My FBG is not improving

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My FBG is not improving


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Old 12-14-2013, 11:28   #1
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Default My FBG is not improving

Greetings

When I started LCHF 12 days ago, my FBG improved quickly, from 180 to 130 in the first week. But the improvement just stopped. The FBG is now stuck for the last five days. I have no clue why! even though my carb intake now is lower in the last 5 days, compared to the first week. Here is my progress so far:


First week:
========
date/Yesterday's Carb>Today's FBG
2013-12-02 700>178
2013-12-04 236>167
2013-12-07 140>148
2013-12-08 40>140
2013-12-09 45>131

The next 5 days:
===========
date/Yesterday's Carb>Today's FBG
2013-12-10 24>134
2013-12-11 49>124
2013-12-12 50>142
2013-12-13 74>132
2013-12-14 79>133

Please help me understand why my FBG is not improving now, even though my carb intake is less than that of the first week. The improvement stopped the day I reduced my carb to 24. Since that day, its either going up or stuck around 130's..

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Last edited by solom; 12-14-2013 at 11:30.
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Old 12-14-2013, 11:44   #2
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It's not stuck, it just needs time. Look at how amazing that drop is, compared to the first week. You've started to get it down so nicely in such a short time. I would just keep doing what you're doing - cutting carbs, and it will get to a level where it should be. You're doing a fantastic job! Just give it some more time.

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Old 12-14-2013, 11:52   #3
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When I started LCHF I just dropped right down to 30 grams of Total carbs per day and my macros were 70% Fat, 20% Protein, and 10% or less carbs (but no more than 30 grams per day).

I understand that you are concerned about nutrition, and it was very hard to not be able to have more than one or two small salads a day with only very low glycemic vegetables. But, this is what I had to do to get my blood sugars where I personally wanted them to be. I learned to take supplements for extra dietary needs. It's just my diabetic reality.

In retrospect, since my blood sugar was extraordinarily high (317 fasting), I probably should have decreased gradually, but, thankfully, I had no ill affect.

Also, I understand that you are following the advice of bloodsugar101 for under 3 weeks which allows you much higher protein for those first few weeks. I would say, take those 3 weeks and continue to do what you are doing. After those 3 weeks when your protein intake goes back to normal, see how you do with the new changes; if you find your fasting numbers to be unacceptable, you have a decision to make. Either you do what is best for your blood sugar in lowering your carb intake further, perhaps increasing your fat intake and take supplements to ensure you get adequate nutrition, or you go the medication route for further help and see if that works to lower your fasting.

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Old 12-14-2013, 17:20   #4
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But when my carb intake is less than 50g, the next day I wake up with a bad taste in my throat. This doesn't happen when my carbs are more than 50g. I heard the bad taste goes away after a couple of days, but that doesn't seem to be the case with me..

What do you do about that bad taste? or is it just me?

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Last edited by solom; 12-14-2013 at 17:23.
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Old 12-14-2013, 17:27   #5
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Brush teeth, gargle with mouth wash, don't kiss nobody before. Beats nurses talking about how nice your breath was in operating and recovery room after having an appendage amputated.

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Old 12-14-2013, 17:27   #6
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Quote:
Originally Posted by solom View Post
But when my carb intake is less than 50g, the next day I wake up with a bad taste in my throat. This doesn't happen when my carbs are more than 50g. I heard the bad taste goes away after a couple of days, but that doesn't seem to be the case with me.. What do you do about that bad taste? or is it just me?
The first few weeks on the ketogenic diet does give one a sort of metallic taste in the mouth. Do be patient. This should clear up. I would take it as a positive sign that the diet is working. If you feel that it clears up at over 50 grams of carbs, then it may be that you are not in ketosis above 50 and should try to stay under that amount, not above it.

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Old 12-14-2013, 17:46   #7
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Nothing in the mouth. My bad taste is in my throat. Its not metallic, its a greasy taste, as if you've just swallowed a pound of fat! Is it perhaps because I eat my dinner very late just before sleeping?

Also it just so happens that in my first week I was losing weight great. 5kg in the first week. Then it all stopped. For 5 days I didn't lose a thing..
Isn't that weird?

If you want to lose weight, do you have to watch your calorie intake too, not just carb/fat/protein?

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Old 12-14-2013, 18:23   #8
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Originally Posted by solom View Post
Nothing in the mouth. My bad taste is in my throat. Its not metallic, its a greasy taste, as if you've just swallowed a pound of fat! Is it perhaps because I eat my dinner very late just before sleeping?

Also it just so happens that in my first week I was losing weight great. 5kg in the first week. Then it all stopped. For 5 days I didn't lose a thing..
Isn't that weird?

If you want to lose weight, do you have to watch your calorie intake too, not just carb/fat/protein?
One of the complications of diabetes is gastroparesis, the delayed emptying of the stomach. I have this, although it is much better. It is recommended that you do not eat 4 hours before you go to bed. This is difficult, at first, but doing so also encourages weight loss as the body has time to process what you have eaten. In sleep, everything slows down even further. So, yes, it could be that you eat late at night. That would certainly affect everything with me, including my fasting numbers. I cannot tell you why there is a difference in the taste in your mouth with higher carbohydrates than with lower, however, with any certainty. All that I do know is that our diabetic bodies cannot process carbohydrates effectively, to put it mildly. It is something we must accept. This is difficult, at first, and then there is freedom; freedom from high blood sugar, freedom from obesity, freedom from neuropathy, and the freedom to live a healthy and normal life. I wish you a life a freedom, my friend, even freedom from medication, if at all possible. However, in the event that you would need something like Metformin (Glucophage), it is nothing to be ashamed of. It is the most benign of all diabetes medications and can even have some benefits. Many non-diabetics take it for weight loss, and some use it as an anti-aging drug. You can't go wrong, and it could be that, in time, like many of us, you take it only for a short while, until you have your blood sugars where you personally want them.

You are still only in the beginning stages of your diabetes management. You still have extra glycogen in your liver and in your muscles. With this way of eating (woe), these will soon diminish and you will have better control of your blood sugar. I expect to hear good reports from you in the coming months.

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Last edited by Bree; 12-14-2013 at 18:26.
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Old 12-14-2013, 18:50   #9
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Bree, Thanks for the tip. I'll try not to eat late at night before sleeping.

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Old 12-14-2013, 18:58   #10
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Quote:
Originally Posted by solom View Post

If you want to lose weight, do you have to watch your calorie intake too, not just carb/fat/protein?

This is a topic where there are many opinions. I can only tell you of my personal experience and belief.

I do believe that, in the beginning, and until your metabolism increases with the ketogenic diet, that calories should be watched. For the majority of people who begin this diet, they soon find that their appetite decreases significantly. I was not one of those people. Perhaps because upon diagnosis, my triglycerides were very high. There is a recent post of a study which suggests that increased triglycerides cause leptin (hormone that causes the body to know when they are satisfied with food) to not be able to pass the blood brain barrier. This makes a lot of sense. In such people, initial control of calories is wise until this problem is generally corrected.

It's been 35 weeks that I have not deviated from LCHF and I no longer have this problem and am able to eat more than twice the amount of calories with the proper macros with no weight gain, even some weight loss. To me, this is a very great miracle. It would seem that LCHF increases metabolism. That said, if I eat HCLF, I will put on weight very rapidly (even become obese once again), even on very low calories, my blood sugars would be out of control, and I will experience all manner of neuropathy.

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