I am T2 and on metformin only. Before I started the LCHF, I was in the 200's and 300's almost every time I checked. Within about a week after starting LCHF, all my numbers were in the mid to high 100's. I am 4 months into a reasonably strict LCHF diet and my 30-day average is 117. My "soft" goal for carbs is 20 per day, and my "hard" goal is 29. I meet the "soft" goal almost every day now. When I first started the LCHF, my carb goal was 50, and I found that I seemed well suited to the way of eating. The glucose numbers really seemed to respond to the lower carbs. I was losing weight and felt good.

My counsel - bearing in mind that I am a novice at all this relatively speaking, and I am not a medical professional, etc. is that you should lower the carbs. Keep track of your numbers. Consult your doctor if you think the glucose levels are getting too low and let him/her adjust the meds.

Eating low carb will dramatically affect you're blood sugar numbers which is a good thing I would suggest talking to your Dr about your new and improved ( )numbers, to see how about lowering your insulin. I went from taking Januvia, Actos, and Metformin to just Metformin in a couple of months with this way of eating. My A1C dropped from 7.8 to 5.1 since last May and my sugars usually stay around 80-100. This way of eating is the best way to manage and control diabetes in my opinion. Good luck and keto on!

Well, @Scorpiotwin I think you can see there are more than a few diabetic/IR people in this group. I will just add something Dr Mark Hyman said which seems appropriate which is when we are prescribed all these meds, it isn't because we are insulin deficient (unless you are T1), metformin deficient, januvia deficient, statin deficient, etc. There is an underlying issue causing a symptom which is treated by these drugs. Doesn't it make FAR more sense to treat the underlying issue rather than just the symptom?

By lowering your carbs (and 100g/day is a good start), you have seen you have started improving the underlying cause of the symptom. If the symptom reduces, the need for meds reduces. This is a good thing. I have gone from T2 to pre-diabetic without any meds. I took metformin for about 6 weeks before deciding I was going to beat this without any meds.

Everyone will respond to a different degree, but it sounds like you are already responding very favorably to the lower carbs. If you truly want to be healthy, stay the course with the lower carbs and keep track of how your BG progresses.

I think you will find you will begin to feel better. As this happens, if your BG is still not in the normal range (70-100 fasting, A1c below 5.5) without meds, you may decide to lower them more. I started with lower carbs like you. I now at am keto levels (under 20) without even trying. I have found foods I love and a way of eating that has lowered not only my BG, but my inflammation markers, triglycerides, stopped my snoring, made my wife happy because flatulence has all but disappeared, stopped the bloated feeling I didn't even realize I had until it was gone, etc.

The benefits of dumping sugar and processed carbs (bread, crackers, pasta....anything that has an ingredient that starts with the word "enriched"), will do wonders for how you feel in so many ways you won't believe it. It may not happen immediately. For me, it was when I decided to eat some of that and realized the way I felt afterwards was what I used to consider normal. With my new normal way of feeling, it was very easy for me to decide it just is not worth going back to eating that carbage.

Sunny_Bunny_ wrote: »

You know what else i find weird?
Whenever it's a T2 person, there's always the advice to talk to the doctor about lowering insulin. It's always a fixed dose on a fixed schedule. And any changes have to go through the doctor.
For a T1D, even as children, they are taught how to adjust their dosing on their own. Every single day may be a completely different amount from the day before and there's no phone call to the doctor. Even adjustments to long acting are fine that way. They tell you, "start here" and adjust based on your morning blood sugars.
The lack of patient empowerment by doctors in the T2D community is sad. They truly seem to make it all so glib and as if you aren't in control.
Sorry, this subject struck a nerve. Lol

I'm T2 and my doc empowered me to adjust my own insulin. I wasn't aware that other T2s prescribed insulin were not provided with the same type of support, not really sure how someone could take the same amount of bolus insulin every day. However, if they're just taking basal insulin, it would make more sense for that to be more of a steady routine.

But if you're referring to advice in forums like this, I think it's wise for everyone to hedge prescription recommendations with "but please discuss with your doc as what worked for me may not work for you." None of us are medical professionals with a full medical history from our peers here in the group, so we're not qualified to give medical advice, so we should be careful in the way we offer our opinions.

To the OP, I was taking 310 units of insulin a day just over a year ago. In my first 30 days, I got down to 20 units a day. About 4-5 months in, I was off insulin all together and I've been a diabetic for 11 years. Just sharing so you know it is possible to take back control of your body and your life. I know how challenging and frustrating it can be to be insulin dependent. It is such a relief to me to feel more in control of my life. It's not easy and I continue to fight and struggle every day when I'm faced with food temptations, but knowing how far I've come gives me the strength to stay away from carbs.

Sunny_Bunny_ wrote: »

I just wanted to add, contrary to what most doctors and diabetes web sources tell you, you are not doomed to a life of taking ever increasing doses of insulin and medications. You are not doomed to all of the chronic diseases associated with diabetes. You are not doomed to a condition they describe as a "progressive disease".
It's only progressive if you treat it with the ADA diet and big pharmas medications.
You already have evidence that what you eat is more powerful on your blood sugar in positive ways than the meds have proven to be. If you can achieve normal blood sugars without high doses and possibly without meds at all in the near future, then why do anything else?
My daughter is Type 1. Shortly after her diagnosis she would feel low blood sugars starting at 180 because she was so used to being over 300. She had every symptom of low blood sugar at that high level. She had to learn not to treat blood sugar with carbs unless it truly was low. Now, she only treats for blood sugar under 75 unless she has active fast acting insulin on board. But thats almost never an issue because even as a T1D, eating keto makes it possible for her to get by mostly on long acting insulin. She went from using about 150 units fast acting in addition to the long acting every day to less than 30 units fast and mostly managing with the long acting.
Her doctors and nurses want her eating carbs at every meal and 3 snacks a day just so she can take more insulin, but there's no reason to do that. You only need insulin for what you eat. If you don't eat all their carbs, you don't need all the insulin and your body can finally heal the insulin resistance. Exposure to high insulin is after all the cause of it. So how can it ever get better if the insulin never gets lowered?
My daughter developed insulin resistance within her first year after diagnosis taking all the insulin they told her to cover the carbs she was eating. Their advice made her insulin resistant. She would've been doomed to all the complications that go with it if she kept following their advice.

So true! I have a bit of reactive hypoglycemia, so my BG falls very quickly within a couple of hours of eating. When I did an oral glucose tolerance test, my BG hit 170 within an hour, but by the second hour my BG had fallen to about 80 which was lower than where I started. I felt horrible, but I was not actually low. In fact, that 80 was pretty good but the fall from 170 to just below an 80 in under an hour felt horrible!

For me, it's the fast fall of BG levels that made me feel hypo (cold sweats, shakes, mild brain fog, weak) but I was not ever actually hypo.

On the bright side, the less I rely on carbs for fuel, the less frequently that happened. A low carb diet can help even out those highs and lows. Now my BG stays between 80 and 110 almost all of the time.

I hope you're testing obsessively as you go through this transition...

I never started insulin, but I take the full 2000mg of Glucophage XR (brand metformin). Combined with LC, it does the trick for me (thank god!).

Still, I had no ability to predict my BG on the basis of how I felt. The first month or so, I could be as far as 40 points off when I guessed at my BG level. Now, the patterns are more predictable, but I'm often wrong.

Bottom line - There's no substitute for knowing how you're doing, if you want to know how you're doing!

Glad you're able to lower your insulin! Sounds like you're making great progress.