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Can a Type 2 eat too few carbs?

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#1
sweetstar

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A little background.
My last A1C was 5.4, yea me. So, my doctor decided I could stop taking glimerpiride(amaryl).
So, I struggled the first 4 weeks with BG's higher than I wanted. It could have been strips, or
just my body taking its own sweet time.
The last 2 weeks, my BG's are better, ranging from 100 to 135 for most tests.
But, I have been feeling very hungry after lunch and dinner. I cut my carbs by
about 30 carbs a day, mostly after lunch and dinner. I have eliminated all wheat products.
Is it possible I am not eating enough carbs? I am getting my carbs from fruits and veggies.
Any suggestions? You are all so generous with information and your experiences.
Most Recent A1C 1/14 5.6
7/13 5.7
2/13 5.8
9/12 5.8
5/12 5.4
12/11 5.7
7/11 5.7
3/11 5.6
8/10 5.9
11/10 6.2
Diabetes Med
Metformin 1000mg twice a day.

Diagnosed October 1998

I learn something new everyday!!

#2
davepc

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Biologically the body can run fine without a single carbohydrate ever, so the answer in general is no you cant eat too few carbs.

How many calories are you eating per day?
4/12 a1c 6.5 - dx
6/12 a1c 5.9
10/17 a1c 5.8
weight at dx: 304
now (10/17): 210

#3
sweetstar

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I haven't been counting calories.
I would guess right around 2000 which explains why I keep reaching a weight plateau.
I am not a really active person so I probably don't need as many calories as I am consuming.
Most Recent A1C 1/14 5.6
7/13 5.7
2/13 5.8
9/12 5.8
5/12 5.4
12/11 5.7
7/11 5.7
3/11 5.6
8/10 5.9
11/10 6.2
Diabetes Med
Metformin 1000mg twice a day.

Diagnosed October 1998

I learn something new everyday!!

#4
control

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Biologically the body can run fine without a single carbohydrate ever, so the answer in general is no you cant eat too few carbs.

I have to ask where you got that idea from. That is absolutely not true and it's irresponsible to make that assertion. The body needs carbs for certain metabolic functions.

If you even could eliminate carbs completely that means your diet would consist entirely of fat and protein and that would lead to all kinds of other health issues.

#5
Tribbles

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I have to ask where you got that idea from. That is absolutely not true and it's irresponsible to make that assertion. The body needs carbs for certain metabolic functions.

If you even could eliminate carbs completely that means your diet would consist entirely of fat and protein and that would lead to all kinds of other health issues.

if you wanted to eat that diet (ugh) you would get carbs from the protein which can be partially converted to carbs. The body may be able to work without eating any carbs but it absolutely cannot work without carbs at all (see hypoglycemia).

#6
jwags

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You said you cut out 30 carbs a day, so what is your total carb count for each day? There are many of us who eat 20-30 carbs or less most days and do fine. But I found the first few week that I started a LC diet my body kind of rebelled for a month or so and I was hungry between meals. The way you have to deal with less carbs at a meal is to increase the fats as you decrease the carbs. Then as you go into ketosis you will burn fat for energy and your body becomes very efficient. You may still be eating too many carbs to go into ketosis.
HbA1c 5.3 3/11 , HbA1c 5/12 6.1
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily

Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds

Exercise- Tennis - 2 hours/week, Power Walking- 2 miles most days, Hiking in the summer on trails and in the mountains

diagnosed Feb 2007
Age 64

#7
Peggy_TX

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the human body can function absolutely fine without carbs. It needs glucose, which it can create from fat and protein.
Studies were done on eskimos in the 30's, and showed that they existed just fine with 0% carbs for about 9 months/year, and around 10% carbs rest of the time.
Testing done on non-eskimo populations showed that non-eskimos were able to do just the same.

That said, some carbs have great nutritional content and/or fiber. I believe these to be good things for my health and I also enjoy them. Thus I tend to eat "moderate carb," but I have no illusion that carbs are in and of themselves a requirement for the body to function.

You say you cut your diet by 30 carbs. How recently, and how many are you still eating? The hunger could be a "withdrawl" from your prior level of carbs. It's also known that "hunger" is often a false single to the brain that actually indicates THIRST. You might try drinking a big glass of water when you feel hungry, and see if it helps.

Type 2 /Dx: 12-01-10
A1C= 10.2 on 12-01-10
5.6 on 04-10-11
6.1 on 10-06-11
5.8 on 04-28-12
6.2 on 10-29-12
5.7 on 04-26-13
5.7 on 11-05-13

6.0 on 05-20-14

Metformin ER 1000 2x/day
Lisinopril HCTZ 10/12.5mg
Diet: ModCarb (60-80g/day)
Control occasional spikes with insulin (Humalog Kwikpen)


#8
Seagal

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Not in my world:)

Dx. 2003 6.3
2009 - 5.7
2010 - 5.6
2012 - 5.7
2014 - 5.6
VLC - No Meds

#9
sweetstar

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Thanks for some of the suggestions.
I cut out the 30 or so carbs at the beginning of July, so only 2 weeks ago.
I do drink a lot of water, but I will try that to see what happens.
I get some fat, from my protein sources, cheese, meat, and nuts and butter, too.
Is there a set amount of fat we should eat a day?
I am getting my carbs from nuts, fruit and veggies. I eat strawberries, 4 -6, depending on their size, about a cup of cantaloupe, 12 to 15 almonds, and veggies. I eat different veggies each day to get the variety of nutrients. They include broccoli, spinach, green beans, carrots, tomatoes, beets, corn and peas. Less than a cup of 2 of these each day. I would guess I eat about 50 or less most days.
I did eat a banana yesterday and it had little to no affect on my BG.
Most Recent A1C 1/14 5.6
7/13 5.7
2/13 5.8
9/12 5.8
5/12 5.4
12/11 5.7
7/11 5.7
3/11 5.6
8/10 5.9
11/10 6.2
Diabetes Med
Metformin 1000mg twice a day.

Diagnosed October 1998

I learn something new everyday!!

#10
raffi

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Looking at this from a slightly different angle, a very active person could well find that not eating enough carbs to be a problem. It could cause low energy or a massive liver dump of glucose that raises your blood sugar.

As others have pointed out, you do not actually need to take in any carbs to have your body function properly. That said, it is certainly not the most efficient way to operate. If you have a working pancreas, then eating a balanced diet that includes carbs is probably the healthiest way to go. Once you have diabetes, things become a trade off between best nutritionally and best blood sugar wise. At that point, using your blood glucose meter to pick foods that keep you within your goals should override any generic nutrition advice.

#11
jwags

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I know you said you stopped the Glimperide but are you still taking the Janumet? The hunger isssue usually comes up when you are eating too many carbs. i tried to add some fruit back in my diet and the extra carbs did send my bgs higher and those hunger pangs did come back. What usually happens when we eat too many carbs is that the extra get stored as glycogen in the liver. So they are available for liver dumps whenever our liver decides we are hungry or in need of extra energy. This is where some of the hunger pangs come from.
HbA1c 5.3 3/11 , HbA1c 5/12 6.1
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily

Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds

Exercise- Tennis - 2 hours/week, Power Walking- 2 miles most days, Hiking in the summer on trails and in the mountains

diagnosed Feb 2007
Age 64

#12
Tribbles

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Looking at this from a slightly different angle, a very active person could well find that not eating enough carbs to be a problem. It could cause low energy or a massive liver dump of glucose that raises your blood sugar.

For sports it is definitely a problem because of glycogen depletion in the muscles which kills the ability to delivery energy bursts.

#13
sweetstar

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You have all given me things to think about.

Yes, I still take Janumet, but would like to reduce or eliminate the Januvia if I can.

I inputted a composite days worth of food into Fitday. Not sure how accurate it is but might help.

Calories 1143
Fat 72.7
Protein 69.9
Carbs 56.3

I know the ratios are off but this will give you an idea of what I consume.
Calories seem really low but that may be the problem. I thought I was eating more than that.
I forgot to add several slices of American cheese so that would add about 250 calories, protein and fat.

Any way here it is. Thanks everyone for trying to help me
Most Recent A1C 1/14 5.6
7/13 5.7
2/13 5.8
9/12 5.8
5/12 5.4
12/11 5.7
7/11 5.7
3/11 5.6
8/10 5.9
11/10 6.2
Diabetes Med
Metformin 1000mg twice a day.

Diagnosed October 1998

I learn something new everyday!!

#14
davepc

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As long as the data you put in is good (accurate measurements of serving sizes you consumed) then fitday is an excellent and accurate way to track your diet. No food log is 100% exact (Strawberry A might have the listed 6 calories, strawberry B might have 4 or 8 depending on its size or how it grew on the vine) but it can give you very good data.

I would keep your diet the same for a week and log your food for a week, every meal, every day, to get a better picture of what your intake really is. If you can make food logging a habbit it can become the best tool available to you for weight management.

I find when I keep my carb levels stable (50g or less a day in my case) then I'm almost not hungry at all. When they start to fluctuate a little or spike over 70-80g a day then I go back to feeling hungry and opening the fridge door every 15 mins. Thats just my personal experience.
4/12 a1c 6.5 - dx
6/12 a1c 5.9
10/17 a1c 5.8
weight at dx: 304
now (10/17): 210




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