I would seriously recommend that you get your carbs down to "keto" level at least for a short while, though, so that you can get off the medication. There is no drug that can cure T2D; at best, they mask the symtoms while your body slowly falls to pieces behind the scenes.
Giving your body a complete break from carbs will usually put the disease into remission. You might well end up back on ~100g/day carbs eventually ... but I wouldn't attempt to start off at that level.
Do you have any worries that put you off the idea of a keto phase? Why do you think you got "burn out" last time?
Burn out was my own fault through lack of self control and family pressures to conform that it wasn’t serious as I was T2 and diet and exercise only. Plus the nurse I was seeing was really p******* me off with her attitude to me like I was a bloody child.
Big mistake there, never listen when it’s working.
I’ve to watch for hypo on this medication hence moderate carbs.
I’m toying with the idea of going
lower as for the first fortnight when I did it before kicked everything into gear. Just frightened of the hypos as I’ve had them before and again my fault thinking a cuppa and exercise would be fine.
I’ve already lost weight but that could be the meds too.
I have to see this as a lifestyle not a diet as that puts me off too.
I need to stop looking for excuses and get on with it really.
Understand. I've heard lots of other people mention hectoring diabetic nurses Seems like the NHS only hires Nurse Ratched types for that role.
But yeah, I'm a great believer in "if it ain't broke don't fix it"!
It sounds to me as if your medication is preventing you making the dietary changes that you need to make; as I understand it, Forxiga causes your kidneys to excrete glucose, which is not only a dangerous thing in and of itself (your kidneys are absolutely not supposed to do that), it's going to mess with your body's ability to compensate for a low-carb diet via gluconeogenesis. In other words, Forxiga is going to cause hypos when (ordinarily) you wouldn't experience any such thing.
I hope your medical team can support you in doing whatever's necessary to get you off those pills. Their mechanism of action sounds fundamentally ludicrous. If they insist on putting you on something, try metformin, which is at least compatible with LCHF (that is, it won't cause a hypo episode).
I get the impression that you know what you're doing and that you know how to do it right. It must be very frustrating to have people telling you to do something different.
EEEEK! I've never even heard of that. Do read widely round the subject - google things like 'diabetes and LCHF diets' - sorry you probably have already - but if not, keep researching. It's extremely reassuring that you are doing the right thing. And infuriating that despite on the one hand, the NHS agrees that there is no proven link between eating sat fats and heart disease, on the other it still recommends limiting sat fat consumption... I mean what????
My instinct is mixing a blood glucose lowering diet with a blood glucose lowering drug could be dangerous. It's worse than I would have guessed, see the diet doctor extract at the end of this.
Your approach of ramping back the diet if your blood glucose drops seems the wrong one. If your blood glucose drops, surely you should ramp back on the drug. Note: I would only suggest you do this with help from your team. I am not giving you medical advice!
Personally, I would be very keen to get off this drug. I googled the gangrene. I don't care if it's very rare, I do not want increase my risk even by a small amount of gangrene of the genitals!
Make an appointment with your GP - or maybe a different GP in the surgery - and tell them you want to give low carb one more try, before taking pills for the rest of your life, and get some guidance on how to safely do that.
Good luck. I'm quietly cheering you on.
(not a doctor, but the person who wrote the below is)
These drugs11 lower blood sugar in type 2 diabetes, and can be helpful in people on a more liberal low carb diet as they directly remove glucose (blood sugar) from the bloodstream. However, they can increase the risk of a dangerous condition called ketoacidosis.12
The risk of this could be increased by a strict low-carb diet.13 It is therefore advised to stop SGLT2 inhibitors before starting a strict low carb diet, and this should be discussed with your doctor.
It’s worth noting that when ketoacidosis occurs while taking SGLT2 inhibitors, the blood sugar level is not necessarily high, making it harder to detect.14
If you get symptoms of ketoacidosis – extreme thirst, nausea, vomiting, stomach pain, confusion etc. – you should stop the medication and contact a doctor immediately.
I agree. That drug seems to be specifically designed to mitigate the disastrous effects of the Eatwell plate, and is worthless in the context of an LCHF diet.
is a once-daily pill for adults with type 2 diabetes who need improvement in A1C and additionally may benefit from weight and systolic blood pressure reduction. Patients experienced an average 3% weight loss when used with metformin.
Not sure how long this has been on the market but as has been said it doesn’t support the new thinking, or the body for that matter. Could you get a different medication prescribed? With meds like these Prof Roy Taylor with all his results, along with Dr David Unwin and Michael Moseley are going to have a tough time really getting into the mainstream.
Have you seen the you tube posts of Dr David Unwin? Quite informative.
If you haven’t seen it there is the BSD forum set up by Michael Mosley a few years ago. It is a forum, no official/medical posts and the threads are now a bit of a mish mash to include some of his later offerings but there are people there posting and answering about diabetes and meds. There is a thread called Take a Look at This which has lots of posts and links that may be helpful to you.
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