Hello, I started a slight keto diet on July 30th (I say slight because I started eating between 30-60g per day of carbs- a significant reduction compared to the hundreds of grams of carbs I would normally consume per meal) and I did that for 2 weeks and lost 16lbs. On 8/20/18 I got serious and changed my numbers to 20g of carbs per day. I felt sick on days 2 and 3 but completely better by day 5. I tested for ketones at home that week and was between 1.5 and 4 mmol/L up until 4 days ago.
4 days ago my Endo decided to put me back on Metformin for PCOS (Polycystic Ovarian Syndrome). I’ve been on Metformin for 4 days now and surprisingly it hasn’t made me sick with nausea and diarrhea as is has in the past (when I was eating crazy large amounts of carbs) but when I tested my ketone levels this morning I was at 8 mmol/L. Should I be worried??
From what I’ve read, Metformin desensitizes you and makes you more sensitive to insulin but, I’ve also read that eating a low carb diet will make you produce less insulin so I am confused because I am on a medication that makes me more sensitive to insulin but I also on a low carb diet which makes me produce less insulin?
Can I be on Metformin and still stick to under 20g of carbs or should I slightly increase my carb intake to get my ketone levels back down to optimal ketosis levels??? I don’t feel sick or anything just worried that my ketone levels are so high and I’m not sure why.They weren’t as high prior to me starting the Metformin and I’m wondering if it has anything to do with it. I also haven’t lost any more weight but I haven’t gained either.
Please help!