Jump to content
Diabetes forums
  • Welcome To Diabetes Forums!

    Registration is fast, simple and absolutely free so please, join our community today to contribute and support the site.


Ketogenic Diet and Type 1 Diabetes

Recommended Posts


I am Type 1 diabetic and was wondering if any other Type 1's have tried a ketogenic diet to lose weight. What challenges have you had to overcome?

Share this post

Link to post
Share on other sites

@Catherine0813 - Welcome!  While I am not a Type 1, I would share the challenges I experienced.  I think, if you look around the forums, that the challenges are similar as to the diet no matter what type of diabetes we have.  I lost 100 pounds on a roughly ketogenic diet.  I went from not being able to go up stairs without being winded to being able to ride a bicycle 30+ miles a day.  Diabetes put me into the best shape of my life because of the adaptations I had to make to it.


Early challenges were accepting that I had to make changes to get my diabetes under control and lose weight.  I concentrated on doing things that would help keep my glucose down and everything else fell into place.  Type 1's would also suggest low carb high fat and have posted they use less insulin and don't swing wildly high or low.


This is a long game.  It is more mental than physical.  Count your carbs.  Many here, me included, try to stay under 50g of carbs a day.  Those carbs are primarily from nuts, non root vegetables, cheese, cream, butter, and many good things "they" tell you to stay away from.  If you are used to eating a lot of carbs, start with a goal of 100 g per day and then work down from there.  It will soon become a habit and there are many ways to repurpose new foods to sub old favorites.  Tonight, for example, I had a salad with dinner.  Always loved croutons.  Croutons, being starchy, are not so good for me.  I throw in a handful of macadamia nuts (any nuts will do for me) and problem solved.  


Again, mental, don't try a substitute expecting it to be a substitute.  In the example above, nuts are nothing like croutons.  I like salad and I like nuts.  So my salad has nuts.  When I first tried mashed cauliflower, it was a disaster because I expected it to substitute mashed potatoes.  It doesn't.  A brilliant poster here said it straight up.  Asked if I like cauliflower.  I do.  Next time, it was suggested I make mashed cauliflower and expect it to be mashed cauliflower.  Worked out much better.  80% mental and 20% physical for me.


Exercise was also instrumental.  At first, all I could really do was walk.  I was too out of shape to do anything else.  I did 10,000 steps a day.  Looked and felt like I would drop dead on the spot.  Everything hurt.  Would walk 2 days, rest 1.  Started toning up pretty quickly.  Walked my first 5K about 3 months after starting this journey.  Within 6 months, I ran a 5K.  Always hated running, and still do.  Tried swimming and it is simply not enjoyable for me to swim laps in a pool.  Rediscovered my joy of riding a bicycle from my youth.  Still have it.  Truth be told, every day, I don't feel like exercise.  I then start kitting up and, like Pavlov's dog, I mentally get my game on.


Look around the forums and you will find great recipes, ideas, and true life advice from people that live with diabetes every day. ~ Mike

Share this post

Link to post
Share on other sites

Mike has said it all but every diabetic is different.  I too am a type 2 and lost 40 pounds in 2 months just by  going to a  low carb high fat diet. Never think of it as a "diet" though think of it as a lifestyle change. I jumped in with both feet and went immediately to 30 carbs a day but for me that was to drastic and not sustainable over the long term. I gradually increased my carbs to a level that kept my blood glucose at my desired level of under 6 yet gave me more food options. That didn't mean that every carby food was on my can eat list. Certain carbs raise my BG even if eaten in small portions.


I'm almost 80 so my exercise is limited. I garden in summer and shovel snow off my decks in winter. When those options are not doable I go for a walk.


As mike said type 1 does benefit from diet and exercise too. Read Dr. Richard Bernstein's book "The Diabetes Solution". He is a type 1 who developed Diabetes in childhood. His book tells you about his journey with Diabetes and how a low carb diet let him lead a normal life as a DR. Last I heard he was in his 80's and had had no complications from Diabetes

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


Important Information

By using this site, you agree to our Terms of Use.