I am in the process of removing all grains and most dairy. I am not a crazy Paleo person by any means. I am reading Dr Bernstein and another book called Eat to Live. I think that this may work as a better management technique for me. I currently am jumping into this on an omnipod, with an A1C of 7, a daily carb consumption targeted at around 120 carbs a day by my endo. I am dialing that down to 30-50 targeted with those carbs being veggie based. I am day 3 doing this. First off I am crazy hungry!!! I have NOT decreased my caloric intake at all so that is confusing the heck out of me!!! However my sugar which usually runs around 100-120 all the time has dropped right out the gate to 85-95 all the time. But I am throwing trace keytones? Is this normal? Sorry for the big massive post but very low carb is very new to me.
woops not to say Paleos are crazy but they are REALLY REALLY REALLY into doing Paleo (not to offend if anyone is doing Paleo succesfully)
Releasing ketones (especially right after starting a low carb diet) is normal. This is a process called ketosis or your body is digesting fats and one of the biproducts is a small amount of ketones. If your BG is in normal range than this is not a sign of DKA and you should have nothing to worry about. Sounds like your new diet is doing wonders for your BGs! Congrats.
My son who was recently dx'd type 1 was told by his endo and nutritionist to eat 50-60gms. of carbs per meal. There still is the mindset that a very low carb diet is unhealthy. We decided to follow a low carb approach to bring his bgs down to a safer level. He went from an uncontrolled 9.8 to a 5.3 in about 3 months. Our goal is to keep his levels between 80-90 at all times. It sounds like you are doing terrifically well, right off. I've been following the low carb approach along with my son, although I'm not diabetic. It's actually easier for me because unlike my son I never had strong carb cravings. Perhaps diabetes causes these cravings because the body is starved because it can't properly metabolize glucose. My son is just beginning to get over his craving for the high glycemic carbs. I think if you stick with it you might overcome the "crazy hungry" phase. Increasing the fat in the diet also helps. Even when I wasn't purposely eating very low carb, it was rare that I would eat as much as 50gms. of carbs in a meal. I hope these nutritionists and endos come to their senses.
I started on the Bernstein approach to bring my BGs down and it took about three months for the carb cravings to subside. I really went overboard to start with on his "WASA" thin crackers that he recommends and they satisfied my carb cravings even with the reduced carb count in these. I was easily going through a box of these in less than a week. Now a box lasts me about three weeks. My A1C went down to 5.7 after six weeks and after another three months down to 5.3. I also had to lower the basal levels on my insulin pump. I have learned to make maximum use of my steamer for quick and tasty vegetables and even steam my eggs.
I think you are doing really well and have nothing to worry about. We have a saying -- "YDMV" (Your Diabetes May Vary). Just means that every physiology is distinct, i.e., everyone is different and responds differently to diet, medication, lifestyle, etc.
For instance, Ron said (above) that it took about 3 months for the carb cravings to back off. For me it was more like two weeks. I don't know where that places each of us on the bell curve, but the point is that it does happen. So hang in there -- you're doing great.
In the first three months after I started following Bernstein, my A1c dropped from 7.1 to 5.7. So I think you're also right not to go into this with the endo until you have positive results to show. It's hard to argue with success. Doctors are like everyone else -- they come in all varieties. Some are open minded, some are . . . . uh, otherwise. I have no clue which group yours falls into, but either way, having concrete results to point to will greatly boost your credibility.
For the record, I stay pretty close to Bernstein's target of 30 carbs a day. Don't always hit it on the nose, but usually very close.
T2, Metformin and MDI
That is a good start with 50g of carbs daily. It will help you feel confident. I am lucky that I can certainly tell when I am getting to 70 on my meter so as to not get too low. I got down to 50 as my lowest ever and don't want to do that again...sweating, confused, and generally not able to function well. After a couple of months set your goal down to 40gram per day and then gradually work in down to the next level....30 is not a magic number for everyone. We all react as individuals, so don't kick yourself if 30 is not for you....I have only been at this effort of Bernstein's low carb approach since the second week of July. I even reward myself by rarely giving myself permission to eat 50grams in one meal....but adjust the insulin dose to cover it the best I can.