Paul Mabry posted a great reply to a similar question on the Zero Carb Doc Facebook group. To summarize, ‘For people with a lot of Insulin Resistance (T2D for instance), Glucagon dysregulation can cause the Pancreas not to signal the liver to shut down Gluconeogenesis, resulting in higher blood glucose.’
Depending on how entrenched your Insulin resistance is, a ZC adaptation period my reverse it enough for your body to start to properly regulating Gluconeogenesis.
For some of us that have been T2D for a long time (10-20 years for me) the healing may take longer, or may never completely occur. This does not mean that we cannot be ZC, it just means that for optimum blood glucose control, we need to keep a bit closer tabs on the amount of protein consumed in one sitting.
I am currently doing well at 65g-75g of protein per meal, which allows me to eat twice a day and maintain a 14-16 hour fasted window most days. On days that I go to the gym after work, I split my protein for the day into 3rds, about 50g per meal and focus on fattier cuts to bring my calories up in line with my energy expenditure from the workout.
It’s not quite as carefree as people with healthier metabolism can be with their feasting on ZC, but it is still not difficult, and I have not ever had to forego food when hungry.
To follow up on my earlier post, the small whoosh I had when I reduced my protein has leveled off and my weight has stabilized, but I’m working out pretty hard 3 times a week and the fat % on my scale is slowly creeping down, so my LBM is increasing! That earns me a few more grams of protein on my target 