This is a monthly update on my glycemic management of type 1 diabetes (T1DM) using Humalog and Lantus insulin injections with resistance exercise and a ketogenic whole-food diet as described in my book, The Ketogenic Diet for Type 1 Diabetes also available on Amazon in print. My other book, Conquer Type 2 Diabetes with a Ketogenic Diet, is also available on Amazon in print. I would appreciate anyone who has read and benefited from either of these books to leave a review on Amazon. The number and ratings of the reviews are used by Amazon to order the search results when people are looking for books on diabetes.
I now also offer online coaching for those who need some individual attention in optimizing their glycemic control for either type 1 or type 2 diabetes and/or weight management. See the Coaching page for more info.
March 2019 was an interesting month. Having reduced my body weight from 75 kg to 65 kg over the past six months, this past month I suddenly developed symptoms of excessive calorie restriction and/or excessively lean body composition. These symptoms included feeling cold, generalized fatigue, lack of desire to exercise, hunger, and frequent thoughts of food. Fortunately, it did not take long to recognize the cause of the symptoms and take corrective action. I progressively increased my daily caloric intake from 1900 kcal/day to 2700 kcal/day over about a 7 day period. The cold feeling resolved first, followed by my energy level and desire to exercise, and finally the feeling of hunger and thoughts about food ceased. My weight increased pretty quickly as well and went beyond my goal of 67 kg which is the olympic weightlifting weight class I would like to compete in at some point in the future. My weight has peaked and stabilized at 69.9 kg. I am now slowly reducing my caloric intake and adjusting my insulin doses to try and get back to 67 kg more slowly without the return of any symptoms. My current daily calorie intake is 2300 kcal/day.
Glycemic Results For March 2019
The table below shows my mean blood glucose (BG), standard deviation (SD), and coefficient of variation (CV), and mean insulin dose totals and body weight for March 2019.
The table below shows the percentage of BG values in the indicated ranges of low, goal, and high values for March 2019.
The graphs below show all of the daily insulin dose totals and all of the BG readings for March 2019.
You can see I have not met my BG goals. I am aiming for a lower BG SD, fewer BG values < 71 mg/dl, and fewer BG values > 120 mg/dl. I think the fluctuating caloric intake, body weight, and travel made my BG management more challenging. I hope that this will improve in April. Seems my goals are just out of reach each month for one reason or another. However, I will not be deterred. I will keep trying until I get it right. You can probably guess the dates of my travel from the BG graph above. If you want to guess the dates, you can leave a comment. Hint: it was a 5-day trip. Travel has always been challenging for my BG management, but this too I want to conquer.
My goal for April 2019 is to find the correct caloric intake to bring my body weight down to 67 kg, and this will likely require some slight reduction in insulin doses. Because I am eating the same breakfast and dinner everyday, I am not really “counting calories” in the usual sense of the term. I am simply using calories as a measure of food quantity. Keeping each meal constant allows me to identify a bolus insulin dose that will hopefully result in a post-meal BG in my desired target range. In April, I hope to improve my BG variability i.e. BG standard deviation and % of BG values in my target range of 71 – 120 mg/dl. Till next time ….