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Question for Type 2 Diabetics

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Good morning folks!  I have a question for those that may have had high blood sugar when they began the Whole 30.  I am on day 11 and have seen a drastic change from when I started to now when I took my sugars in the morning.    Heck, 50 more points and it will be in the normal range, so color me impressed with this meal plan.   My issue, and my doctor told me this would happen, is that as my sugars come down it's triggering the hunger reflex in the body.  Despite having a small portion of healthy fat with each meal, I find that I feel like I am completely famished between meals.  I haven't worried much about portion control as of yet since I've known that this will be an issue.  I make sure that I eat plenty of good vegetables and three small servings of fruit each day.  

 
I guess that I am just wondering if anyone else went through this?  Once my sugars stabilize in a week or so will I not feel like I want to eat everything in sight?  Thanks!

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Hi! I am a type1 and I have had the same wonderful results. I would experiment with bumping up your fats to keep you satisfied until your next meal. I keep to 1 or less servings of fruit a day -- typically berries or other in season fruits, nothing tropical.  I would also look at bumping up your protein too and possibly try roasted veggies, as they will give you a more 'full' feeling than say eating just a salad. One of the reasons why I mentioned that I keep my fruit servings to 1 or less a day is that many people have reported hunger later in the day if they have fruit with M1. 

 

Play around with your amounts until you reach a point where you are able to go 4-5 hours without being hungry. 

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I get by with one serving of berries, too  for T2.   I've used all of the compliant fats and a protein for any craving. Once you move from sugar burner to fat burner, those cravings for sugars will be silenced.  It may take you longer than 30 days.   More Fats.  STAT. 

 

http://whole30.com/downloads/whole30-meal-planning.pdf

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Ok.  So one thing that I am unclear about is ketones.  I know that when you have high ketones that is good for weight loss, as it signals that your body is burning fat instead of sugar.  But at the same time, isn't that dangerous for a diabetic and a signal of DKA?   I don't have another doctor's appointment for a month and by then I will be done with this round of Whole 30, or I would just ask him.

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You should definitely ask your doctor to be sure, but as I understand it (not being medically trained at all) is that ketones form when you are burning fat.  In the case of diabetics, as long as your blood sugar is stable, it is fine/normal to have ketones in your blood and your body can deal with it.  Ketones become a huge problem when you have no insulin with which to deal with them.  Blood sugar is stable = insulin is balanced.  

 

Just so you know as well, while we want everyone to become "fat adapted" that does not mean putting people into ketosis.  Ketosis is achieved by consuming very low carbs (and usually very high fat).  There is enough veggies (including starchy) and fruits that most people will never enter ketosis, it is usually something they would have to do on purpose.  Fat adapted simply means that your body can choose between burning fat for fuel or sugar/carbs for fuel.

 

Also, as you are a Type 2 diabetic, you know that Type 2 is nearly completely diet controlled and as you said above, you're almost in normal range and your body is starting to balance out.

 

Again, not medically trained.   ;)

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I don't go into ketosis.  The Whole 30 is not Low Carb or Zero Carb.  Starchy vegetables prevent that.  Two servings of fruit are maximum recommendation.  I eat 9 cups of cooked/roasted vegetables aday and one fruit serving works for me.  My salad greens are on top of those 9 cooked cups.  They're in addition to and I don't measure them out. 

 

Our Whole30 program is designed to give people a standardized protocol to follow in the short-term, so that they can then have a solid platform from which to make their own life-long decisions about food. If your family has found a sustainable plan that works for you, we’re thrilled –  If it’s working for you, and you’re all feeling optimally happy AND healthy, then you’ve succeeded, and our Whole30 has done its job. It’s as simple as that.

 

Best,
Melissa

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Ok.  So one thing that I am unclear about is ketones.  I know that when you have high ketones that is good for weight loss, as it signals that your body is burning fat instead of sugar.  But at the same time, isn't that dangerous for a diabetic and a signal of DKA?   I don't have another doctor's appointment for a month and by then I will be done with this round of Whole 30, or I would just ask him.

 

Ketosis and diabetic ketoacidosis (DKA) are two different things. Ketosis is a normal and healthy process used by your body to maintain energy and blood glucose during fasting. Your liver can only store so much glycogen and once that's used up, your body needs another source of energy and it turns to fat. In order to breakdown the fat into something usable, your body breaks the lipids down into ketone bodies which can then be used for cellular metabolism.

 

Diabetic ketoacidosis is a condition in which your blood sugar SOARS (like 300-500 or more) due to insufficient insulin and ketosis continues in an unchecked/out of control manner. As your blood sugar increases, it changes the osmolarity (solute to solvent ratio) of the blood and excess sugar is dumped into the urine along with all of your sodium, potassium, and other electrolytes. Now that you're losing electrolytes, your body can't maintain hydration and things are often further exacerbated by vomitting. During this process, your body is continuing to dump ketones into the blood stream in amounts that exceed your body's ability to buffer and maintain pH. (Your pH drops into more acidic ranges, hence the name "acidosis.")

 

 

At this point, I wouldn't worry about ketosis. Follow the meal template and experiment a little with how fruit and starchy vegetables impact your energy, mood, and satiety. For me, fruit early in the day wrecks my satiety. It's less impactful in the evening. Sweet potatoes and other starch-heavy items are awesome though and adequate fat is absolutely crucial to keeping me satisfied.

 

Tinker around with how much fat and protein you're eating at each meal and if you find yourself ready to just chew your arm off, then eat. It's not unusual at all for folks new to the Whole30 reporting that they need four or even five full template meals to keep them going in the early days. Your body will figure it out and your hunger will level back out.

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http://whole9life.com/2013/09/talk-to-your-doc-part-1/

 

 

Talk to your Doc: Prescription Medications and the Whole30®

 

Insulin

"Note: This section was titled, “The Number One Medication You Must Absolutely Discuss With Your Doctor Prior to Your Whole30,” but that was kind of long.

First, do not get discouraged from trying a Whole30 because you take insulin or diabetes medications.  The potential benefits far exceed the hassle of having a discussion with your healthcare provider and adjusting medication. That having been said…

 

If you take insulin, it is essential to talk with your doctor before doing the Whole30.

Although not specifically meant to be low-carb, a strict Whole30 eating plan tends to be lower in carbohydrates than the standard American diet (SAD), and lower than what most people are eating on an otherwise unrestricted diet.  If you’re on insulin and radically decrease the amount of carbohydrates you’re eating without adjusting your insulin dose, your blood sugar will go low. If blood sugar dips too low without intervention, you may lose consciousness or die.

There are a few strategies that can be used if you’re taking insulin and want to do a Whole30. The best one depends on the individual. First, long-acting insulin could be discontinued and replaced with shorter-acting insulin administered based on blood sugar levels—what’s commonly known as a “sliding scale.”  This is one of the safer approaches that will still provide blood sugar control.

 

Another tactic might be to stop insulin altogether. This option will work well for someone who does not need very high doses of insulin. Yes, blood sugars may run high over the course of the 30 days, but one advantage with this approach is knowing exactly where blood sugar levels will be with the Whole30 diet alone. It’s possible that by controlling diet, insulin may no longer be necessary.  Using and adjusting any oral medication for diabetes in conjunction with this strategy can be used to help keep blood sugar in check as well.  Weekly follow ups can fine-tune things to ensure blood sugars are staying within a reasonable range.

 

Many other variations could be devised based on the concepts above, but as they say, don’t try this at home. Always consult a medical professional.

 

Oral medications that directly lower blood sugar also need to be taken into consideration. These medications include the sulfonylurea class of medicines, the most popular of which are glipizide and glyburide/glibenclamide.  (This may vary by geographical region.)  While not as potentially dangerous as insulin unless taken improperly, decreasing carbohydrate intake while on these medications could drive one’s blood sugar precipitously low."

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Always consult a medical professional.

 

I worked with my doctor for over a year...every step of the way.  It's taken me well over a year to get things all leveled out.  Work with your doctor, too. 

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^^ is exactly what has happened with me with doing the Whole 30 and why I stay pretty close to eating this way. I have dropped my long acting insulin from 100 units a day to 40 units a day, and my fast acting from 15-30 a meal, down to between 15 and 20 units a day, on a sliding scale. My ultimate goal (not sure if I will actually be able to do it or not) would be to give my insulin back to my dr and say thanks but no thanks. Getting pretty close though! 

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This was certainly informative.  Thank you so much!  I was under the impression that when your body shifts from burning sugar to fat for energy, that the process itself was ketosis.  Shows you how much I know...  :P 

 

Beginning this journey is the best thing that I've done for myself.  I knew that it would be tough as I am also dealing with some stressful situations on top of trying to eat properly, but I had to commit.  I did speak to my doctor, and he actually suggested that I come off of some of my medications before beginning the Whole 30.  So I've solely been testing after each meal, taking a long acting insulin and Januvia.  I've already been able to cut out two medications completely since my sugars have been within normal with my meal choices. I have only had night spikes. To say that I am psyched doesn't even begin to explain it.

 

I had set up an August 1st start date, and then 5 days prior found out that my dog has lymphoma and that I would be needing to bring her to Raleigh for treatments every week.  That would leave me having to drive up there and then stay there all day, then drive home.  I didn't think I'd be able to handle the stress as well as follow my meal plans, but my husband was really supportive.  My dear husband that up until August 1st barely would eat a vegetable with his meals.  I am so proud of him and the changes that he is making himself!   Not only have I felt like following the Whole 30 has helped me deal with my stress and give me something else to think about, but the foods that I was eating previously did nothing to make me feel better about myself.   Foods that I have been shoveling into my mouth with abandon since my daughter passed away 20 years ago at the age of 16 months old.  I know that it sounds silly since I am only on day 11, but since starting I feel like I am doing something good for myself for the first time in such a long time.  I've been living in a fog of depression and self loathing that was fueled on by comfort foods, and I feel as though that fog is finally being lifted.

 

I apologize if that was all TMI.  I have been so stinkin' emotional since I began, and not in a bad way.  :P

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^^ is exactly what has happened with me with doing the Whole 30 and why I stay pretty close to eating this way. I have dropped my long acting insulin from 100 units a day to 40 units a day, and my fast acting from 15-30 a meal, down to between 15 and 20 units a day, on a sliding scale. My ultimate goal (not sure if I will actually be able to do it or not) would be to give my insulin back to my dr and say thanks but no thanks. Getting pretty close though! 

I no longer have to take any  medication.  It took many, many months of being  consistent.  I'm happy for you, too.   :) 

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I apologize if that was all TMI.  I have been so stinkin' emotional since I began, and not in a bad way.   :P

 

Not TMI at all! Taking care of yourself after years of treating yourself poorly is a BIG deal and absolutely something to get emotional about! You are an awesome human being and you are worth having a strong, healthy body. I'm so happy that you're on this journey.

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I'm Type 2 and just started Whole 30 a few days ago and I'm trying to adjust my meds as I'm on both a long acting and fast acting insulin. But a quick question for you all out there...  since I'm still learning my way, I've had a couple of episodes of hypoglycemia, especially at night. I used to eat a hard candy to counter the effect, but since we can't have that, any suggestions as to what I can take to bump up my blood sugar level?

 

I will be seeing my docotr next week and will work to adjust my meds!

 

BTW, I'm very happy to read the stories you have all posted. While weight loss will be nice, I'm most interested in evening out my blood sugar numbers and relieving inflamation.

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I would never use candy or sugar sugar to counterbalance blood sugar.   I'm glad you're visiting with your doctor as no one can really advise you here without their medical license. 

 

I was T2 and have completely moved out of it.  It did take 15 months and a bunch of sugar avoidance.  I didn't off-road with refined sugars, sugarless gum or diet sodas, artificial sweetners.   

 

I read every post I could find here written by Dallas, Melissa and Tom.  With their help....I followed the Whole 30 Yellow Brick Road to overall health and well being.   They weren't offering me any medical advice but I  embraced every bit of knowledge I could about diabetes and blood sugar.  With my doctor's approval...he watched me tool along - meal by meal, month by month and mile by mile.   

 

I no longer have to take meds of any kind.  I'm not falling backwards into refined carbs or sugar.  Those are the things that got me nowhere good.   Find a doctor who will work with you and allow you to eat the template.  Be 100% compliant.  Don't cut portions or any food groups.   

 

Weight releasing is a positive side effect of a Whole 30.  You are correct, it's not important to think about for only 30 days.   As a result of tooling along for 15 months...I have had weight releasing which only added to my ability to kick T2 Diabetes to the curb.   It was really marshing my mellow and I no longer had any use for it.    marshmallow-smiley.gif?1292867635

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I would love to kick T2 to the curb!!  That's my plan!!

 

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Create that plan and work that plan.  CowboyUP because she's gonna buck!

frontierdaysdsc5514.jpg

 

 It will be the rodeo ride of your life but you'll get a big buckle at the end.  You'll be the champion bareback rider.

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 Keep your hand in the rein and find your rhythm.  Hang on with everything that you have.  Come back for rodeo cowboy tips and how to keep yourself encouraged. 

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Hi everyone. I'm a Type 2 just starting the Whole 30 today.

I've been watching my diet with Weight Watchers with success in being aware of what I was eating by logging on the computer site's journal/log.

The actual weight loss was not as successful as I wanted because some of the meds tended to make you gain weight

My weight has dropped but goes up and down by a few pounds so by starting this program with my doctor's blessing I know I'll succeed based on eating real food not processed and by deleting SUGAR, DIARY and LEGUMES

My background in Diabetes is I had a very large Diabetic Support Group of over 450 members as president, trained by a Diabetic nurse to host multi-ethnic multi-cultural support groups and affiliated with the top Endocrinologists, Ophthalmologist and other top specialist in the city

Also I was a director on the board equivalent of the American Diabetic Association in Quebec (Canada). This I did for a few years before I left the country and let my VP take over

I look forward to positive results and no negatives

I wish everyone well going forward and if I can reach out to anyone within my capacity from my background I will be more than happy to assist

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Hi folks, type 2 for over 15 years here. I prepped for whole 30 starting July 10, did it starting August 11 and just had blood work October 10. Went from 30 units long acting to 20 currently. My A1c dropped from 6.9 to 5.5!! I am amazed what a difference in how I feel but more in how I feel about the possibility for success. I tried so many different plans and programs in my adult life but feel that this one is actually sustainable and has changed so many things about my view of food. Thanks!

In answer to an earlier question about hypoglycemic episodes...I too had a few of those. Eventually I found some mini mini size boxes of raisins and now carry those. I realize they aren't a wonderful choice, necessarily, but they kept me conscious without being non compliant.

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I too am type 2 and am on day 3 and my sugar readings very from 79 to 96. I am on two types of pills and am thinking I need to go off one of them in the morning. I am excited that I might be able to go off these all together. I find your post very encouraging that my A1c can go down from 6.7. If you would like friend me and let's keep in touch.

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So I'm not diabetic but this was the only place I thought people with glucometers might be hanging out... :)  My mom has a meter and the last two days about 1 hr after eating my blood sugar has been 80.  I'm pretty healthy and active and trying to go higher fat lower carb this go around but I'm still a little surprised to see numbers that low... anyone on here (maybe resolved T2s) have any experience with normoglycemia and post prandial blood sugars?  Thanks!

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I am so glad and encouraged to find this thread. I am type 2 and am doing this because my doctor told me to.

(I switched doctors when the last one said the only thing he had in his toolbox was insulin...I wanted other options)

I really appreciate everyone's input. I am on Day 2 and yesterday really crashed at 3:30. I will carry an RX bar for sure

and that protein salad at lunch will probably double! I think the suggestions of no fruit in the morning is a good one for me.

THANKS y'all. And Happy New Year

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