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The Question
Wed Nov 28 00:11:09 EST 2012

No Carb Diet and Type 1 Diabetes?
Asked By: lindsey577  

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I have type 1 dibetes, and do insulin injections to control my blood sugar. So I've been wondering, if I go on a no carb diet, would I have to take my insulin shots since there would be no carbs to correct? I know I would still need to take my long lasting insulin (Levemir), but what about the other? (I use Novolog) Thanks so much!
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Expert Answers (1)
2012-12-02 13:02:58.0

You ask if a no carb diet would eliminate your need for insulin. That is an interesting question. Firstly, I think it would be virtually impossible to eliminate all carbohydrates from your diet. The diet would be left with protein and fat. Your body would not function as it needs all the food groups. The only fuel your cells including your brain cells, is glucose. If you are not supplying your body with carbohydrates that breakdown into glucose, then your body will produce glucose itself through the process Glucogenesis by breaking down glycogen in the liver. Could your basal long acting insulin handle that, maybe. But this is not a healthy way to supply your body with glucose for any extended time. How are you dosing your rapid acting insulin? Is it a set dosage? Are you carb counting and calculating how much to take before you eat? If you are consuming a strict low carb diet, then be sure you know how much rapid acting insulin you need. The risk of hypoglycemia must be considered.
Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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