Thank you Jessica for a great presentation and for all your work and dedication to elucidating the world of T1D and low to very low carb diets. Given that study with 16 participants in which nutritional ketosis was transient or not present, I am guessing that sodium intake was not thought to be that relevant to the outcomes. I do recall a study by Dr Brinkworth and others where lower carb intakes in those with T2D and obesity were assessed regarding physiological wellness compared to those on higher carb intakes but that sodium content did not appear to be specifically addressed - thinking that symptoms of low body sodium would not help one's psychological status ! Stress after all can affect bsls ! Another thought, back to your study is, could a putative reduction in vitamin D status during lockdown have influenced the outcomes? My thought for future studies is varying the amount and type of fat consumed during a very low carb study. I found that for my very low carb diet at 57 years with T1D that when I increased butter intake (added to coffee and my 2 meals per day) that I reached a point of insulin resistance (or lack of insulin sensitivity) which I could not otherwise account for. Maybe the level of tolerance is an individual thing and I propose to use olive oil in increasing doses as my next experiment! The other quirk is that to exercise (medium pace walking for 1 hour) during time when only my long-acting insulin is on board I have to actually take some quick-acting insulin say, intramuscularly, beforehand to prevent a reactive hyperglycaemia during or after that exercise.. The same exercise up to 3 hours after a meal (so with basal and mealtime insulin , Actrapid and a touch of Novorapid on board) I have to either start taking some extra carbs at beginning of exercise or drop the Actrapid and Novorapid doses to prevent hypoglycaemia. Basal testing with Levemir, low doses taken at 8am, 12 md, and 1/2 doses 12 mn and 4 am - for the Dawn phenomenon - produces a steady level within 3.8.to 6.7 mmol/l (my preferred range). Finally, What about a carnivore diet and T1D study? One could also add in 'challenge' doses of plant lectins to see what effect, if any, occurred.
I’ve been T1D for 41 years and I just here in disbelief that you need to do all this work to prove the bleeding obvious… that carbs are a toxin for people like me and the consumption of any carbs is a very bad idea…. I follow the carnivore diet as that is what works for me (N=1 and all that)… but doing this all health markers have improvised any my HbA1C has dropped from over 9% to 5.2% currently… and I know I can get it lower…. And yes, the diabetes people and doctors all ‘shit the bed’ about how I approach things… but I just couldn’t care less about what they think….
