Low carb and brain fog, do I have diabetes? - Page 2

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Low carb and brain fog, do I have diabetes? - Page 2


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Old 04-05-2012, 08:54   #11
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Having been officially diagnosed with reactive postprandial hypoglycemia, and then giving in to eating this much carbohydrate, would you not be expecting another crash? I certainly would. Corn & potatoes are some of the hardest-hitting, fastest-acting carbs of all. I hate to sound like a broken record, but it looks to me like you'd benefit greatly from cutting carbs and getting a lot more fat into your diet. You have nothing to lose but the brain fog, right?
Yeah, I'm not sure if you're reading everything I wrote above. I ate a few carbs out of desperation. When I am eating right, and when my blood sugar is right, I DO NOT feel well. Either I have brain fog or I have severe exercise intolerance. I haven't felt well in at least 5 years. Brain fog worsens on a diet. Exercise intolerance is always there. Doctors are not helping.

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Old 04-05-2012, 09:06   #12
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The reason you don't feel well when you eat right is that your body is accustomed to running high blood sugar and it doesn't like change. A lot of people here have been through exactly the same thing - feeling like crap once their blood sugar begins to drop to safe levels.

There is no instant gratification in this game - you must eat right for a week or two without cheating - then your body will adjust to proper levels of blood sugar.

And yes, I read every word of your previous posts. I see you have multiple chronic conditions. I think you'd be wise to take each one at a time and control it. Otherwise you can't know what works when you're trying to fix everything at once. The easiest one to fix right now is the blood sugar. Stop eating carbs and start eating fats, and your body will adjust within a week or so. Many of us have experienced blood sugar as the common denominator - when we got that in line, many other issues resolved automatically.

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Old 04-05-2012, 09:27   #13
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Pay attention to Shanny and get that one into line and then you'll find others do resolve themselves. I did! Blood sugar screws everything else up!

Good luck,

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Old 04-05-2012, 13:08   #14
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First welcome to our forum. None of us are doctors, but we are experienced diabetics and we can tell you what works for us. Most of us have adjusted and changed our diets many times in order to get control of our bgs. A lot of us eat a low carb/ high fat diet. We need the fat to keep our bgs stable and avoiid the spikes. It is usually the spikes and then the crashes that make you feel unwell. The reason your brain feels better with carbs is because there is an addictive nature to carbs. They actually affect the dopamine production in our brain. There is a reason they call carbs, "comfort foods". When you switch to a low carb diet, your brain doesn't like it. If you have ever given up smoking , drinking coffee or any other type of addictive habit, you know what I mean. The people who do the Atkins diet, call this the Atkins Flu. It does go away, you just have to work throught it. The trick is actually to eat more at meals but make sure it doesn't have any grains ( like the muffin) or sugar in it. Also include fat in your meals. The lean beef and broccoli was that home made or from a restaurant. Many restaurants add all sorts of sugars and starches to their dishes.

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metformin-2550
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Old 04-05-2012, 14:23   #15
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There may be another more obvious reason: you are starving. Your cells need energy. The energy they make is called ATP. They can make it from glucose or they can make it from free fatty acids. If you are in ketosis, they can also make it from ketones. Your brain cannot use FFAs because they cannot cross the blood-brain barrier.

When you restrict carbs (and don't go excessive on protein), you reduce the glucose supply. Your cells must have an alternative source of energy. For many cells, you have two other choices: FFAs or ketones. So, in this case if you reduce carbs and increase fats accordingly you will be fine. Some others (notably that brain) can ONLY use glucose or ketones. So, if you restrict sources of glucose - which you must as a diabetic in order to control BG - the best idea is to take this to the level of ketosis. Your brain will now get all the energy it needs from the ketones circulating in your blood.

I don't believe in Atkins Flu or at least that it is a result of LC/HF. It is a result of LC/HF done incorrectly. Some ate too little salt. Others too little fat/too much protein. When done right, there are no harmful effects at all except a little adjustment by your GI tract to different food.

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DX: 9/2009 A1C=10.7
A1C 2/2010: 6.7 (DX + 4 months)
A1C 5/2010: 6.0 (DX + 8 months)
A1C 8/2010: 5.7 (DX + 11 months)
A1C 11/2010: 5.1 (DX + 14 months)
A1C 9/2011: 5.6 (DX + 2 years)
A1C 7/2012: 5.5 (DX + 2 years 10 months)
Diet: Approximately C:10;P:15;F:75 (as % calories)
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Exercise: Not much. Stairs at home & work. 10 min dumbells most days
NO MEDS, No Highs, No Lows
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Old 04-05-2012, 17:07   #16
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I know well that roller coaster ride you've been taking. The high carbs give you a high (mentaly, blood sugar-wise). Then, because they are digested quickly, and you haven't eaten enough fat that is slowly digested, your blood sugar comes crashing down. The other factor contributing to this is, if you are hypoglycemic, your pancreas overproduces insulin, so those carbs are really quickly used up.

I have found that high blood sugar doesn't make me feel bad. Nor does low blood sugar. BUT - rapidly falling blood sugar certainly does. Feeling like I'm shaking, not able to concentrate, etc., etc., - just what you are reporting.

Take the advice you've been given. Many have been where you are and have overcome it all. Including other health problems. (We're not doctors, as has been stated, but we know what works to control irratic blood sugar levels.)

Re: needing to lose some weight. Low-carb/high fat way of eating has been proven by thousands of folks (just look at the low-carb forums) as an effective way to lose wieght without starving. (not to mention that it normalizes ones lipids). I'm in agreement with Smorgan - you are also not eating enough.

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Diet controlled: VLC/HF
BG steady with no highs or lows.
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A1C - 5.2% 8/2013
A1C - 5.4% 3/2014
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Gluten intolerant, sensitive to dairy & eggs.
Eat no grains

Last edited by VeeJay; 04-05-2012 at 17:11.
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Old 04-05-2012, 18:24   #17
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I think you should be investigated for antibodies for both adrenal and pancreatic disease.

APS-1, or autoimmune polyendocrine syndrome 1, is a genetic disease. Look it up ...

Salim, I definitely do believe in Atkins Flu. I sure wish I did not, however ...


Last edited by foxl; 04-05-2012 at 18:26.
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Old 04-05-2012, 18:35   #18
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Quote:
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I think you should be investigated for antibodies for both adrenal and pancreatic disease.

APS-1, or autoimmune polyendocrine syndrome 1, is a genetic disease. Look it up ...

Salim, I definitely do believe in Atkins Flu. I sure wish I did not, however ...
I've just seen too many cases where when it is truly subjected to troubleshooting, clear causes are found which are not intrinsic to LC/HF eating.

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DX: 9/2009 A1C=10.7
A1C 2/2010: 6.7 (DX + 4 months)
A1C 5/2010: 6.0 (DX + 8 months)
A1C 8/2010: 5.7 (DX + 11 months)
A1C 11/2010: 5.1 (DX + 14 months)
A1C 9/2011: 5.6 (DX + 2 years)
A1C 7/2012: 5.5 (DX + 2 years 10 months)
Diet: Approximately C:10;P:15;F:75 (as % calories)
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Old 04-05-2012, 19:18   #19
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Quote:
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I've just seen too many cases where when it is truly subjected to troubleshooting, clear causes are found which are not intrinsic to LC/HF eating.
For me it turned out to be not enough salt right at first. Without those salty snacks anymore, my salt intake was quite limited since I don't generally put salt on my meals. It only took a few days of having more salt to clear it up.

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67 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
In ketosis most of the time.
A1C - 5.2% 8/2013
A1C - 5.4% 3/2014
______________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains
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Old 04-05-2012, 21:26   #20
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MrLowT, please let us know how it goes after adding more fat to your diet. IMHO, you should give LCHF a good, honest trial -- a couple weeks at least -- with no caving. Caving = spikes and crashes = feeling terrible. I'm like jwags: high bg (blood glucose) doesn't bother me, low bg doesn't bother me, but rapid changes -- either high to low OR low to high -- make me feel awful.

If LCHF doesn't work for you, you may be one of those folks who would do well on the standard ADA exchange diet. It's too many carbs for me, and I think for most of the people on this board, but it works for some. Have you ever tried it? If so, what were your bg readings while on it?

Re falling through the cracks with your doctors, don't let it happen. Doctors are wonderful paid consultants, but you're in charge of your health. Make repeated appointments, follow up, bug them, hound them, whatever it takes to get answers.

Oh, and did you tell us if you're taking any meds for your suspected diabetes? You do sound insulin resistant, though I'd expect to see higher bg readings.

One more thing (sorry, things just keep popping to mind sort of willy nilly): forget about any excess pounds for now and just focus on feeling better. You can tweak your diet to include weight loss after making changes to help you simply function.

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A1c
11/2011: 8.8
03/2012: 5.6
08/2012: 5.9
09/2013: 6.0

Diabetes meds
Metformin 500mg BID
Sitagliptin 50mg QD

Diet
Low-ish carb (~90-150g per day)
Low-ish calorie (always below 2000, except for vacations )

Exercise
Ummm . . . it's supposed to be cardio and weights three times a week, but I'm not so good at this.
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