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Hi everyone I have had type 1 for 19 years. Recently I have been trying the Paleo diet to help me achieve some health goals that I have. However i have found that when i am on the paleo diet I feel LOUSY and have large ketones when my blood sugar hits like 250. Has any one else expereinced this while trying this diet? It seems like when i don't eat carbs my bloodsugar goes high and stays high. There was one day that I ate 100% paleo and my bs was 220-279 for 12 hours no matter what amount of insulin i put in. Has anyone else expereinced this at all? I know everyone's body is different but just looking for some feedback/advice?

My endo is telling me it's the lack of carbs that my body is responding to.

I would really appreciate any feedback or thoughts anyone has.


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HI! If I don't eat any carbos at meals my blood sugars goes high and it's hard to get it down. My CDE told me to count 1 ounce of protein as 5 grams of carbohydrate. It worked, sometimes it was a little bit to much. But I'd play around with it. Do you count the carbs in your veggies?

Hi Lex thank you for your input yes I do count both protein and the carbs in my veggies. It seems that my blood sugar won't go down until i have grains. I don't really understand it and was a little disappointed because I know this diet has really worked for many people with type 1.

I can understand your frustration. I've been Paleo since September 2012 and have had many ups and downs with blood sugars and low energy. I'm actually about to start adding in gluten free grains. I like to view the Paleo lifestyle as a stepping stone to health. If you have to add some gluten-free grains it might actually help you out. Paleo isn't a one size fit all and I had to wrap my head around that.How long have you been Paleo? Here's are a few Registered Dietitians that might be able to point you in the right direction. or
I hope this helps! Good luck in your journey

This is just a guess, but some of the ups and downs may be due to what Dr. Bernstein calls "The Chinese Restuarant Effect." In short, it states that when you eat a relatively large quantity of food, even if it contains no fast-acting carbs, the stretching of the intestinal wall to accommodate that food signals a non-diabetic's pancreas to secret insulin, to deal with the carbs the body is expecting, and glucagon, to balance the blood sugar when fast-acting carbs do not arrive.

In a Type 1's body, of course, no insulin is released, but the body doesn't seem to know that, and releases the glucagon anyway. Thus, sky rocketing blood sugars. The example used in the book is of a woman who eats a head of lettuce (10 carbs, but a large volume of food with a lot of fiber) and ends up with a blood glucose level of 300 mg/dl.

So I'm guessing that if you are feeling hungry all the time on a Paleo diet, you may be eating large amounts of veggies and protein to make up for feeling low on energy.

Personally, I've had a lot of luck with Paleo, but I tend to eat small amounts of food every 2-4 hours.

In regards to the ketones, does it only happen when your blood sugar is high? Ketones are also present in urine when one is on a very low carb diet. If you've never tested for ketones when your numbers are within range, try it; it may solve that mystery.




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