insulin dependant diabetic from the age of 5 years old HELP

oreokitty · 08-20-2007, 06:53 AM

I have been a diabetic for most of my life

My whole family is overweight so 8 yeras ago when I became overweight and my sugar controll went crazy I knew I had to make a change
Afetr many diets and no weight loss my Diabetic doc oked teh lap band.

I am two months post op and overall doing ok
I healed great considering how I normally heal due to me being a diabetic.

BUT

I am having a horriable time with running ketones I just had my first fill two weeks ago and the dietian whats me on a max of 1000 cal per day I am normally around 800-900 cal.

The doc says it is normal to run ketones because of burning fat But I feel horriable has anyone else had this same thing being a type one diabetic?

Any ideas of how I can keep my cal down still loose the weight and not feel horriable like I am?

I have lost 47lbs from the two week pre op diet until now so in about 2 and a half months

I am just looking for any thoughts about this .

I would not do anything different I am feeling lots better with the weight being gone.

Thank you

fabfatgrl · 08-20-2007, 07:34 AM

What's your carb intake?? I don't think you want to be on a low carb diet--even though many WLS patients follow one after surgery. Increasing your carbs should help you with the ketones.

oreokitty · 08-20-2007, 08:17 AM

my carbs are extremely low I try to take more carbs but than I do not get my 60-80 protien per day

But the next day or so I am going to keep track of the grams of carbs and see if that helps.

**Jack** · 08-20-2007, 08:41 AM

I'm not Type 1.....

a question I would have in your situation is whether you are in temporary 'ketosis' which IS a normal part of fat burning....or 'ketoacidosis' which is a different condition that requires close monitoring by your physician. Google the terms for clarification.

In the (otherwise 'normal') patients I've treated with dietary modification and 'cleansing routines' many do experience a transient period of discomfort which is typically widely regarded as a temporary toxic overload and part of the detox process.

Cheers and good luck in your journey.

oreokitty · 08-20-2007, 02:55 PM

Jack I am not in ketoacidosis yet

My doc told me that it is normal to run some ketones due to burning fat
But I am feeling bad and having a hard time breathing and feeling just plain whipped.
Any ideas how long this will last or if this is even "normal"?

Years ago I did starve myself went days/weeks withour eating and I was always in the hosptal with ketoacidosis.
I guess this is what I am afraid of I have a family now and I can not go sit in the hospital for days - back then I was able to get out of school:)

I am eating and drinking lots so I am not starving myself for sure I range from 800 cal to 900 cal per day
That should be enough to stay out of ketoacidosis.

**Jack** · 08-20-2007, 06:47 PM

My next concerns would be around the question of just where IS your nutrition coming from? You are no doubt very aware of the variety of caloric and 'glycemic index' issues.....

Since diabetics have difficulty in converting sugars as well as fats to energy, I wouldn't be surprised if 'lack of energy' were a prominent symptom. I certainly wouldn't want to second guess your PCP. When I was a full-on Type 2 it always surprised me how lethargic and crappy I could feel in spite of 'eating right'...

I *believe* much of my post-insulin preBand life I was running on plain simple carbs which of course intensified the other aspects of the problem.

I really have little experience with Type 1 and will restrain my comments because of that. Nearly everything I had 'learned' about diabetes prior to becoming one, was simply inadequate in the face of my own daily experience. And my PCP/diabetic educator were content to ignore obvious inconsistencies and simply try to stampede me into the standard model, which strangely enough, was inadequate for my own situation.

Have other possibilities such as infectious issues, been ruled out?
Such as mono, lime disease, liver congestion, etc etc...what are your blood values on the chem-screen? Have you been like this before, or is this a whole new experience? Do you fluctuate in your misery or is it a more constant state? Are there other meds that might influence how your feel?

etc....

cheers....always....

WASaBubbleButt · 08-20-2007, 07:46 PM

Quote:

Originally Posted by oreokitty

Jack I am not in ketoacidosis yet

My doc told me that it is normal to run some ketones due to burning fat
But I am feeling bad and having a hard time breathing and feeling just plain whipped.
Any ideas how long this will last or if this is even "normal"?

Years ago I did starve myself went days/weeks withour eating and I was always in the hosptal with ketoacidosis.
I guess this is what I am afraid of I have a family now and I can not go sit in the hospital for days - back then I was able to get out of school:)

I am eating and drinking lots so I am not starving myself for sure I range from 800 cal to 900 cal per day
That should be enough to stay out of ketoacidosis.

You might want to talk to your doc about adding TUMS to your diet. Yep, plain old Calcium Carbonate, two regular strength TUMS twice daily for 10 out of every 30 days.

It balances out the acids caused by burning fat/creating keytones. It really does make you feel better.

oreokitty · 08-21-2007, 07:45 AM

I really think I am eating half way healthy
I daily meals are like this
Pure protien bar
3oz of ham and cheese or a healthy choice or smart one
pure protien bar
4oz of turkey and cheese and veggie

I am not getting a big varity of food in but it is all high in protien
my carbs yesterday was 67g I would think that would be enough

How I feel comes and goes sience my fill two weeks ago I have felt more crappy than before. my fill.

I wish I could go in to see my doc but right now I can only talk over the phone and not staight to him I leave a message with a nurse and they talk to the doc and they call me back NOT the best idea of communacation.

I already take tums everyday due to heart burn that I have always had.
I am hoping once I loose more weight that will go away

fabfatgrl · 08-21-2007, 08:02 AM

Quote:

Originally Posted by oreokitty

I am not getting a big varity of food in but it is all high in protien
my carbs yesterday was 67g I would think that would be enough

67 is low. See if you can add 10 carbs per day and see if that helps. I don't see much fiber at all in your diet, so maybe add a piece of fruit or some beans (carbs+protein). I vaguely recall reading that 100 g/day was needed to avoid ketosis... but I would just add gradually and see how you feel. So next week, try eating 75 g/day and see how you feel... if not better, up it to 80 g the following week, etc.

Does your physician's practice have a nutritionist? If so, why not consult with him/her?