Type 2 diabetes meds and keto diet

[Rajseth]

Read Jason Fungs blog. Read Obesity code. Read diabetic code. Both by Jason Fung. Hyperinsulinemea is the disease. High BG, CVD, hypertension, obesity, Alzheimer’s etc are symptoms

[Rajseth]

I’d be looking to stop insulin ASAP Metformin is less evil.

[slgeebrr]

Ordered the book

[Wishbone]

Congrats on helping yourself. Try B12 for brain fog, it cleared mine. A good one a day multi vit can work wonders too. Just make sure its not the sugar coated gummy type lol

[slgeebrr]

In addition to ordering his book I just got done watching his 1 hour video on youtube “insulin toxicty” and now I see exactly where you are coming from. Jason Fung MD seems to be a visionary contrarian, I sure hope his methods work for me. In addition to talking about carb reduction and the elimination of insulin he brought up the benefits of fasting which I had not even considered.

thanks

[slgeebrr]

for the first time in over a month on keto I feel the surge of energy but still rather dingy mentaly, guess it will come the so called "clarity’ but not yet. I do take B12.

[slgeebrr]

3-29-18

A1c 8.6

Glucose 135

Weight 192 lbs

7-5-18

A1c 6.2

Glucose 117

Weight 171 lbs

Endrocronoligists reaction:
From: Casaubon, Luis
To: Gaber, Steven L
07/12/2018, 12:26 PM

I sent you the correct order for doing labs in 3 months in a separate portal message. It includes the additional tests that
we discussed. (insulin and hs-CRP). It was great to see you today. Keep up the good work!!! Please call with problems or
questions.
Dr. Casaubon

[Wishbone]

Fantastic! Well done on your new results!

[slgeebrr]

This reflects roughly 2 months on Keto in this quarterly up-date. 52 days to be exact. The doctor said I made his day. In addition that clinic is promoting some sort of lo-carb plan now and they never had in the past. He like my quip: I turned the food pyramid upside down.

[Wishbone]

Same here, my Doc hugged me, and now I’ve been asked to speak to a group of obese patients with T2D!

[Madeleine]

Yay! congratulations!
Also lovely to see your doctor’s reaction. There are so many terrible stories out there… someone just posted yesterday that her mom dropped from 13 to 5.4 A1C and the doctor called out of concern, said they would have to do something about that.

Anyway, well done!!

[slgeebrr]

Glad you had the same Dr. reaction, goind in I was afraid he might be dogmatic, but just the opposite!

[cjeane01]

Thanks so much for this. I’ve been listening to 2KetoDudes Podcasts starting at the first one and today I listened to #64 Fasting for 46 Days with Ron Coleman and @richard mentioned this about not using insulin after getting your A1C below 7.0. I’m kind of ticked off because I have been trying to get mine to 5.2! Here are my A1C numbers:

Date / Comment
8/4/2015 / Started Insulin 32 basal, 4-8 units bolus
12/21/2018 / Highest weigh ever at 257 lbs! I was up to 160 units of Basal insulin 30-40 units bolus ea meal!
02/02/2018 / Started Paleo on 1/1/18, started Keto on 2/15/2018 Started IF/EF on 3/15/18
05/04/2018 / Got off Jannvia! Had already reduced basal to 60 units and bolus as needed 10-15 units 1/day.

Currently holding steady on weight (low of 206), not doing any EF due to daughter and other visitors during the summer. I now think my weight is steady spite keto diet due to insulin being too high. 3 month follow up with doctor next week, and I will ask to get off all insulin and keep on Metformin & Trulicity.

Thanks again for the information![quote=“Rajseth, post:9, topic:45324, full:true”]

after having fasting blood sugar testing 140-150 mg/dl no meds I took 1000mg metformin and 10 units insulin yesterday morning and tested fasting 82 mg/dl with ketone 1.1 mmol/L.

Steven, if you read and understand the current science, you will understand that insulin is the real culprit. Current standard of medical care is to lower your A1c to below 7. thats BG of 156. When I stopped taking all medications, I asked my endocrinologist what readings I should watch for to realize that I wasnt ready to be off medications - his answer “consistent fasting BG above 150”

If you stop consuming carbs, or at least minimize them to 20gm, 10gm or lower, then you are not dealing with exogenous glucose. The only blood glucose you will have is that which is produced by your liver by gluconeogenesis. My understanding is that process is demand driven, and can sometimes be supply-pushed by excess fat released from the liver. So, I dont try and downregulate it with insulin. High Blood sugar is NOT the evil - high insulin is. Its kinda like my foot hurts - so amputate it!!

I would rather have fasting BG 140-150 with no medications, than take insulin and have it down to 80. Metformin is the one medication that does not raise your insulin - so maybe if you feel compelled to you can have some of that. But no one can make me take any of the insulin rasing medications any more.
[/quote]

[slgeebrr]

my reading on metformin is not that it stimulates insulin production like the gliipemeride type drugs but it helps lower “insulin resistance” to make one deal with carbs more efficiently as there are going to be some glucose to deal with no mater how you cut it…

[slgeebrr]

Progress report
Started ketogenic diet 5-15-18

3-29-18

Glucose 135 mg/dl
A1C 8.6
Cholesterol 149 mg/dl
Triglycerides 154 mg/dl
HDL Cholesterol 131 mg/dl
LDL Cholesterol 87 mg/dl
Weight 194 lbs

10-11-18

Glucose 100 mg/dl
A1C 5.5
Cholesterol 235 mg/dl
Triglycerides 153 mg/dl
HDL Cholesterol 36 mg/dl
LDL Cholesterol 169 mg/dl
Weight 168 lbs

[slgeebrr]

Steady in Ketosis, weight dropping but fasting glucose is trending high. “Dawn effect” or what??? Comments please!

[PaulL]

fasting glucose is trending high

You are probably experiencing what is sometimes called “physiological insulin resistance,” which I prefer to call “glucose-sparing.” The idea is that once we are fully fat-adapted the muscles are burning fatty acids (even in preference to ketones) and refusing to take in glucose, so as to spare it for those organs (primarily the red blood cells) that must have it because they can’t metabolize fat (or ketones). As long as your HbA_1C stays at its current lovely level, don’t worry about your glucose.

[slgeebrr]

Thanks! Never heard that but it makes sense. BTW tested 128 fasting this morning so It might have been freak spikes…

[PaulL]

Well, there is also the dawn phenomenon, as well.

You might want to read this piece by Hyperlipid about glucose sparing. He is a British veterinarian with a scientific interest in nutrition, including human nutrition:

Hyperlipid

[slgeebrr]

first advanced lipid panel