Welcome back! I'm glad you got a break from your hours.
Lots of us here have managed our diabetes successfully by eating as little in the way of carbs as possible. You might want to check out the Diet and Nutrition and Recipes subforums for some ideas. Questions are welcome, too.
But is your doctor happy with the results? On what does he base his/her unhappiness? Traditional nutrition?
Carnivore diets are a thing. Low carb and ketogenic diets are a thing (and you're probably in ketosis nearly all the time). There's something to be said for not pumping in so many carbs that you need medication or insulin to counteract them. Meanwhile, recent studies show that the inflammation brought on by high levels of glucose in the body is more of a risk to cardiac and (other) organ health than a possible elevated level of cholesterol.
My practitioner and diabetes "educator" also didn't think much of the idea of my going low-carb to manage my T2. I've converted my practitioner, who considers me a model and says I should teach the rest of her diabetic patients how to keep their A1c low. I tell her that she probably wouldn't like what I have to say to them.
If you're feeling well and your lab markers are good, oh well....
My practitioner kept giving me the standard line about "you're older, you're overweight, you're diabetic, you should be on statins". I finally told her I would accept the Rx from her if I got a cholesterol particle test and failed. I didn't. My cholesterol is the big puffy type that doesn't infiltrate cells like the harder, smaller cholesterol particles most people have. End of statin discussion.
It's just too easy to oversimplify medical care. Turns out that just LDL alone is not a good predictor of cardiovascular disease. There are other measurements which seem to be better predictors. In the meantime, millions of people take statins despite the interactions with other medications and substances and despite the side effects, when, tested appropriately, they wouldn't have been prescribed them at all. sigh
Much is unknown with the keto diet and even less with carnivore. My initial thoughts were that it would lower the ketogenic ratio and possibly kick you out of ketosis, but I haven't done the math. Here is the formula if you don't have it: KR = (0.9 F + 0.46 P) : (C + 0.58 P + 0.1 F), where F is fat in grams, P is protein in grams, C is carbs in grams. Do the math in the data in the parenthesis and then divide the first by the second. Greater than 1 is ketogenic and makes ketosis possible but doesn't necessarily put you there, above a 2 is fairly certain to get most people there, and greater than 4 is the ratio they use to treat epilepsy. Be interesting to see what kind of ratios you come up with. If protein is not excessive, you should be good.
There are some carbs in muscle in the form of stored glycogen, but it shouldn't be much of a contribution to BG. Organ meat, especially liver, would contain more
If you don't mind sharing, what is your HDL/triglyceride ratio? Its probably not listed as a ratio, just divide your HDL number by your trig number. It is a much better indicator of cardio risks. Less than 2 is good, the lower the better.
Are you loosing weight right now? That may explain why your trigs are higher than I expected. Although your HDL is above the minimum for men (>40), a few places are calling 60 or greater ideal for adults without differentiating between women or men. A 2.31 ratio is not too bad, but below 2.0 is ideal for reduced cardiovascular risks.
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