I’ve had Diabetes for nearly 30 years, and while it doesn’t define me, it certainly takes up a lot of my time and energy! I’ve ridden the highs and lows of the glucose roller coaster for years and now, I want to get off! Don’t get me wrong, I’m not saying I don’t want to have Diabetes anymore, (although, really I am but I do have to keep it real), I’m just saying that it’s time I got it under control, once and for all and learn to manage it, instead of it managing me.

This is my journey of trying to achieve tightly controlled glucose levels and an Hba1c within a near normal range. The current health service in the UK recommends a ‘target’ HbA1c of 7.5 % and the ADA recommends similar targets. This target blood glucose level is still higher than that of a non-diabetic and fails to recognize that, with ever developing modern technology lower target levels can be more safely achieved without the constant threat of hypoglycaemia.Patients, upon diagnosis, are given minimal information about an exceedingly complex condition and are advised to control their blood glucose levels but are not given sufficient training and education in order to effectively achieve this. It is only by becoming our own experts that we can move closer to our goals.

Quite by accident, I stumbled on the idea of a ketogenic, low carbohydrate, high fat way of eating. There are multiple peer reviewed trails and studies that prove this is a beneficial diet for people with type 1 diabetes and metabolic syndrome, including obesity, heart disease, high blood pressure and type 2 diabetes.

All diabetics need to monitor their glucose levels carefully when they are keto adapting, as they may need to decrease their medication, either tablets or insulin, due to increased risk of hypoglycaemia – low blood sugar – as their carb intake decreases. And type 1’s, in particular, need to be aware of the difference between nutritional ketosis – a keto adapted state where you burn fat for energy rather than glucose – and diabetic ketoacidosis. The first is completely safe and a natural state – we all burn ketones for fuel during periods of fasting, for example, when we sleep – but the second is uncontrolled and potentially very dangerous and occurs in the absence of insulin.

I’m only 2 months in but this blog is my attempt to chart my progress towards improved health, to document my successes and my failures and also, to keep myself accountable to myself. After all, if I don’t answer to myself, then who do I answer to? This blog is in no way meant to replace advice or recommendations from your health care team.

EDIT: I continued with a ketogenic diet for 6 months and in that time I saw my A1c reduce from 11.3 to 7.7, my insulin requirements dropped by over half. the range of swing between high and low glucose levels narrowed and I hypoed less frequently.  At the present time I am no longer following a keto plan but I still restrict my carbohydrate intake to anywhere between 40-100g’s a day.  I’m not ruling out keto in the future but just not at the moment. 🙂

EDIT TO EDIT: As of today (29/07/14) my A1c is 7.1.
EDIT TO EDITED EDIT: Fast forward 6 months and I’ve definitively worked out that I can’t consume carbohydrates indiscriminately and hope to keep anything resembling near normal glucose levels. So, i’m back to very low carbing and the numbers speak for themselves.


One Response to About

  1. Steffi Lewis says:

    Hi Julie! Well done, you’re blogging! 🙂 x

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