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Weight Loss Forum / Low Carb / March 2004

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went off LC plan, now afraid of being T2...

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Mirek Fidler - 21 Mar 2004 13:10 GMT
Hi,

after 4 months I decided to go off-plan for one day - I planned it for a
long time and deffered it for more than month, but in the end I did it
today. (Just to suggest it was not cheating, I just wanted to have this
experience and even if I am not at my target yet, I am pretty close and
my BMI is already about 24 (down from 29)).

So today I started with slice of bread, 22g of sugar-full candy and then
a couple of unfreezed christmas cookies, then some grapes and
mandarines. I would estimate it to ~100g high GI food.

Then I have gone for usuall morning walk with our dogs - and soon after
started to feel dizzy like being drunk

2 hours later, my hands started to shake a little (but I was not dizzy
anymore).

OK, off-plan is off-plan, so for lunch I had only meal I was really
craving - beans+onions+chicken, with some beer. As soon as during the
lunch, I started sweating a lot and felt really bad. OTOH, it stopped 40
minutes later and now I am OK, just my hands are starting to shake a
little bit again and also some muscles are shaking too.

During 4 months, I think my daily average was about 60g carbs/day.

Actually, now thinking about it, I can remember some of these syndroms
before I started LC, but I did not considered them as something not
normal.

Now some hypothesis of what hapened - I was feeling dizzy in the
begining because after 4 months, my body was not ready to release as
much insulin so  my BG gone up. Also, brain was switching from ketones
to glucose.

2 hours later, insulin was overshoot, so my BG went down (anyway I did
not felt any cravings, so I am not sure this theory is right...).

As for sweating during meal, I believe it can be associated with
suddendly high insulin production (my body perhaps learns quite fast :).
As I am now, things may be somewhat normalized, anyway I really wonder
when I will start craving more food - for me that would be a sign
proving my theories to be right.

So if I am right, I am "only" experiencing metabolic syndrom. I must say
I experienced several hypos before LC, but not too much often.

If I am wrong, then hand-shaking is actually caused by high BG rather
than low - that would indicate T2... not that it would change a lot, but
it might be hard to find a doctor in my counter who would supported me
in treating T2 by LC.

For those suggesting to see a doctor - you are right, I have blood tests
sheduled for june. I will ask for blood glucose and h1bac eventually, or
perhaps GTT.

Well, as for other experiences, I hoped that carb-up might improve my
excersise capacity - but it apparently did not happened - still at 25
pushups, unable to go higher... (but maybe I had to wait longer to
recharge my glycogen stores...)

So this is my story :) I am quite unsure I will be able even to finish
this off-plan day, I want my veggies, fat and protein back! More
important, I want my stable "LC body" back, without sweating, shaking
and feeling dizzy...

Mirek

P.S.: I apologize for my grammar, I was not born in english speaking
country and most of my language knowledge came from reading c.s.
literature :)
Jenny - 21 Mar 2004 13:43 GMT
Mirek,

When you low carb and then reintroduce a lot of carbs suddenly, your body
will be highly insulin resistant. This is true even of normal people. The
effect wears off in 2 days or so.

According to Lyle MacDonald's book, the explanation may have something  to
do with your body not making some enzymes it needs to digest the carbs.  It
starts making them again, and you are fine.

The best approach to carbing up is to go slowly!!  Add 10 grams a day for a
week then add 10 more. If you're impatient, add 20 grams a day more each
week

The feeling you get is probably an insulin surge.  The shakiness also
happens when you get a reactive low after the insulin takes care of things.

That you did so well on a low carb diet suggests that you may have marginal
blood sugar, but I would not panic.
http://www.geocities.com/jenny_the_bean/risk.htm discusses how to test your
own blood and what to look for.
Give yourself a few days of carbing up before you test to let your body
acclimate.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> Hi,
>
[quoted text clipped - 67 lines]
> country and most of my language knowledge came from reading c.s.
> literature :)
Mirek Fidler - 21 Mar 2004 14:15 GMT
> When you low carb and then reintroduce a lot of carbs suddenly, your body
> will be highly insulin resistant. This is true even of normal people. The
[quoted text clipped - 3 lines]
> do with your body not making some enzymes it needs to digest the carbs.  It
> starts making them again, and you are fine.

Well, actually now 2 hours after that "crash" I fell OK again, although
not so good as during LC. So maybe there is some insuline sensitivity
left in my tissues after all, but I definitely experience insulin/blood
swings. Having "LC-stable body" is much better.

> The best approach to carbing up is to go slowly!!  Add 10 grams a day for a
> week then add 10 more. If you're impatient, add 20 grams a day more each
> week

Actually, since the begining I take my LC WOE as kind of experiment too.
So I just needed "more data", and that included "shock" carb-up. Now I
know what happens and will be prepared better next time... So I would
say it really was valuable experience.

> The feeling you get is probably an insulin surge.  The shakiness also
> happens when you get a reactive low after the insulin takes care of things.

OK, that is what I thought. Thank you for calming me down :)

> That you did so well on a low carb diet suggests that you may have marginal
> blood sugar, but I would not panic.

Yes, that is probably true. Last time tested (one year before LC), my BG
was higher, but within that "safe" range.

> http://www.geocities.com/jenny_the_bean/risk.htm discusses how to test your
> own blood and what to look for.

Yes, you excellent page is well known to me. Thank you for doing great
job helping us!

Mirek
Roger Zoul - 21 Mar 2004 15:39 GMT
I think it's wal-mart that sells the inexpensive BG meter and strips.

Checking on your own can help ease your mind....and if you are pre-diabetic
or whatnot, knowing asap is a good idea....

::: When you low carb and then reintroduce a lot of carbs suddenly,
::: your body will be highly insulin resistant. This is true even of
[quoted text clipped - 38 lines]
::
:: Mirek
Mirek Fidler - 21 Mar 2004 20:11 GMT
> I think it's wal-mart that sells the inexpensive BG meter and strips.

No wal-mart around :) I am in Czech republic (central Europe).

> Checking on your own can help ease your mind....and if you are pre-diabetic
> or whatnot, knowing asap is a good idea....

Actually, nothing bad happened since the lunch - after some more bread,
cookies and definitely nonLC amount of high sugar fruits, I feel quite
good. No more sweating and hand-shaking. So I have just panicked as
usuall (last time I thought I have a gout :)

Only difference I can mention right now is that my brain does feel
somewhat different - not as focused as on LC. So perhaps these rumours
about ketones being better fuel for brain are true.

One thing is strange - I expected cravings and they did not come. I
expected water gain and so far my weight if anything lowered. We will
see tommorow - perhaps these "body confusion", "carb-up" and "reversal
diet" theories really work...

Mirek
JC Der Koenig - 21 Mar 2004 20:16 GMT
> We will
> see tommorow - perhaps these "body confusion", "carb-up" and "reversal
> diet" theories really work...

They do for me.
Jenny - 21 Mar 2004 21:19 GMT
Mirek,

I usually see the water weight gain the second and third day.  But it is a
very good idea when you maintain to maintain at the weight with the water
rather than without.  That way you don't make yourself crazy with the daily
fluctuations that happen when you stay right at the edge of the level where
water weight comes back on.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> > I think it's wal-mart that sells the inexpensive BG meter and strips.
>
[quoted text clipped - 19 lines]
>
> Mirek
wilson - 22 Mar 2004 08:52 GMT
Question Jenny,
Why would we *want* to carb up after being low carb for a long time?
Jenny - 22 Mar 2004 16:53 GMT
We would want to carb up after a long time of low carbing because:

1. Long time low carbing depresses the metabolism for some of us. I've run
into this in the past, and it is happening to me again, 1 1/2 years in. If I
don't carb up my metabolisms gets progressively slower.  I recently
completely 2 weeks of eating very low carb at a calorie level that is lower
than my maintenance calories and not only didn't I lose a pound, I ended up
feeling so dead it was not worth it. Dr. Bernstein acknowledges that this is
a problem with long term low carbing and prescribes thyroid medicine for it.
It would be better, I think to avoid taking out your thyroid if your blood
sugar can take a rise.

2. Carbing up to moderate levels after you reach your goal can prevent long
term diet burn-out. You may be enthusiastic about this WOE now, but in 2 or
3 years things change. What you don't want to do is crash off the diet and
regain all the weight--a pattern reported by far too many once-successful
low carbers. Controlled moderate carb-ups can prevent this from happening
for many people.

--
Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes, hba1c
5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> Question Jenny,
> Why would we *want* to carb up after being low carb for a long time?
Ignoramus11750 - 22 Mar 2004 17:02 GMT
> We would want to carb up after a long time of low carbing because:
>
[quoted text clipped - 14 lines]
> low carbers. Controlled moderate carb-ups can prevent this from happening
> for many people.

Jenny, may I ask you, just what is wrong with a slowing down
metabolism. What symptoms of it do you not like?

i
Jenny - 22 Mar 2004 22:00 GMT
Ig,

What symptoms I don't like are these: Over the last thee months I've been
slowly gaining weight while eating at a calorie level that is the same or a
bit lower than what I was eating all last spring when the weight was coming
off and all summer and fall when I was maintaining.

When I tried cutting my calories and carbs back even more for a quite a few
weeks to see if I could knock off the weight, it did not result in any
weight loss but it did result in my feeling like dead dog meat.

My body seems to have decided sometime last winter that it needed to
hibernate to conserve my remaining fat. I'm always falling asleep and
freezing and my skin is drying out too. Classic thyroid symptoms.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> > We would want to carb up after a long time of low carbing because:
> >
[quoted text clipped - 19 lines]
>
> i
Lee - 24 Mar 2004 18:07 GMT
> We would want to carb up after a long time of low carbing because:
>
> 1. Long time low carbing depresses the metabolism for some of us.

When I started lo-carbing, the twenty pounds that I had put on
suddenly for no apparent reason (no one believed me, but then it
turned out this is a common symptom of PCOS, which I have to some
degree) came right off, and I maintained the weight easily for almost
a year.

But pretty much at the one-year anniversary of starting lo-carbing,
five pounds popped back on when I wasn't doing much of anything
different.  Actually, I was hoping I was pregnant and started charting
in FitDay, and I was surprised at how low my caloric intake was, and
in the middle of all this, five extra pounds.

So, Jenny, does carbing up for awhile and then going back low carb
help with this?  I'm on a meat/fat/egg fast right now for the Days of
AF, to see if that will break through the stall......
LCer09 - 24 Mar 2004 18:37 GMT

>But pretty much at the one-year anniversary of starting lo-carbing,
>five pounds popped back on when I wasn't doing much of anything
>different.  Actually, I was hoping I was pregnant and started charting
>in FitDay, and I was surprised at how low my caloric intake was, and
>in the middle of all this, five extra pounds.

In "Permanent Results Without Permanent Dieting" (the Curves book, I see it at
Costco all the time) he has an interesting process to raise your metabolism
through gaining and losing 5 pounds repeatedly. I've seen it work for some
people, you might want to check it out.
Ignoramus26794 - 24 Mar 2004 18:49 GMT
>  
>>But pretty much at the one-year anniversary of starting lo-carbing,
[quoted text clipped - 7 lines]
> through gaining and losing 5 pounds repeatedly. I've seen it work for some
> people, you might want to check it out.

Would it be proper to say that this gaining/losing 5 lbs can be
accomplished by period fasting?

When I fast, I usually lose about 3 lbs if I fast for one whole day (36
hours meal to meal). I suppose that fasting for 2 days could make me
lose 5 lbs. I fast every thursday. I do believe now that it does
improve my insulin sensitivity.

i
LCer09 - 24 Mar 2004 19:24 GMT
>Would it be proper to say that this gaining/losing 5 lbs can be
>accomplished by period fasting?

I don't think so? I wish I still knew where my book was. He has a specific
method of feeding up, and then losing while watching your weight VERY
carefully. (as in EVERY day) Basically it takes you longer and longer to gain
those 5 pounds (with the set amount of higher calories) until you just don't
anymore.

LCing since 12/01/03-
Me- 5'7" 265/219/140
& hubby- 6' 310/238/180
Jenny - 24 Mar 2004 21:05 GMT
Gaining and attempting to lose 5 real pounds would be a very dangerous
strategy for a middle aged woman to try. I have been trying to lose 3 lbs
for the past three months and finding it completely impossible.

When I went off low carb a couple years ago I gained 10 lbs very quickly and
they would not come off at all. Not even with a return to strict low
carbing. I had to stay off low carb for almost a year to get back to where I
could lose weight, and it was probably because I took a drug that helped for
a while that I could lose. But meanwhile all the time I spent when I was fat
with higher than normal blood sugars did a job on my blood pressure that has
not reversed with weight loss.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> >Would it be proper to say that this gaining/losing 5 lbs can be
> >accomplished by period fasting?
[quoted text clipped - 8 lines]
> Me- 5'7" 265/219/140
> & hubby- 6' 310/238/180
JC Der Koenig - 25 Mar 2004 03:44 GMT
You can't lose 3 pounds? You've got to be an idiot.

Signature

Most of us probably aren't in danger of eating too little. :)

Becky P.

> Gaining and attempting to lose 5 real pounds would be a very dangerous
> strategy for a middle aged woman to try. I have been trying to lose 3 lbs
[quoted text clipped - 33 lines]
> > Me- 5'7" 265/219/140
> > & hubby- 6' 310/238/180
Lee - 30 Mar 2004 16:29 GMT
> Gaining and attempting to lose 5 real pounds would be a very dangerous
> strategy for a middle aged woman to try. I have been trying to lose 3 lbs
> for the past three months and finding it completely impossible.

Reporting in on my "Days of Aunt Flo Meat Fast" -- DH and I each lost
4 lbs (though 2 lbs of mine was the weight I'd put on from the GTT, I
think, which may not really count that much).  I think we'll try this
each month and see if we can break through our lowest weight -- we've
both stalled out at a weight that we'd been at for awhile in the past.
Jenny - 24 Mar 2004 21:02 GMT
Lee,

I had hoped that carbing up and keeping calories the same would avoid slow
down, but clearly it hasn't. But even when I carb up, I don't go much over
80g because I try to keep my diabetic blood sugars normal.

In the past when I ran into the same problem after 3 years of low carbing, I
tried super-carbing up (with a diabetes med) and keeping calories low and
put on 10 pounds so fast it wasn't funny.  Then I put on another 10 pounds
and ended up with out of control blood pressure. I don't want to try that
again!

My doctor took one look at me today and said I really did not look like
myself at all, so he ordered a bunch of tests, including Free T3 and some
stuff for the parathyroid (since I've been having a bunch o f bone
problems). I'll know if they showed anything in a week.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> > We would want to carb up after a long time of low carbing because:
> >
[quoted text clipped - 15 lines]
> help with this?  I'm on a meat/fat/egg fast right now for the Days of
> AF, to see if that will break through the stall......
Skinny pre-diabetic-hypoglycemic - 22 Mar 2004 18:50 GMT
>Mirek,
/snip/
>That you did so well on a low carb diet suggests that you may have marginal
>blood sugar, but I would not panic.
>http://www.geocities.com/jenny_the_bean/risk.htm discusses how to test your
>own blood and what to look for.

Here's a list of several kinds of hypoglycemia. It might be good to add
"Relative Hypoglycemia" to your list. I've been confused because I can
be feeling a rush or a crash at the same 'absolute' number, depending on
whether the BG is going up or down.

http://www.hypoglycemia.asn.au/articles/what_is_hypo.html
There are several forms that the hypoglycemic syndrome can take and we
will adopt Dr. Samra's classification;
Type 1, Relative Hypoglycemia. Following ingestion of glucose the blood
sugar level rises unusually high (due to insulin resistance) and then
suddenly drops. The rate of descent should be over 2.6mm/L (45 mg/100mL)
in any hour, or over 1.6mm/l (30mg/100mL) in any 1/2 hour.
Type 2, Absolute Hypoglycemia. This is any blood glucose recorded below
the lower limit of 3.4mm/L (60mg/100mL).
Type 3, Combined Hypoglycemia. This is also known as ‘Reactive
Hypoglycemia’. Here the blood sugar level not only drops suddenly, but
goes below the lower limit.
[snipping the rest]

Skinny --
pre-diab hypo
 
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