Re: Low carb & High fat ???

CeeBee wrote:
>
> "Nicky" <ukc802466929@xxxxxxxxxxxxx> wrote in
> misc.health.diabetes:
>
> > OK, Vicky and CeeBee, thanks. I still haven't got my head around
> > this - mostly because my own low-carb lifestyle leaves
> > sufficient glucagon that a liver dump can double my bgs, and
> > seriously mess up my day - but I can sort-of see where you're
> > coming from.
>
> I'm not quite sure if Vicky is correct in assuming that (even
> very) low carb diets will leave the liver and muscles with
> insufficient glycogen; after all, how often do we hear people on
> low carb actually die? The protein still can be metabolized into
> glucose, and due to the low carb content the protein content is
> higher, which might well make up for the storage. It's the speed
> that counts more.
>
> The normal body ( and in a lesser extent the T2 body) simply will
> release a signal that the muscles are tired, and your performance
> will dwindle. The body will stop releasing insulin at the speed
> that it did before, so the liver and muscles can still keep up in
> releasing sufficient glycogen without turning hypo.
>
> The T1 still gets that "tired" signal, but due to the fact that
> the insulin supply doesn't stop - it's just one big splash - the
> body keeps on slurping glucose. Of course the solution is to dose
> a bit better (more often) and adjust my meal before strenuous
> exercise, but it's about the principle.
>
>
> > Actually, another thought - I assume that my own dump problems
> > come from a liver with a faulty off switch. Maybe a T1's come
> > from a liver who normally expects to trickle out small
> > quantities of glucagon in response to small demands, and fails
> > to respond appropriately to sudden huge demands, particularly
> > when there's unexpected insulin around too? Maybe you still have
> > sufficient stores to dump several times during the day, when I
> > haven't? (not that I've ever had 2 dumps in a day, one is more
> > than sufficient, thanks...)
>
> If the liver is not able to release sufficient glucose, it might
> be either occupied with different business (alcohol :)) or
> malfunction, e.g. a diabetic complication. It should be possible
> to test the liver simply during a blood test. Ever discussed it
> with your endo?
>
> --
> CeeBee
>
> ***The cookie has spoken***

I realized after I posted that we were approaching this from different
starting points. For me, hypos during exercise are very rare, and the
liver dumps seem less severe. When I was using R & NPH, I exercised less
than now, out of fear of hypos. Not a good thing.
My hypos were mainly caused by taking far too much NPH. At the time, my
endo was firmly convinced I was a T2, so when she saw high fasting bgs,
she would up the dose of NPH. The high fasting numbers were caused by
rebound, not insulin resistance. Hypos were an almost daily occurrence,
and unconscious hypos were at least a couple of times a month.

Under these circumstances it takes time for the body to rebuild glycogen
stores. Eating a very low carb diet would extend how long it takes for
stores to get re-established. Death is a possibility if hypos are
frequent and severe.

Looking back, it's a wonder I survived at all. My last visit to the ER
was about 6 years ago. At that time, the lab test for bg at admission
came back at 0.7 mmol/l. The ER doc said I should have been dead, but I
guess there was enough juice left in my liver to keep me alive. There
was no lasting damage, except for a collapsed vein in my left hand from
the IV. I think I can live with that :)
The nurse made sure to point out the 250cc syringe that they filled with
dextrose and shoved in my vein when I was admitted. Now *that* was a
scary sight.

Vicki
pumping
and exercising without fear
.

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