Bread Co, is making very low carb bread. I've only just bought my first packet. It's highly reviewed, and on their website they show some great low carb options you could put on top. I will try a few online recipes for low carb bread, too, and I found a few by typing in 10 best wheat free bread recipes. However, I wanted to make a loaf using the mix, slice it and freeze it so that when I really feel like a piece of toast, I have a good option handy (esp if I have some failures with other recipes). I'm sure other countries have smart companies beginning to make good options also. It may take a bit of searching, though. I found the bread mix when I went looking for a place to buy a ready-made paleo loaf I saw in a local, mostly-vegan cafe earlier this year. I've been on and off LCHF for almost three years.Twice I've been quite strict on it, and then holidays came and I got casual about a potato here, a piece of toast there... However I feel better on LCHF and "cheat days" can really derail my efforts. I read today that some people have "three cheat meals" a week, but for me that would be too many. I'm diabetic, so falling off the wagon causes long-term damage to my health, so I need to not risk it this time. One two-course meal a week is the most I am going to allow myself to "cheat on" this time. I'm also going to put my kids on a wheat free diet by Christmas, too, so that there's less things in the house to tempt me... Finally I'm reading Grain Brain atm, and there's some very compelling reasons in there to change our diet, I just got up to the recipe section, and there's some lovely meal ideas there. Anyway, best of luck. I hope you find some great foods to satisfy you on LCHF.
  34. JoAnn Delgado
    i totally get what you are saying. i lost 80 pounds felt great,blood sugars going in right direction. exercised had a lot of energy. had some other physical issues arise. i had issues with exercising so i stopped then right eating stopped and weight back on. you can do this the hard or should i say challenging part is starting. Not sure how good this bread is but i over it toasted. Eziekiel bread is a sprouted grain, what if you try this? First time seeing this website or these comments, so hope this may help. Someone praying for your success.

    I don't think what Lewis is saying is particularly far from the truth. He could be describing in both accounts. I was diagnosed with T2 a year ago when I weighed 21 stone. I immediately jumped fully into a LCHF diet and in three months lost 3 stone and returned my blood sugar to somewhere near normal levels. I then treated myself to a normal christmas which resulted in me falling off the wagon and now eight months later i've put half the weight back on and now face having to start again. With the weight going on, the energy levels drop and the procrastination begins! I become lazier and ultimately unhealthily and unhappily. The feeling of failure is all emcompassing and it is really difficult to go again. In all honesty it is laziness, greed, lack of focus and complacency. However, my main problem is the lack of replica replacements for breads and pastas. I tried pies with almond flour and it's too sweet and sickly. I tried the zoodles and they're sickly and so far removed from spaghetti it's untrue. I love poached or scrambled eggs on toast and would eat it every morning . How do I replace bread? Does anybody know of a non-sweet flour to make bread and pie crust? I'm so frustrated and get so depressed by my options. Also, I'm sick to death of Greek yoghurt. Are there any safe ways of adding sweetness to it where i'd usually have had honey? How often is it safe to treat yourself to a pizza, Chinese or fish & chips, once a month? What do I eat when away from home or out at a festival or the like? Any advice as I get prepared to jump back in for the long haul would be gratefully received. HELP!!!!!

  35. Cindy
    JoAnn Pizza, most Chinese Food and fish and chips are not recommended on the LCHF way of eating. If you have a good relationship with your restuarants somtimes, if they aren't busy they will make you a custom pizza with cheese on the bottom then your sauce and toppings, then more cheese. Its tastes great. Our local chinese buffet has many items that are keto friendly. And a local chinese restaurant will make dishes to order if they aren't busy. They have a whole kitchen full of meats and vegetables. I love fish and chips but I haven't found a place that makes them keto. We can make them at home The fish is easy, it's the chips that give us trouble.
    If you are planning to eat carbohydrates you shouldn't do this. High Fat +carbs equals weight gain and out of control blood sugars. Also its very hard on your body You asked about sweeteners, I use Pure Loa Han Guo also known as monkfruit, I buy it online at ZNaturals.com I get the 1 oz package. If you can tolerate erythritol you can get Lakanto monkfruit. I am allergic to erythritol. If you really want to try again I invite you to join me and thousands of other peple from all over the world chattin on Ketogenicsuccess.com. I wish you all the best!
  36. malak samir
    i m type 2 diabetic and i was taking 38 units insulin novomix a day befor dinner and 1 tablet gulvusmet befor breakfast .i begin low carb at 1-2017 and begin to reduce insulin till no insulin in 4 monthes and prevent gulvusemet after 8 monthes now i take only 2 tablets metformin a day . my hb1c1 now is 6.4 I wish you all the best.
  37. Russo
    Hello, I have insulin-resistance. May I use keto diet?

    thanks

  38. David
    Lantus causes weight gain, as I found out through my own experiences and research, no help from the doctor. Switched to Levemir, changed nothing else and lost 10 lbs in the first month.

    Something to look into as both drugs are basically the same thing.

  39. EJ
    Pharmacists can manage the tapering off of meds also. I do this in my practice.
  40. Johanna
    Hello Russo

    I have insulin-resistance. May I use keto diet?

    You should !
    Insulin resistance is diabetes t2
    You don't want to have more insulin, so....no eat carbs...no insulin needed!

  41. Jill Clayton
    Type 2 here, but have lots of Type 1's in my family history. Lantus does cause weight gain but I have since added Tradjenta 5mg and lost some of the weight. I also take Metformin and various meds for high BP. I had tried the "natural" medicine route - turmeric, etc., and while turmeric did lower my blood sugar and A1C over a month's time, it did not agree with my stomach and I had to stop it.

    After months of a lowered carb diet (<100mg per day) my glucose levels stabilized after a bout with high ketone levels. I had to increase my carb intake to 150mg per day or else hypoglycemia would hit me. I did get the higher blood sugar readings after beginning a steady exercise program, but after a while it leveled off as well. Back to hypoglycemia again. I found myself having to eat sugar to stop it from falling too low. This led to eating more carbs than intended, and I also fell off the wagon with carbs during Christmas. My blood sugar levels shot back up to 218mg/dl an hour after eating. Just one week wrecked me. So, I'm back on the ultra-low carb diet again, hoping to bring the numbers down. I've tried the controlled fasting, but get stomach pain/extreme hunger pangs, and end up snacking to stop the pain. Even too many low carb veggies as snacks will cause weight gain. Increased the Lantus and now it's starting to lower everything again. I would like to eliminate the Lantus one day, and had it down to less than 12 units per day (was at 30 per day) and cut the Metformin dosage in half. The doctor wants me to take a different kind of insulin at mealtime in addition to the Lantus, but I'm trying to avoid having to do another bolus when I already have a hard time keeping my blood sugar from falling down too far. Up and down, constantly. How do I stop the rollercoaster?

  42. Kyle Meek
    I'm a type 2 Diabetic and have been since April 2017 with Hyperglycemia. I work in a very fast pace warehouse, lifting anywhere between 30,000 and 80,000 lbs of product per day (pretty much lifting weights in a gym all day as a comparative). I've noticed that as long as I take this job function at the start of the day, my sugar drops fast all day. I eat carbs to keep my sugar in the 100s range. I no longer use insulin or my metformin to keep me low, but with the work I do, I'm afraid it will go too low without the carbs. Is this diet with the high fat still going to help me out?
  43. Daniel Manning
    Hi my name is Daniel Manning,

    This is my story about being diabetes 2 for 13 years and went into the hospital on 27of May 2017 with breathing problems and high glucose levels (32) as well as incidents of bowl and urine problems and high blood pressure, high cholesterol as well suffer from PTSD, and weigh 320 lbs, . In the past I tried all different plans of eating and did lose some weight but my glucose levels were still very high to make story worst I almost died and was on a ventilator and was unconscious for 5 days and hook to a salutation to lower glucose and woke up and couldn't speak and was extremely scared and thought that I was going to die. Well a made a prayer to God and ask him to take into spirit and safe my sole and I cried and didn't sleep all night. The next morning a made up my mind to get my life back with the help of God and with his help and once I left the hospital I started researching all kinds of natural foods that control glucose level and help in weight loss naturally. What I found did out that you must follow a low carb daily plan and 30 minutes of exercise a day. Also follow your doctor's advice along the way, they can aid you in your success. The most important thing is to find plants such as (chayo), bitter melon, Kala a, and put this into your diet. This aid in glucose levels and will drop the levels in half and bring it to non diabetic levels. The secret is to follow this daily routine for the rest of your life. Keto plan is the way to go. After 9 months my weight has come from 320lbs to 214lbs and my glucose levels are 5.2 on the average for three months and I reduce my insulin from 80ml. to 10ml.and hope to speak to my doctor to be completely off insulin and to reduce metformin from 2000ml.to 1000ml. and to be taken off blood pressure medication,and all other medications. My hair is coming back and becoming thick and curly and the color is coming back as well. I sleep allot better without any medication. My PTSD is still there but with with diet and exercise it is in check. The thing to remember that it can be done but it takes time and don't get discouraged it will start slow but it will increase and you will be a happy as I am. Thank you for your meal plan

  44. 1 comment removed
  45. Sandra McClelland
    You dont say anything about going on this diet with congestive heart failure. My doctor thinks it has to much fat. Doyou have any advice on this.
  46. Franco Catucci
    If i have psoriatic arthritis and heart attacks run on my dads side of the family will this keto diet work for me?
  47. William B Jenkins
    What is the risk with toujeo?
  48. Lori Ritchie
    Hello, I am a type 2 diabetic on Metformin, Humalog with meals and Lantus at night. I have consulted my diabetic nurse and my doctor and they both do not agree with me doing this diet. My diabetic nurse's concerns were with ketoacidosis, she said there is no way to know how much insulin my body produces on it's own. Can you address this issue Dr?
  49. MONTE
    Actos is a VERY bad drug. Not sure why doctors are even still prescribing it.
    it has been banned in most other countries and the EU due to the proven link between taking it and bowl cancer.
    The makers of it have been fined billions of falsify research and covering up the known link Yet the FDA still allows it.
    My doctor prescribed it for me and when I did my research on it I was shocked and refused it.
  50. Kayde
    Heyy, so I have T1. I'm a 15 y/o boy and skinny as s**t. That said, I struggle with controlling my BGLs, and would like to give this diet a shot purely for that reason. A boy my mum used to know used it to manage his T1-diabetes which worked well for him, but we don't have contact with him anymore. How would you go about starting this diet? Would you recommend it for someone in my situation? I'd just like to be able to not have to be worried about my BGL all the damn time. Any advice is appreciated. Thanks in advance.
    Reply: #53
  51. Kara Serra
    I am on 500 mg Metformin for PCOS, I just started low carb/keto diet.. I was feeling a little weak cked my glucose it was 68, had some propel and some pickle juice etc Then it was 81. Is this just because my body is adjusting or do I need to stop or lower metformin? Thank you..
  52. CB THOMAS
    Hai, I want to start LCHF/KETO diet. I'm taking metformin 1000mg, januvia 100mg for diabetes and coversyl 5mg for BP. having moderate uric acid also. Please advise what I have to do before starting this diet? Thanks
  53. Brian WIllsey
    https://www.abebooks.com/servlet/SearchResults?cm_sp=SearchF-_-topnav...

    Dr Bernstein is a type 1.... The last half of the book are recipes, from appetizers to dessert...

    https://pat.libreview.com/

    I recommend this meter, I've been on mine for about 60 days. It can help point out issues as it is monitoring all the time.

    https://www.ketoconnect.net/

    some of the best keto recipes I've found!

    Read, a lot! You'll need to determine what works best for you.

    I'm not sponsored by any of the above, just a type 2, diagnosed Dec 2017.

  54. David Spector
    I have just one question, and I'm hoping this knowledgeable community can answer. I haven't found an answer on the Web.

    I've had T2 for many years, probably due to meals that were mostly carbs in combination with no exercise. I turned that around with good workouts starting in 2010 (with a 2-year break to recover from Stage IV rectal cancer).

    So I'm currently on 2000 mg of metformin a day (1000mg bid), and returned to a full ketogenic diet 7-20-18 (maybe 5-10 net grams of carb each day). My BGs are lowering already, but not quickly (morning BGs are around 170% of desired/normal). My BGs are high all day, but especially in the morning. I know I'll need time for the liver to clear out the glucagen and for my body fat to change type, and my insulin resistance to be repaired. I'll be patient.

    My question is: what changes in my BG should I use to guide my reduction in metformin? I don't want to reduce either too quickly or too slowly. Of course, my doctor has no idea--he wants to put me on glipizide er, which may work at first but like metformin would eventually, keeping a high carbs diet, just make the diabetes worse.

    Hoping for some very specific advice, if possible. Otherwise, I'll just use my intuition (guesswork).

  55. David Spector
    I guess my question scared everybody off this website.
    Reply: #56
  56. Lynn
    Hi David im not scared off lol. Ive just read through your query but without knowing exactly what you eat daily its hard to make a judgement but if your bg is high it may be because you are consuming too much protein. Protein consumption excess to your needs converts to glucose. Cut the protein increase the fat. Have you tried intermittent fasting? Thats the one that really brings those bg readings down and its not as scary as it sounds. I do what i call a fat fast. 2 or 3 fat coffees for a day no other food. Brilliant results and no hunger
  57. Scott Allen
    What about glimepiride?
  58. Sharon
    I do take Metformin 500mg so I can start my new Keto diet. Thanks

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