My wife is going keto she is type 1. We just got out of he doctors and they are very against keto. They said ketones cause insulin resistance. Is this true?
Type 1 keto and insulin resistance
KetoSnaps
(Rebecca šø Frankenfluffy)
#2
I donāt know, Iām afraid. Iām not insulin resistant, and Iāve been T1D for 30+ years, keto since summer 2016 - in my experience, eating only small amounts of carbohydrate means I donāt need to to chase high blood glucose with large doses of insulin which then rebound, make me hypoglycaemic and require me then eat carbs to get back up to normal levels again. Iāve left that rollercoaster behind.
I havenāt heard that ketones cause insulin resistance in type 1s. However, if I have a very high blood glucose for a few hours (due to an infection, for instance) then I will have high ketones, AND I will require a larger correction dose of insulin than my normal ratio, that is true. But I donāt know whether itās the high ketones themselves that mean I require more insulin, or just the fact that my sugar is very high. I canāt make a definitive link there. And weāre not talking dietary ketosis here, but high ketones due to an infection in a T1 needing prompt action to avoid DKA. So not to do with keto.
Leaving the question of insulin resistance aside, in my own type 1 experience keto has given me a much, much easier lifestyle, a very steady blood glucose level, stable weight in the healthy range and terrific HbA1c results.
Itās taken a lot of practice, a lot of hard work and some trial and error with insulin dosing - thereās no magic answer I can offer in terms of dosing advice Iām afraid as weāre obviously all very different! And heck, it still drives me MAD when my blood glucose isnāt perfect ALL of the time - but Iām much, much better controlled on keto than I ever was on the NHS-recommended dietary guidelines.
My diabetes team donāt really know Iām keto - I have told them that I donāt really eat that much carbohydrate and they do the whole āwe wouldnāt recommend thatā and then we generally just chat for a bit about my test results and part as friends!
beccs
(Lazy, Dirty Keto š)
#3
I think some of the info you received here may be helpful to you but not sure if insulin resistance is specifically covered:
Good luck with whatever she decides!
lfod14
#4
NOPE! Your Doc is pretty uninformed, but thatās typically. Given that sheās a type 1 she may want to read some of Doc Bernsteinās stuff, heās a type 1 himself but thereās plenty of type 1ās that do keto and drastically reduce their insulin needs. Sheāll still need her basal insulin but itāll probably be pretty minimal. He (could) have be thinking about physiological insulin resistance which is a thing, itās pretty much a mimic of insulin resistance that happens after a long time keto, but not quite the same and not permanent. Sheāll want to grab a ketone meter ahead of time and regularly check them. I think keto mojo is still the best deal cost wise but double check. Typically we have safeties in place to stop a runaway ketone situation, but itās actually possible for a type 1, although still not typical.
FGH
(FRANK)
#5
Your doctors have an agenda. That agenda is to turn you into a cash cow - i.e. regularly scheduled office visits; prescribed medications that they may receive an incentive to push on you.
Be your own advocate and do what you feel is right!
I am not advocating medical advise but how would it NOT be beneficial for a T1 or T2 diabetic to reduce carb consumption?
My penny and a half.
Rclause
(Scott)
#6
+1 on Dr. Bernstein and his book The Diabetes Solution. I am reading it now and I would recommend it to any type 1 or 2 diabetic. His background is very interesting too. He started out as a engineer but after being type one he became fascinated researching diabetes. So much so he went back to school and became an MD. He now one of the nations leading authorities on diabetes.
replay
(Carol E. )
#7
Type 1 Grit is a Facebook community that follow Dr. Bernstein. I am not sure if they have other communities for discussion.
