Type 2 to Type 1 Keto diet not losing

tammycullers
tammycullers Posts: 4 Member
edited November 2024 in Introduce Yourself
Hi everyone. I was diagnosed with type 2 about 20 years ago. I have been on many medications without steady control. About 4 months ago, I went into diabetic ketoacidosis. At that time I was told my pancreas is dead and was to be treated as a type 1. I was taken off all my oral medications and am on Lantus and Nova log. I started the keto diet as I have gained 40 ,lbs. I've checked and double checked my macros and still have not lost anything. I do not know what I'm doing wrong. Please help.

Replies

  • kgeyser
    kgeyser Posts: 22,505 Member
    How long have you been trying to lose weight? What is your calorie intake and stats (age, height, weight, activity level)?
  • tammycullers
    tammycullers Posts: 4 Member
    I have struggled with my weight all my life. I have lots of health issues. I currently weigh 220. I'm 5'7 and 54 years old. Cal 1230, carbs 15, protein 63 and fats like 117.
  • kgeyser
    kgeyser Posts: 22,505 Member
    How are you measuring calorie intake? At that height and weight, you should easily be losing on 1230, so I am wondering if it's simply a miscalculation of intake. How long have you been actively trying to lose this time and not seeing scale movement?
  • tammycullers
    tammycullers Posts: 4 Member
    About 3 weeks
  • concordancia
    concordancia Posts: 5,320 Member
    How are your blood sugar levels?
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    Diet has absolutely nothing to do with it. Type 2 does not "become" type 1. These are 2 completely different diseases with 2 completely different pathways. You were just misdiagnosed at first. It sounds like you have LADA, which is adult-onset type 1. It is commonly misdiagnosed as type 2 and is a very slow onset compared with type 1 as a child. There is nothing you could do to stop from getting type 1 and it is not because of your weight.

    Are your BG levels stable? What are your macro goals?
  • kgeyser
    kgeyser Posts: 22,505 Member
    About 3 weeks

    Three weeks seems like a lot, but I would double check your logging (are you weighing food on a food scale and measuring liquids?) and if that looks ok, give it more time. Things like hormone fluctuations can mask weight loss, and your body could still be adjusting to changes in your medical treatment.

    If you are not weighing your food, your logging could be off and that could be the culprit. 1230 also seems really low for your stats - did you put in to lose 2 lbs per week? Try starting with a 1 lb per week goal, you'll be able to eat a little more and it will be easier for staying within your calorie goal.
  • tammycullers
    tammycullers Posts: 4 Member
    I need to start weighing everything. I also have hypothyroid and don't metabolize protein well. I'm thinking about getting l-thyrosine?
  • amandainkc563
    amandainkc563 Posts: 2 Member
    "It sounds like you have LADA, which is adult-onset type 1" -- LADA is still type 1 diabetes (Autoimmune). Type 2 diabetics can get to a point where they no longer make insulin, but they are still type 2 diabetics. An endo can test to see if you have the antibodies and determine if you are type 1. Type 2 NEVER BECOMES Type 1. I was 40 when I was diagnosed with Type 1, my father was in his 30's and my grandfather in his 20's.
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    "It sounds like you have LADA, which is adult-onset type 1" -- LADA is still type 1 diabetes (Autoimmune). Type 2 diabetics can get to a point where they no longer make insulin, but they are still type 2 diabetics. An endo can test to see if you have the antibodies and determine if you are type 1. Type 2 NEVER BECOMES Type 1. I was 40 when I was diagnosed with Type 1, my father was in his 30's and my grandfather in his 20's.

    This is a necro thread, but I'm going to go ahead and respond in case someone comes back and sees this incorrect information (in bold). Type 2 diabetes is insulin resistance. Type 1's do not make insulin. There is a world of difference between whether one makes insulin and whether they can use insulin with appropriate efficiency. The idea that a type 2 stops making insulin is incorrect.

    Having said that, I'll add that it is entirely possible for a type 1 (someone who does not make insulin) to also have type 2 (insulin resistance). I was one of those for many years until weight loss finally resolved the insulin resistance (type 2). I still do not make insulin because there is no cure for type 1 and I will always have to take exogenous insulin. However, I take a lot less than when I was a "double diabetic" and was resistant to that insulin.
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