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Can Non-medicated People On Low Carb/ Limited Calorie Intake Get Too Low Bg?

A DiabetesTeam Member asked a question 💭
Annapolis, MD

Once or twice, over the past 2 months, I felt light-headed and unwell. I took my bg and had numbers in the low 60's. What does this mean and is it healthy and normal? Is it simply a matter of my body adjusting to my new 1500 calorie/50-70 carbs eating regimen? Before making these changes, I ate a steady supply (over-abundance) of calories, fats and carbs and so never felt light-headed. Also, often I can't eat the full 1500 calories without exceeding my carb and cholesterol limits, so sometimes… read more

December 6, 2022 (edited)
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A DiabetesTeam Member

Fatty liver impairs liver function and since the liver stores/releases sugar there would certainly be an effect

Additionally, it is "likely" that you have some excess fat around your other organs and if the pancreas is also impaired that would mess with insulin production

There is a couple of good studies out there that looked at showing "normalization of blood sugar" in those with fat around the organs and found that upwards of 30% of Type 2's actually have (at least excess) fat around the liver and pancreas and if they normalized their weight they could return to normal blood sugars without medicating

So anyone with fatty liver that is diabetic or pre-diabetic could significantly improve their blood sugar (or go into remission) if they could simple reduce that organ fat

February 7, 2023
A DiabetesTeam Member

Hi @A DiabetesTeam Member and all you warriors,
The 2 reactive hypos, (I had 16 months ago) were the result of having too many grapes, the 1st time, and too many cherries the 2nd time a week later, for me (7 was too many). In the 1st 6 months, my highest blood glucose number was 130, once I gained some control. Eating the fruit, fruit for the 1st time in 6 months was the highest carb load I had.

This is some similar to reactive syncope, when things go black, or you even faint from quickly standing.

Yes, our metabolic systems are broken. And although a severe low is unlikely, a mild hypo can happen. Hypos suck.

It depends on several factors, like how you have been eating, and how much energy you expended through exercise. How large are your liver stores of glucogen, and if your liver knows when to open the taps on glucogen to provide needed glucose.

Before being diagnosed diabetic in February 2021, I had hypos and passed out at least 2x when I was in my 10th year. Things went totally black a few other times, but I was still conscious. I learned that I could not go too many hours, without eating.

My missing breakfast that week, led to those hypos. That and walking more than an hour to drop off each of my younger brothers at their separate schools, before heading to, and starting my school day.

I am now still just a baby at 69, and I am always learning. Good luck in your diabetes journey.

I wish for you more good days than bad and have many exceptional days too. Baby steps.

Never give up, never surrender, never ever.
You got this.
Have a wonderful day.

December 6, 2022
A DiabetesTeam Member

Well not sure if this info will help but my daughter who like myself has underactive thyroid and is on medication for it but doesn`t have diabetes of any kind but she also has low blood pressure which the two might be linked but a few times she has felt like you light headed etc and she very well had a low blood sugar which I tested her here when she was visiting which I was shocked to see. When she talked to the nurse about it she told her to try and eat more frequent to prevent her from going low like she did and I gather she is doing that now since she never talked to me about it since but I will say it did scare me somewhat. Maybe you can get your thyroid checked to make sure all is working fine and try eating more often smaller amounts to maintain your blood sugars and hope your pressure also balances out it might be trial and error for awhile till you see what works for you on whatever kind of foods that you are consuming daily but keeping a journal will help.

December 6, 2022 (edited)
A DiabetesTeam Member

@A DiabetesTeam Member Great comments about low carb high fat diet although I’d question the assertion by the medical authorities that high fat knocks off some years of your life. I’d like to see how they come to that conclusion. Like you my genetics are good re cholesterol and triglycerides. When I got my Abdominal Aorta scan the radiologist was astounded that I had no sign of plaque in my veins. She thought I must be on statins which I’m not.

Low blood pressure also runs in my family but unfortunately because we have this politically correct notion in the health industry that no one must feel marginalised therefore those such as me must obey the recommendations of low fat and low salt. This sort of attitude doesn’t help as many people can see right through it and possible lose respect for doctors etc.

February 9, 2023
A DiabetesTeam Member

Yes we can get hypos. I had 2 within a week at 4 months after diagnosis. My A1C had dropped from 13.5 to 4.9.

I test a minimum of 4-6 times a day.
1) Upon waking, fasting blood glucose.
2) 2 hours after my most carb laden meal.
3) Before exercise.
4) Before bed.

If Before exercise is below 120, I adjust with food.
If before bed is below 103, I adjust with food.

I hate hypoglycemic events and would do anything to avoid them. Baby steps.

And never give up, never surrender, never ever.
You got this.
Have a wonderful day.

February 7, 2023

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