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    • 13 hours, 10 minutes ago
      Greg Felton likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 13 hours, 42 minutes ago
      ConnieT1D62 likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      One time I was explaining that a new pump would be too expensive at the time because my deductible had just started over.. and she asked if I had insurance and I said yes….. then she said “then it should be free with insurance.” 🤦‍♀️ She may know a little about the challenges of living with diabetes, but she knows nothing about how insurance works or how costly T1D supplies are.
    • 14 hours ago
      Steve Rumble likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 14 hours, 31 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I am an RN. Been going to same doctor for about ten years. Took me six years to train him. I am very well read when it comes to my LADA. He trusts my judgement and gives me excellent parameters to make decisions. Recently had a bad case of Covid. Insulin needs changed dramatically. Getting back to normal but he made sure I had scripts to cover my ups and downs with insulin needs.
    • 14 hours, 32 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Mine acknowledges the struggles and challenges that go along with managing T1D in my daily life. She gives suggestions as to what may or may not help and has often asked me I how I handle situations so she can give suggestions to other T1D patient's.
    • 14 hours, 33 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 14 hours, 58 minutes ago
      Jubin Veera likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      The hard spots are fairly frequent with the pump infusion sets. Especially if I go past 3 days which I try to avoid! I don’t think I ever got one from injections. I try heat and massaging to treat them and they normally go away after a day or so. Once I had a large area that I had to treat with antibiotics.
    • 15 hours ago
      Magnus Hiis likes your comment at
      Have you experienced any symptoms of physical sexual dysfunction as a result of having diabetes, or having diabetes-related complications?
      I’m 79. My last orgasm was springtime about 3 or 4 years ago. When I complained of ED, my PCP Rxd 3 to 5 (60-100 mg) sildenafil tablets by mouth about one hour prior to sexual activity. This alone hasn’t worked to bring me up to former sexual capacity that I had 10 years years ago. I’m still considering consulting finding a doctor who’ll prescribe a safe but effective way of administering testosterone or an anabolic steroid in a dose low enough to avoid causing cardiovascular problems but high enough to restore normal ability that I had up to my sixties. My present doctors say it can’t be done, but there are doctors who advertise otherwise. Analogs of the hormone insulin can be delivered in small safe doses, why not testosterone?
    • 1 day, 6 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      We are all so very different, and trying to say that all of us with T1 understand what it's like for another who has the same hill to climb is unproductive. Having a health care provider with T1 may often be helpful just because there's apt to be more knowledge about the specifics. How we respond to the disease is such a personal matter, that I really don't think there are any guaranteed benefits beyond the grasp of the factual. Finding a doc with the same general attitude about the disease does feel good, and sometimes that's all I hope for after working hard to make peace with the disease for 70 years. Asking my doc to "get it" used to be almost my mantra, but I've come to realize that the ones who don't just see us as unruly childrenchildren
    • 1 day, 7 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Both my endocrinologist and my nurse practitioner are great. They compliment me on the way I take care of my life and health and make aure I get all the supplies I need managing all the paperwork Medicare and insurance requires. My nurse practitioner who works with me on managing the pump has her own opinion about the pump settings based on her technical knowledge which is different than what I do with my settings based on living with them. She has thru the years learned to respect what I do and is surprised with how my settings work. So we are now at peace. Both very supportive.
    • 1 day, 9 hours ago
      pru barry likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 9 hours ago
      mojoseje likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I said yes but that refers to my nurse practitioner who sees me every other visit, if not more often. The doctor may know how hard I try but perhaps takes my efforts for granted.
    • 1 day, 12 hours ago
      Anneyun likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      How can someone without the disease really understand what it is to live with it? I have never had a doctor with T1D in 60 years.
    • 1 day, 12 hours ago
      Bruce Schnitzler likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My endo is young, very empathetic, thorough, always asks for my input, and does research. I am blessed too. have him, and the one before for over 25 yrs.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      lis be likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 1 day, 13 hours ago
      Daniel Bestvater likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 14 hours ago
      TEH likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I have no clue what my T1D health care provider understands about my daily challenges and I don’t know about his daily challenges either. Not sure why I should care as long as I have access to information how to best take care of myself.
    • 1 day, 14 hours ago
      Jeff Marvel likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      Richard Wiener likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Hi Connie, I still have my glass syringe and show it off occasionally. We boiled the needle and syringe every morning and sharpened the needle with a file. I was diagnosed at age 6 in 1963. Life is so different now! Then, my diet was extremely limited as was my exercise. Now, I am very active and eat pretty much as I please. I maintain an A1C in the low 6s (6.2 was my last).
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Connie and Beth, I was diagnosed in Nov 1962, age 10. During the early years I developed lumps and indentations on my upper thighs from my injections. In fact, I was able t o spot other t1 kids in my junior high school based upon the lumps in their upper arms.. (I eventually met up with them and learned that I was correct.) By the time I reached my twenties, these indentations had more or less disappeared, but I still have remnants of the lumps. I wish I could say that the layers of tissue now deposited on my legs disguises them, but they don't. I think the changes in insulin have been responsible for this improvement: the isolation and purification of animal insulins were refined, and then the various human clones were game changers in many ways.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Yes in my upper arms when I was a petite and skinny child in the 1960s with T1D. In those days we used glass syringes with stainless steel 1/2 inch long heavy gauge needles. My mother would jab me in the upper arms, it hurt like the dickens, and I developed several hard nodules. I was diagnosed at age 8 in December 1962 and after the initial two months of her jabbing me in the upper arms, I took over giving my own "shots" and started self injecting via site rotation in my thighs for several years. Eventually the lipohypertrophy in my upper arms resolved and I never injected there again until many years later as an adult on MDI using disposable syringes with very short and fine gauge needle tips. Periodically I would give my tired pin cushion thighs a rest and take a break for a few months or a couple of years and rotate injections in my abdomen or upper arms. Have been using a pump for over 20 years now and rarely use MDI unless I am taking a pump break for a short period of time. Happily, I no longer have lumpy sites.
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    Have you ever followed a particular diet specifically for the purpose of maintaining blood glucose levels?

    Home > LC Polls > Have you ever followed a particular diet specifically for the purpose of maintaining blood glucose levels?
    Previous

    For which of these classic cookout foods do you feel most confident in your ability to maintain comfortable blood glucose levels? Select all that apply and share what works for you in the comments!

    Next

    How much do you think your relatives outside of your immediate family know about T1D? Select all of the statements that you think are true for you.

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    37 Comments

    1. MARIE

      Low carb / high fat diet

      2
      2 years ago Log in to Reply
    2. Larry Martin

      Not a specific diet because using a pump I can eat anything. Things with sugar do not taste good to me so I rarely buy processed dinners and things. I make most everything myself. I eat healthy.

      1
      2 years ago Log in to Reply
    3. Patricia Dalrymple

      Wouldn’t call it a diet so much as a lifestyle choice. While others say types 1 can eat whatever they want as long as they take enough insulin, I don’t want to just keep taking more and more insulin in order to eat whatever I want. I try moderation. I call it either being on the wagon or falling off and getting back on. I too try not to eat too much processed food, stay away from fast food. And for me, exercise is key.

      4
      2 years ago Log in to Reply
    4. Mary Dexter

      I eat half to a third of the carbs my relatives eat, but not as few as Bernstein aficionados eat.

      2
      2 years ago Log in to Reply
    5. Lawrence Stearns

      I followed the American Diabetes Association food exchange program for many years before the insulin pump existed. I measured all of my bread, milk, meat, vegetable exchanges. Now, I carb count. I follow a low fat diet to keep my lipids in check.

      3
      2 years ago Log in to Reply
      1. George Lovelace

        Same as Lawrence Stearns – Best Bgs since 1963

        2 years ago Log in to Reply
      2. cynthia jaworski

        I also used the ADA exchange list, back in 1962. And I weighed everything for a few years. Eventually I was able to judge pretty accurately just by looking at food. CGM was a game-changer, but I still base my food assessments on the exchange list basis. Now I eat fewer bread exchanges than before, although I continue to think of them as bread exchanges.

        2 years ago Log in to Reply
    6. Nevin Bowman

      low carb/high protein

      2 years ago Log in to Reply
    7. Beth Franz

      Very low carb and moderate protein was a game changer for me

      2 years ago Log in to Reply
    8. Sparklee

      Low carb, high fiber, & high healthy fats. Learning to eat less processed foods. This is to keep BG well controlled, weight controlled, & boost brain & overall health.

      2
      2 years ago Log in to Reply
    9. lis be

      I eat relatively low carb (40-60 a day).. mostly vegetables, tofu and fish. lots of cauliflower and lettuce. Sometimes I blow it and add a store made salad dressing into the day.

      2 years ago Log in to Reply
    10. William Bennett

      Dx’d in 1983, when the R/NPH regimen the “exchange diet” system were the standard of treatment. At-home glucose testing was crude relative to current standards, so you needed a dietary system to try to maintain control throughout the day, and the insulins imposed a very restrictive lifestyle due to their slow, somewhat unpredictable onset. After two decades of that regimen, the advent of Lantus-Novolog MDI was like being let out of prison. But even though I no longer had to “eat to the insulin,” carb-avoidance was pretty deeply ingrained–“eat what you like as long as you bolus for it” never quite permeated past “it’s easier not to have ANY” for me. It was really only the advent of CGM that that changed, but even so I tend to avoid carbs. I did do strict Atkins for a while, though I’ve loosened up in recent years. But I think the best guideline for me is “The less insulin you have to take, the easier it is to manage.”

      1
      2 years ago Log in to Reply
    11. Sahran Holiday

      Moderate everything, carbs, protein, nonanimal fats. Very little refined carbs or sugar except some fruit.

      2 years ago Log in to Reply
    12. Yaffa Steubinger

      I eat a high carb/low fat and protein diet, which allows me to use less insulin and keep my A1C low.

      2 years ago Log in to Reply
      1. Annie Wall

        I’m stymied by your diet. How is eating high carbs helping you to use less insulin? I’m now trying to eat far fewer carbs, such as bread, so I don’t need so much insulin. Can you more fully describe your diet? Thanks.

        2
        2 years ago Log in to Reply
    13. ConnieT1D62

      In the beginning the ADA Exchange list because that is all we had in the 1960s and 70s. I was told I to eat what was on my plate whether I was hungry or not, and whether I wanted to or not. And for the most part I did what I was told – BUT – for the most part, it was way too much food and too much insulin for a small active child and teenager of petite stature. I hated meal times because it became such a power struggle between me and the adults in my life as a younger person with T1D.

      In 1981 I learned about carb counting following those guidelines for years. I still make sensible carb-aware choices and now follow, more or less, healthy plant based food choices along the Mediterranean diet guidelines. Lots of fresh close to nature sourced vegetables, seeds, nuts, legumes, whole grains, fresh whole fruits (within reason) with natural fiber; and grass fed lean protein, eggs, dairy products (yogurt, cheeses, butter); nut or seed butters, olive or canola oil. I drink 2 cups of caffeine coffee a day, and plenty of naturally sourced water throughout q 24 hr cycle.

      I am 5 feet tall and weight is stable w/in BMI guidelines for years. TIR is 80 to 88% most days. Not too shabby for someone in their late 60s with a 58.6 year history of living with TID!

      4
      2 years ago Log in to Reply
      1. KarenM6

        Connie!
        That is not shabby at all!! Kudos to you for working and achieving such spectacular numbers. 😀

        2 years ago Log in to Reply
    14. Marla Peaslee

      Well, YES, avoiding sugars……

      2 years ago Log in to Reply
    15. Dave Akers

      When I was first diagnosed T1D 18yrs ago I didn’t know anything. I followed advice of educators while self educating on the side to manage BG. Once I learned more… if I wanted more treats… I learn to adjust. I love my lifestyle and I live it! and I LOVE TO EAT!!!!! So I adapt to it. I no longer adjust my diet to fit my diabetes! 😊

      1
      2 years ago Log in to Reply
      1. Brandon Denson

        I love the model you live by, Dave.

        As we continue to self educate, we become more aware and in tune with ourselves and, most importantly, our body.

        2 years ago Log in to Reply
    16. Christina Trudo

      Much like Connie, when diagnosed in 1962 it was all exchange lists. And pretty important since the means of measuring BG were prehistoric till I was nearly 30. My diet has evolved with technology and nutritional science.

      1
      2 years ago Log in to Reply
    17. Janis Senungetuk

      When I was dx in 1955 the ADA Exchange Diet ruled my life. Mom weighed and measured everything I was allowed/made to eat. It didn’t matter if I wasn’t hungry or had eaten as much as I wanted, I had to clean my plate. Unless I could slip food to Candy, my dog and best buddy, who sat next to my chair at the table, mealtime became a power struggle that has taken many years to overcome.

      2
      2 years ago Log in to Reply
    18. Ceolmhor

      I answered “Other” because I’m not sure what you mean by a “particular” diet. I don’t follow any named diet that has advocates, advertising, and books. I do follow a diet consisting largely of specific meals and snacks that seem to work for me from a diabetic point of view.

      2
      2 years ago Log in to Reply
    19. Pauline M Reynolds

      I suppose counting everything that goes into my mouth could be considered a diet. But I answered “No”.

      2 years ago Log in to Reply
    20. LizB

      I answered “other” because I have adopted a new way of eating but I wouldn’t call it a diet plan. I started it mainly to lose weight and it turns out it has had a great effect on my BG as well. I stopped eating breakfast, which many diabetics know is the hardest meal to cover correctly, and now only eat two meals a day with sometimes a snack. I eat only between the hours of Noon-8pm. I don’t have any restrictions on what I eat during those times as long as they fit into the calories I’ve allotted myself for the day
      I lost 11 pounds in June 2021 doing this. I am not feeling hungry or deprived. I’m eating what I want, no self-imposed “carbs are bad” or “fat is bad” rules. My TDD is much lower, including my basal rates.

      2 years ago Log in to Reply
    21. Patricia Maddix

      I was diagnosed in 1961 and for the first year was treated by my pediatrician. I took only one shot a day of NPH insulin and was told not to eat sugar but otherwise just to eat regularly. I badly needed to gain weight as I became very thin before I was diagnosed. The next year I started going to a diabetes center and the dietary regimen was a prescription from your doctor that specified exactly how many grams of carbohydrate protein and fat you needed for each meal and snack during the day and exactly what time you were to eat it. So for each meal we took a piece of paper with the carbohydrate protein and fat listed at the top and starting with the carbohydrate foods entered them and the amount we wanted to eat and subtracted them out until we got to zero. It was quite a juggling act because if you chose a carbohydrate food that also had too much protein or too much fat you came out in the hole and had to readjust. I was 13 years old and pretty much did this myself but my mother and I worked together and of course most all food was prepared from scratch. All foods were weighed on a diet scale including things like butter oil and salad dressing. I also was given more calories than I really needed because eventually I became overweight and it was a struggle to eat all the food that was recommended especially at breakfast time when I was to eat a large amount of protein equivalent to 3 ounces of meat or other protein foods like eggs cheese peanut butter. I only learned about the exchange system when I went to college and became a dietitian. This was a little simpler plan but back then we didn’t adjust insulin based on the food you were going to eat. You had to eat the same every day. In 1997 I got my first insulin pump and the whole world opened up as far as flexibility of being able to eat more or less and at different times. Now within my calorie needs I eat three balanced meals a day that are pretty similar in nutrient content from day to day but I can be totally flexible for parties and meals out. I eat a balance of carbohydrate protein and healthy fats using the Mediterranean diet as a preferred way of eating. To adjust my meal time bolus insulin I count the carbohydrates. I do not eat large portions of meat or fat as I do not care much for meat and large amounts of fat really interferes with the timing of insulin. I think all of us are probably on a diet of sorts as we have to consciously think every time we put something in our mouth and adjust insulin as necessary. People with out diabetes to not think about these things. Whenever I look at a plate of food the wheels in my brain starts spinning and I start counting carbohydrates. Needless to say even after all these years I do enjoy food particularly good healthy food with lots of fruits and vegetables and I am a gourmet cook. Love to make all kinds of ethnic foods from around the world.

      1
      2 years ago Log in to Reply
    22. Amanda Barras

      Yes, Keto/ Low Carb Diet cuts my insulin needs in half and helps me maintain much tighter control without bs spikes. But, I’m not disciplined enough to follow it all of the time.

      1
      2 years ago Log in to Reply
    23. Karen Mielish-Clausell

      I try to follow the diet but its very hard at times to do

      2 years ago Log in to Reply
    24. Joan Fray

      I just try to do low carb.

      1
      2 years ago Log in to Reply
    25. Ken Raiche

      I’ve been on the Keto diet now for just over 4 months and counting. I love it for a number of reasons the first and most important is the ease of maintaining solid control of my sugar levels. That said this for me won’t be possible if it weren’t for my pump settings and CGM. I notre average anywhere from 17 units per day to a max of 22 units depending on my level of exercise. I rely on my basal rate only throughout the day and of course my Basal IQ to prevent those dreaded lows from happening. I’m a happy camper nah I don’t like camping but I’m happy with the Keto diet. At this point I’m not sure I’m going to jump on the Control IQ band wagon as of yet due to some of the comments I’ve heard or read, time will tell. Apart from that it has also help with my arthritis and skin. I’m not to sure how long I’m going to stay on this diet but for now it’s a go…….👍👍

      1
      2 years ago Log in to Reply
    26. P-O Heidling

      Strict LCHF since 2010. Max 20 gr of carbs every day. 16:8 fasting every day, eating only lunch and dinner. Type 1 diabetic since 1981. Switching to low carb is the best decision I ever made in my life as diabetic.

      3
      2 years ago Log in to Reply
    27. Ernie Richmann

      I avoid food/drinks with added sugar. I am very active and take in around 200g of carbohydrates/day. My bolus insulin is around 25 units/day. I enjoy many vegetables and berries. I start off the day with oatmeal with walnuts, blueberries, strawberries, banana, almond milk, and cinnamon. I like nuts or trail mix for a snack, sometimes a nutrition bar or smoothie for lunch. If I have a lower carb dinner, I may have ice cream after dinner. I walk almost every day, I participate in cycle, TRX, and strength classes at the Y and I do yard work and other kinds of physical labor. I like the bike and hike. I ran more than 40,000 miles during a 20 year period when I ran competitively. I broke 7 vertebrae (5 breaks in my neck) in a bike accident which slowed me down for a few months. I am high energy- keto diet not for me.

      1
      2 years ago Log in to Reply
    28. Molly Jones

      I have not followed specific diets, but I have kept a diet diary for more than a year to try and understand my BG patterns

      2 years ago Log in to Reply
    29. Nicholas Argento

      Not a specific diet, but I try to reduce carbs generally. Limit, not eliminate- I eat about 120-130 grams a day most days but splurge with pizza or pasta. Its just easier to control my BG that way.

      2 years ago Log in to Reply
    30. Beckett Nelson

      I followed keto for a couple years to help with a TBI, but it wasn’t for glucose reasons (although, it did help there too)

      2 years ago Log in to Reply
    31. Wanacure

      In the days before glargine and lispro insulins I had to clumsily rely on NPH once per day and hiking in the Cascades was really challenging. From experience in those days we supplemented food intake by snacking as needed from a least a pound or two bag of “crunchy granola” (trail mix or “gorp”) in addition to reducing NPH and usual exchange diet. Tes-tape urine strips were always sugar free because of intense uphill exercise. Avoiding hypoglycemia was tricky, so always had bedtime snack in addition to afternoon snack and 3 meals.

      2 years ago Log in to Reply
    32. Ashley Ponsford

      I have multiple food allergies so that affects my diet primarly.

      2 years ago Log in to Reply

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