Why Fasting Glucose and A1c are Higher on a Carnivore Diet and What to Do
VloĆŸit
- Äas pĆidĂĄn 4. 07. 2024
- Why do blood sugar, fasting glucose, and A1c (HbA1c) increase on a Carnivore, meat-based diet?
(HbA1c is a blood test that measures your average blood sugar level over the past 2-3 months.)
I share what and how to check if this is really happening, why it might be happening, and whether it's a concern or not.
0:00 Intro
0:52 Why blood sugar might be higher on a carnivore diet
1:45 Significance of A1C and blood glucose measurements
2:59 Importance of monitoring insulin and other markers
5:00 Recommendations for managing blood sugar levels on a carnivore diet
6:30 Use of continuous glucose monitors for tracking blood sugar
9:13 Judy's blood sugar and health metrics on a carnivore diet
10:28 Studies on carnivores and blood sugar levels
14:26 Relevance of animal studies to human blood sugar levels
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- Complete Wellness Bloodwork Panel (includes all markers, including NMR Panel, C-Peptide, Fasting insulin and LP-IR): www.nutritionwithjudy.com/sho...
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- Carnivore Diet and the Modern Sugar Crisis: www.nutritionwithjudy.com/the...
Carnivores and High Blood Sugar Studies:
- www.frontiersin.org/journals/...
- www.frontiersin.org/journals/...
- journals.plos.org/plosone/art...
Insulin Resistance:
- diabetesjournals.org/clinical...
- nutritionandmetabolism.biomed...
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*DISCLAIMER: This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. It should not replace professional medical advice.
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Ideal bloodwork panel should look like: www.nutritionwithjudy.com/shopping/lab-work/complete-wellness-panel. We offer out-of-network insurance invoices, but if you can get your PCP to run these, even better. Advocate for yourself! â€
How much of this is covered with Medicare?
I've been keto then carnivore for around 10 years now and stopped tracking a long time ago because I knew what foods were ok and removed the others and all was stable for years.
Then menopause hit and it was still ok for a couple of years then suddenly In 1 and a half months I gained 10 kilos and that's around 20% of my previous weight so a significant weight gain while changing nothing at all to my diet and no cheating.
It was a very stressful period and I also had been going through menopause for 2 years and started having a lot of side effects from that so I thought it was the issue, took hormones and every symptom disappeared in a week except for the weight.
I tried everything I thought of, longer fasting window, shorter fasting window, eating more, eating more fat, restricting dairy products and my weight didn't budge, 55 kg on the dot no matter what.
So I dug out the old blood glucose monitor and started checking. At first all seemed ok 85 ish every time I tested. A bit higher than when I was pure keto but I eat more proteins so I thought it was all. Then one day I tested 30 min after my breakfast consisting of 1 coffee with MCT and cream + 15 grs or so of collagen and I was at 128 !
I take a second cup of coffee, just a bit of cream early afternoon so I tested then too and I went from 69 to 82, so still ok but a big rise for mostly nothing and 0 carbs.
Since then I've learned that coffee after waking up rises my blood glucose like crazy no matter what I put or don't put in it and that I can have one cup a day early afternoon after eating something and if I sip it slowly.
I didn't have this issue before the menopause at all, I had tested all this for 2 years before settling into my routines and not checking anymore.
My dad noticed that if he is very stressed and takes coffee or if he drinks it too fast he also has a rise but not as severe as mine.
So if anyone has issues with mysterious blood sugar spikes I would check this just in case.
JezaGaia - TY for posting such detail. Menopause changes EVERYthing đ« but not consistently nor in a linear manner! More like a bouncy ball in a pinball machine. I'm battling yet another loopty-loop at this moment, after having done well for years. Frustrating but always worth mucking thru it to the other victorious side âđŒ
@@joan.nao1246 Agreed, the more frustrating thing for me appart for not understanding why the weight wouldn't come down was that I couldn't even wear the clothes I had before keto/carnivore.
At the time I weighted 58kg so 3 more than the 55 I got to with menopause (and that's maybe 5/6 pounds) so they should have fit without any issue but they were too tight to even manage to pull the pants past the tights or the arms through the shirts sleeves.
And that's when I learned that menopause also alters the way you put on weight ! The fat goes in completely different parts of the body and it becomes horrendously difficult to find clothes that fit even in bigger sizes, the shape doesn't work.
@@JezaGaia exactly! Had a very recent weight 'redistribution' myself, not loss/gain, again. Literally just as I was planning to *finally* switch out dresser drawers for smaller sized storage bin clothing.
Iâm 6+ years carnivore. My A1C is between 5.4-5.6 with most days at zero carbs. I agree with Paul Mason that it has to do with a healthy population of red blood cells and they have a longer life which will tend to give a higher reading. I agree that we have to look at those numbers through 2 different lenses. One in the context of low carb and the other in the context of high carb/SAD. All of these numbers including micronutrients are skewed because of the general population being metabolically compromised. If you base everything on the general population, youâre chasing your tail. BTW really enjoying your book.
I give blood regularly to help myself with this.
If you have a CGM you are measuring actual glucose and many carnivores see that it does go higher, nothing to do with red blood cells. I really like Dr Cywes theory about long term zero carb diets keeping insulin too low and needing a bit of glucose occasionally to stimulate insulin (he recommends some good quality dairy to stimulate it).
@@gbas76 Oooh, I wouldn't donate often as if you risk oxygen levels and nutrients being depleted. If you are donating because of ferritin levels, you have to find the main source of inflammation. Donating just for ferritin is a bandaid. (We see this in our practice all the time).
â@@nataliajimenez1870 I think he's a brilliant person but I also think he's very rigid in his points of view. I wanted him to share his data with me but he can't because it's his patients and protected by HIPAA. So if you can't share it, how do we know the case studies are correct in context? We don't see the issues he's sharing in our practice and we've worked with thousands. I also think he doesn't consider environmental factors in blood panels being skewed. Not everything in the blood is only impacted by diet.
Been OMAD carnivore since January 1 st, my A1C has dropped from Feb to April from 5.5 to 5.2, thatâs actually the lowest mine has been in some time. Looking forward to testing all bloods in august, been losing a slow 2-4 lb a month since January hopefully be at my goal weight by august.
I am very much like you. I am a fairly strict carnivore for 3 years. I wore a cgm for a month. Like you said boring. It was almost flatline. My BS is almost always 100 plus or minus 5. I have to fast for 2 full days before it drops below 90. Agreed, nowhere near the "norm". This is only the 2nd time from a reputable source, i have heard that my BS is normal for a carnivore. I worried about my BS for some time before I heard it from the 1st source. I think you getting this info out is very important. I can't be the only carnivore experiencing this. Thanks Judy! Love all that you do. â€đ
It's because I have a practice so we see large sets of data. And we see trends and other things that start moving differently in the Carnivore testing-sphere. (e.g., Ferritin is another one but I'll save that for another day). Here's a few other videos where I discussed this same issue but they mostly talk about the A1c and blood cells living longer.
o Conversation with Dr. Bikman: czcams.com/video/MEzAvos1jak/video.html
o Conversation with Dr. Mason: czcams.com/video/sEL7tPbOIcE/video.html&t
o Conversation with Dr. Layman: czcams.com/video/LL2VOvwm9Sc/video.html&t
@@NutritionwithJudy I was wondering what is the fuel source for carnivore? I understand fat for keto and carbs for standard american diet but what is carnivore, gloconeogenesis?
â@@scaramouche8244Fats, ketones and glucose via gluconeogenesis.
@@scaramouche8244fat.
@@scaramouche8244 Ketosis is a metabolic state. Any diet that puts you in a ketogenic state is "Keto" and omnivore, vegan/vegetarian or carnivore can ALL be KETO diets. All humans run on two "fuel" sources (glucose and ketones). If you don't consume carbs, your body will make all the glucose you need (converting protein is called gluconeogenisis). If you consume fatty meats (as recommended), eggs and limited raw dairy you will use mainly ketones for "fuel". If you eat low fat, low carb and high protein your body will probably get very good at gluconeogenisis and start consuming your own muscle.
It makes sense to me that blood glucose would be higher on carnivore/low carb diets. Your body adapts to a lack of consumed carb/glucose sources; therefore, it adjusts itself to maintain a higher baseline blood glucose for better efficiency based on your activities since you will still be using glucose/glycogen throughout your daily life. Most numbers in isolation are meaningless, so you're right to consider the context.
Every carnivore who put their blood work out there for all to see, their AC1and fasting glucose is down each and every time. I'm not worried about spikes. And a diet without sugar is better than a diet with sugar.
Yes, it's when you are close to normal range and things start moving higher than when people were on Keto. I shared my bloodwork and it's in the 90s. czcams.com/video/1EQa3THgjEA/video.htmlsi=K0Wd__hNeIaBfYhT. Here's a written write up: www.nutritionwithjudy.com/newsletter/my-5-year-carnivore-bloodwork
False, I can get my levels down to optimal levels by controlling amount of protein I eat each day but if I don't, they can go up to type 2 diabetic levels chronically. That is the case even on a lion diet and regardless of whether I am eating 65% fat or 85% fat from calories.
â@@NutritionwithJudy Thanks for sharing.
Mine went up..3 year carnivore. Same with my wife.
@@JimWooddell I'm just past 1 year carnivore. 6 months in my Ac1 went down was down from previous bloodwork. Next time I get blood work, i will see what it says when I go back in the fall. But this is the first I'm hearing of this.
The problem is that most carnivores are not in ketosis. If you are a fat adapted carnivore, your blood glucose numbers would be 80 or lower. High fat, moderate protein and low carb (70/25/5%) are the macros to aim for. Stress from your adrenals, exercise, fasting and illness also play a part. More than just food affect your blood glucose.
what percentage of Carnivores or Ketoans actually hit 70-80% fat consumption?
Naaa I dont agree Iam fat adapted AND in ketosis and still my blood glucose is HIGH so... I beleive it has way more to do with insulin resistance
@@missmarielyne6697 I agree in your circumstance. When you are insulin resistant, insulin fails to block FOXO6 resulting in continual gluconeogenesis even when you eat! Itâs like a double meal, so obviously your blood glucose would be high. This is why fasting is used as a therapy.
That is a false assumption and lacks any understanding of the affects of protein on BG.
When I can increase my level of protein and my BG will change predictably to type 2 levels, it isn't stress, adrenals, exercise, fasting, cortisol, hormones, etc. That is just what all the so-called experts claim it is cause they don't know the answer. It's no different than mainstream doctors blaming something else cause their egos.
So crazy. I'm having this exact problem right now. I did great on carnivore for over a year. I had issues but overall I was doing well. Then I started having major issues. Changed some things and then was struggling with giving into old cravings more often than I should have. Dealing with way too much stress. I also think was making myself over eat to get enough protein in because I had started lifting more. I gained weight and have not been feeling well at all. Last week my A1C was a 6! It's never been that high before. I couldn't believe it. Recently I've been having major digestion issues so I'm working on trying to improve that. Carnivore fixes so many things. But some issues can get worse. It's alway a struggle to figure out those small details. Overall though I never see myself going back to processed food. So I know one day I'll figure all of this out and get better.
It's great to have this information. The carni cultists on the forum never speak of the side effects
I find that eating just whole
food makes me feel my best lots of greens , dark fruits , lower fat meats . Some carbs I love corn chips
Overeating protein can cause it or eating too much protein in one sitting.
â@notaras1985 carni cultist? Lol if you already complaining just eat your rabbit food and stfu lol
@@notaras1985 Yes. Agreed. Some do tend to just keep pushing eat more meat or fat to fix everything. But I will say I had digestive issues before ever going carnivore. It took me 9 months to resolve my reflux. Which I've never seen anyone else say it took them that long. So I'm assuming my issues are bad. Although I definitely know I'm on the right track. It has fixed so many other things such as depression, severe anxiety due to stress and many other random issues. Some of us are just more sick than others and it takes time and different solutions to resolve all the issues. All I know for absolute certain is that whole organic foods are the way to go.
Type 1 since 1970, carnivore almost for over 3 years. Initially my A1C went from around 6.2% to 4.5% within half a year. Nowadays it sometimes goes as high as 5.3%, and because I wear a CGM I know that for much of a typical day my body seems to demand to have blood glucose over 120, often 150: if I take the least excess of insulin, my blood glucose plummets to under 60. Itâs extremely hard to stay between 70 and 100mg/dl.
Fatty meat helps a little. Not eating too late in the day helps reduce the dawn phenomenon rise in blood glucose. I also seem to have gastroparesis.
Iâm doing okay but the frustration is constant.
Thank you so much for addressing this issue! I donât think anyone else has answered this question!
This is a question I had as my blood sugar , completely fasting, was higher on carnivore than on the regular diet. I havenât checked in awhile because I feel ok. On carnivore now for 11 months.
There is more too it than that, they just don't know. Right now it is all theories. It is quite possible BG is higher because of the excessive amounts of protein you have to eat on this WOE. What they don't tell you, or won't, is whether or not it is unhealthy amounts, simply cause they don't know. Better than outomes of SAD but doesn't mean it is healthy long term. This is what I am trying to figure out.
â@@tprev400It's higher because of physiologic insulin resistance, which isn't inherently bad or harmful.
@@JasonActualization False, that is a Dr Barry talking point on something he really doesn't know the answer to.
If you increase your protein and that is the only change, your BG go up to type 2 diabetic levels, 140s plus, that is the definition of diabetes type two and one of the leading causes of multiple diseases and death.
It happens to a lot of people, but Carnivore docs or so called influencers won't acknowledge it, well, except for people like Dr Cywes.
How can insulin resistance not be bad? â@@JasonActualization
@@rubenperales3173 If it is physiologic, not pathologic.
Thank you! This helps a lot. My triglycerides shot way up (180) on carnivore. Prior to that, they've never been over 70. My LDL went extremely high, in the 700s at first, then back down to 400s as time went on. When I added carbs back in, those markers went down more, but I went back to carnivore because I wasn't feeling quite as good. When I increased my fat a lot and decreased my protein a little (about 80/20 to 85/15), my triglycerides went back down to the 90s, which is still higher than before carnivore, but maybe I shouldn't concern myself over it. Side note: my LDL also went down to the 300s when adding lots of fat/reducing protein a little. I eat a few carbs, but very sparingly. Not enough to kick me off keto.
Oh, my HDL also went up on carnivore.
We see trigs that high for several reasons but if we just examine the food side, we see it high when people are consuming lots of liquid fat and/or fructose-rich foods (honey, fruits) with a fatty meat-based food diet.
Same exact case for me. But I did do a lot of cardio that morning before my bloodwork and also I bake with Erythritol one day in the week. Unsure if the carbs from the Erythritol affected it, the cardio or maybe I'm eating too much protein vs fat? I was taking in 165 grams of protein, 80/20 ground hamburger, 9 eggs, 2 chicken wings, 4 oz Chuck eye, 4 oz Salmon and 1-2 tablespoons of butter with my eggs per day. I'm lean muscle at 139 lbs and 4% body fat and 25K-30K steps per day. I went on Carnivore 3 months ago to heal IBS. Wondering when I should retake my bloodwork. Any thoughts?
I'm glad you and Dr Mason have talked about this. I often wondered why my a1c wasn't necessarily as low as I expected when I went carnivore
If your hba1c is high, then use the average feature on a cgm to get an accurate number. Use a formula or a table to convert this number to hba1c. You will get an accurate number that isnât confounded by red blood cell lifetime. For instance, my lab number was 6.0, but the cgm average showed it to be 5.3.
Some call it physiological insulin resistance as opposed to pathological IR - namely Dr. Ben Bikman. Dr. Rob Cywes talks about insulin suppression. Dr. Cywes has expressed that it's a cause for concern. I don't think Dr. Bikman shares his concern. In the presence of low insulin, an elevated blood sugar isn't a big deal, in his way of thinking. It's still confusing to me. My other numbers are good--fasting insulin is less than 2--but I still worry about chronically high BG. It's cool about dolphins but not enough to quell my fears entirely. Thanks for sharing your research and thoughts, Judy!
This is known as physiologic insulin resistance. Temporary metabolic adaptation state when cells refuse glucose in favor of fatty acids and ketones. It is intentional to allow for glucose to fuel parts of the body that can only use glucose leaving elevated levels in circulation. Ben Bikman talks about this in his videos.
But yes some amount of carbs occasionally should help cells to be not so resistant to glucose, such as milk, yogurt. Helps with elevated AST and ALT as well. Saladino could not figure this out when he was still carnivore a few years ago claiming this is a problem with carnivore when it really is not.
It's a problem with consuming zero carbs, which could conceivably include carnivore. Highly active folks do certainly benefit from intelligent intake of carbohydrates.
can take years to solve
Judy I just appreciate how detailed your scientific and research is.
I Just enjoy your channel and the guests that you bring in. Thank you for your investment in all of us.
I love that you recommend testing LP-IR. This shows how up to date you are with current metabolic health biomarker monitoring. Most doctors and dieticians, even ones in the LCHF/keto/carnivore sphere are still using HOMA-IR / fasting insulin.. Keep up the good work, Judy!
Could you please tell me a bit more about the difference and why LP-IR Iis preferred?
@@-astrangerontheinternet6687 The LP-IR (Lipoprotein Insulin Resistance) score is a blood test result that measures your risk of developing insulin resistance (T2D and CVD). It looks at specific particles in your blood related to cholesterol and fat, showing how your body processes sugar and fat. A higher LP-IR score indicates a greater risk, signaling that your body may not be handling insulin effectively. Scores of 25 and below are great. You can order the NMR Panel with or without graph and it includes the LP-IR score.
@@NutritionwithJudy
Thank you kindly for addressing my question! And for giving us informative videos!
So glad you covered this topic.
Recent labs showed
Triglycerides 69
HDL 87
CRP .58
Insulin 3.3
C Peptide 1.1
And then A1C 5.7
Feel like I failed a test, but 3 week random glucose average is 104. Thanks for your help with this topic!
Another excellent video Judy!! God bless the research and the work you constantly do. As a fellow 14 month korean american carnivore you really helped my Journey!!! Praise God for your special gifts
Thank you so much, Judy. This is the information I was looking for so long. My fasting glucose was slowly creeping up from around 80 to now about 100, after switching from carbs to ketovore diet. I was really concerned where I will end up in this journey. But my hba1c has now stabilized between 5.3 to 5.5 and I am more than happy. Will stick to my diet.
You're a rockstar, Judy. I appreciate your approach so much!
Very good explanation. Thank you.
Thank you, loving thos read.
Thank you so much Judy for this information. I have been mostly carnivore and had bloodwork done about 6 months into it. My insulin was 2.0, but my A1C was 5.7. I was so bummed. My cholesterol levels are all within a carnivore healthy ranges. So this makes me feel better that this is happening to other carnivores.
I know someone who was carnivore for 3 years due to Lyme and his blood sugar was spiking to 120 or 130 and was then treated for leaky gut and it resolved. What about that possibility. I worry about having the right gut biome on carnivore like akermansia etc that help repair the gut. Iâve heard that those helpful microorganisms like berries and apple skins
I do hope this is studied soon in humans. Being a type 1 diabetic carnivore for over 5 yrs I have experience fighting the traditional medical world defending my positive results.
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Keep fighting the good fight, and thank you for doing it.
Speaking of Type 1, Dr Richard Bernstein does NOT believe that higher blood sugars are a good thing, and neither do I. I will stick with keeping mine in the 80s, like he does. (I'm not diabetic, but I like my sugars in the 80s, like Dr B says is best for humans. It requires me to eat moderate and sensible carnivore, not an "all you can eat Thanksgiving-full meat-fest," day after day.)
Tell me more about t1d being a carnivore. Do you dose insulin? No carbs to count? Just long acting?
Started keto 4 1/2 years ago and gradually moved to mainly ketovore. All blood markers are great, all inflammatory markers low, triglycerides about 50, very high LDL so LMHR. My blood sugar is a bit high but I stopped worrying about it because everything else is great. Typically before my first meal of the day, BS in mid 90âs. I think my body normal on a mainly meat diet is going to stay a bit higher than some but seems itâs OK. Thanks for the video, helps confirm what I was already thinking.
I also agree with Dr. Paul Mason. It's not necessarily that people are cheating or having off plan foods. The blood cells are living longer than "average" and are getting more glycated. He lists certain tests that u can do to test the age of the cells. Also, just wearing a CGM does a better job of monitoring the daily (and consistency of) blood levels than an A1C.
Thank you for this video and the explanation. This makes so much sense to me. Such great info. I was so confused when my A1C came back in the pre diabetic range after eating carnivore but this explains a lot and we should go by how we feel instead of fixating on just the numbers.
7-2-2024. After reading the comments, I have decided that FINALLY I am hearing people voice my concerns about eating CarnivoreâŠâŠthat their blood sugar goes UP ! So, THIS is making me decide to stick with the Keto plus I.F. diet. It is sooooo much more reliable. Donât even need to watch the video, now.
I just added some starch back. I think Im better on "low carb" vs carnivore and maintain no process foods or wheat.
@@CubitaLola Yes, keto works much better for me, too. After a while, I find I can get by with a tiny bit of cheating. IâŠâŠreally miss fruitsâŠâŠlike bananas. Last time I had a banana was 2009. Every now and then, I can get away with eating 5 grapes. Plus, I have gotten so used to eating I.F.,
that I never think about it, like I did at first. We have been experimenting with resistant starch foodsâŠ..oatmeal, rice, potatoes. Working REALLY well !!!
@@carolcole570 I miss bananas too! I havent let go of my berries though. I do have greek yogurt mixed with berries. Im also experimenting with the starch now. Still not really eating vegetables. Only things like lettuce and peppers or something like zucchini. I feel a change in energy just adding a 1/2 cup of rice with a meal. Im also eating avocado again
@@CubitaLola Since I only eat once a day, I am not about to waste those precious carbs on yogurts, when I can be scarfing down real food. LOL.
I DO eat low carb veggiesâŠ..lots of them and lots of meats. And now we are having great luck with the resistant starch foods. I have gotten to the place where I can eat a cheeseburger ( bread ! ) with a few fries and not need to take insulin. A couple of weeks ago I had a few blueberries and oddly I had developed an allergy to them, so they made me sick. My daughter will drink a protein shake. Not me ! I want â food to chew on â. Today I had a barbeque SANDWICH with fried okra and cole slaw. I wonât need any insulin tonight ! It took awhile to be able to eat the bread without my blood sugar shooting up, so I am okay, now with it. IF I need insulin, I have a handful of roasted almonds since I am to take the insulin with food. Daily, though, I take massive amounts of vitamins/supplements. One huge issue for me is that my hair isnât growing. I have literally been taking everything, but nothing is working thus far. Have a peaceful weekend, Cubita!â€ïž
I say it's gluconeogenesis. Going carnivore to enhance lean mass after being keto for years and beating diabetes, I was shocked to see my blood sugar over 100 most of the time, and my A1c creep up to 5.8. All of these numbers were significantly lower. I'm concerned with blood sugar being in the prediabetic range-particularly as a glaucoma patient with degenerative disc disease. My inflammation definitely went up, as I could tell with neck pain. I'm hoping a more ketogenic version of carnivore might help, but it seems as though that would be at the expense of protein.
PS: I did add pickled and cruciferous vegetables back into my diet and I'm still struggling with the blood sugar issue, though I feel better, and my other stats (those normally indicated by keto doctors) have been good all along. Most importantly, I think, my CAC is still zero, triglycerides are low, HDL nominal and so forth. Right now, I'm concentrating on red meat, because I was donating blood regularly and my iron came down even though my RBC, hematocrit and hemoglobin are high (out of range.) I also stopped taking vitamin D because it read 136 (way out of range.) I'm still taking cod liver oil, though.
Oh yeah, I've been stalled for years at 30% body fat or higher after losing 100 pounds.
I agree- I doubt any of the "carnivores" (as bad as vegans tbh) are doing true keto macros with their fat and protein only diet, so they are probably in the 30-50% way excessive protein category and that excess protein is just a really expensive form of sugar once the body has to convert it (just eat it lol)..... In the last 5 years I've done this all, and have (by looking at the Randle Cycle) gone the full flip and now am trying the VERY low fat high starch diet with lean fish/meats...getting great results(weight loss, energy levels amazing, sleeping brilliant) it seems the fat and carbs together is where the real problems begin with blood sugar and insulin resistance. I can eat a 200g portion of Basmati rice, with chicken, sweet chilli sauce, sweetcorn and spring onions and my BG will be back under 100 in an hour after eating. I had LDL of >400 on carnivore/keto and zero energy, sluggish all the time. I still do dry fasting and on this diet once every 2-3 weeks I'll throw in a zero carb, high fat day just to shock the system and remind it how to produce bile so that doesn't shut down. And Zero grains or seed oils on this....
@@ArdGeal Iâm not planning a low fat or high carb diet any time soon, but I do believe thereâs such a thing as too much protein-maybe not for everyone, but for me.
â@@ArdGealIm just adding back starch to my diet, sweet potatoes and rice. Cutting back on the butter because Im seeing some weight gain after 4 months. My glucose was 4 points higher but my cholesterol numbers were pristine. BUN/creatinine ratio also elevated so I think it's just too much protein, but then adding the fat seems to make me gain. Im now adding some starch to my plate along with my protein and moderate fat.
The continuous monitor kept falling off and coming out on it's own. It was also very unreliable. I would check it along with taking my blood sample simply because it was so radically out of control and of course that is unsettling. I stopped wearing it because it was just a hassle. It is still more reliable to use the blood sample method. This is my 5th week of carnivore and it has been unusual. The biggest problem has been potty issues. I actually thought something bad would happen in the beginning with a no carb meat based diet, but I have proven that a t2 diabetic can survive on meat alone. My husband is amazed since I am resisting all the previous foods I used to enjoy.
I used a CGM once- a free sample from Freestyle Libre- and it was horrendously inaccurate- reading 20-25 higher than finger prick tests done with 2 devices at any given time...seems like they maybe want you showing as prediabetic so you keep buying them...
I'm interested in how carnivore or fasting can impact cortisol levels. I will scan your past videos to see if you have something about that.
Long term calorie restriction can increase cortisol levels - the trick with both carnivore and fasting is to ensure that you are eating enough when you are eating (for me, I was not feeling hungry around 1500-1800 calories, but I can also eat 2500-3000 calories per day and not gain fat/weight so it was a big adjustment to make sure I was eating enough)
666 LIKES when I joined, I immediately hit LIKE to change it to 667. What a dork I am lol.
well said
thx for all this
Thank you for your common at sense â€
I wish you always have compassion, wisdom and brave
I've been eating carnivore for over three years now. My blood glucose stays between 95-100. My A1C stays at a solid 6.0, but that's because I'm diabetic. It won't budge. I don't worry about it because it doesn't fluctuate. I'm not on any medication for the diabetes.
Right there with you! I've been low carb fasting for 16 months. Blood sugar always around 100, a1c is 5.9, won't budge. Even when I did carnivore for 6 weeks, no change.
So once the mutation happens at the genetic and mitochondrial level, there's no turning back. Carnivore then helps stabilise it a bit... .
Start doing daily squats. Do 10 squats every 45 minutes throughout the day.
This will eat up a lot of glucose in your body.
â@@michealfriedman7084I could do squats all day (while fasted) and watch blood glucose go up...nice suggestion anyway.
In your shoes, I wouldn't worry either. But that said, one day, test the other markers mentioned for context too.
Very good! I have the phenomenon myself
How very interesting; thank you - been Keto for six years and my HbA1c always rides higher than I had anticipated that it should while my GCM was, as you said, a very boring experience!!
The glucose most likely a result of excess PROTEIN consumption from gluconeogenesis. Unless youâre a hardcore bodybuilder, one doesnât need 1g per pound as the dogma suggests.
Men probably need no more than 130-150g and women
I doubt that. Studies are quite clear that 1.2-1.5g/lb bodyweight is recommended for maintaining/building/preventing muscle loss especially in aging populations. More likely, the body adjusts its baseline blood glucose levels in order to compensate for the lack of consumed carb/glucose sources. So-called "hardcore" bodybuilders will need to consume more than 1.5g/lb bodyweight.
There is some evidence that the substrate availability (gluconeogenic amino acids in this case) influences the rate of gluconeogenesis but this process is primarily demand driven so I doubt this has a big role to play.
Our blood sugar will increase with more protein but it's not the reason our blood sugar in general is higher. Yes, gluconeogenesis is used to convert protein to glucose for the demands of our body, but the body is very smart in conserving energy and raw materials for what it needs. To waste internal energies to convert more protein to gluconeogenesis (for sugar it doesn't need) isn't ideal. (Our main energy sources are fat or carbs, and protein is a building block). We have women who eat 115 g and even 80g just starting with us, and their blood sugar is still close to 100 mg/dL.
Yes, we use gluconeogenesis, and that, in fact, will make our blood sugar go up some, but it's not the whole picture. I would hate for people to lower their protein intake to subsequently lower blood sugar levels because then most people would have to consume only about 60 grams of protein (or less), and that would be detrimental for anyone trying to preserve muscle mass and bone health.
I am male, very fit and I can't eat more than 90g of protein a day if I want my BG to stay within optimal levels. If I eat 130 to 150g of protein, my BG will go to type 2 levels and stay there.
@@NutritionwithJudy What would you tell someone that eats more than 120g of protein a day, and like clockwork, their BG go to type 2 diabetic levels. Male, 48 years old. Would you say, deal with the type 2 levels or risk being nutrient deficient?
Brilliant video! Thank you! Wonder if part of the increase in blood glucose could be if testing was done after some situation where the body identified a need for additional glucose to be generated via gluconeogenesis. This would be another normal body response, if so, and nothing abnormal.
I don't understand why all this bloodwork is necessary. If you're feeling great why bother. Our parents didn't do this crap. Doctors will always find something wrong. I had to get bloodwork done for Bio Identical Hormones, my sister want me to get my A1c done at the same time and I told her no I'm not wasting my money.
It is all about how much risk you are willing to tolerate. Like asking why check the oil level in your car. You don't really need to do it and, 99 times out of 100, the level will be OK. That one time that it is not OK, checking it can save your car. Blood testing is the same. Most healthy people will get good results. If you don't, you can either rely on your doctor (most people) or rely on your expertise (maybe you). What is important though is to know that something is wrong, so you can attempt to fix it. I am sure that most people who have heart attacks or strokes wish they had an advance warning. The blood test can be your advance warning. .
I agree
doctors are like mechanics: always wanting to find something to fix.
but lots of people feel great... until they don't. my friend's brother died of a heart attack while running a marathon. he felt great. before the race...
@@mariomenezes1153 It's because we all have been conned into believing health is about numbers. Our ancestors lived for millions of years without worrying about numbers. I don't ever get lipid panels or even care because I feel great on carnivore...
Judy⊠awhile back you interviewed Dr Bart Gay who explained the Randle cycle. In his interview he talked about what happens when one consumes excess amino acids that are not used for the production of new proteins. The short answer is the body has no way to store amino acid. As such the liver will strip the nitrogen portion off the amino acid and converts the rest molecule to glucose.
Bart GayÂż? đ€Ł
Hi Judy! I am 5 year ketogenic and 3 year carnivore. I have seen and recorded my blood glucose go up in the last few years. However, it is very stable. No peaks and valleys with my exercise exception. I have a youtube video on my channel if you might want to see the numbers. My A1C did go up. From 5.3 to 5.7.
I donate blood, and it has never depleted my iron. They test for that prior to the blood draw. A good reason to donate blood, besides helping others, it that it reduces the plastic in your blood. Thanks!
Doc Ekberg describes the dawn phenomenon as #1. Doc Osborn mentions caffeine and gluconeogenesis. Keto Docs talk about adaptive glucose sparing. My bs is always above 90, I'm meat heavy lchf. Insulin and a1c always below 5. Riddle me that. Best regards.
One important factor that can raise blood glucose is gluconeogenesis stimulated by glucagon, growth hormones, epinephrine and cortisol. If often occurs during fasting, low carbohydrate diets, intense exercise. It is often seen in diabetics when sick although they have not been eating due to illness. It is a function of the liver but can occur in the kidney as well. For me getting more ketones (MCT oil) sometimes helps decrease the gluconeogenesis that I have noticed in my increased fasting blood sugar. I have read some articles that claim it occurs in physiological adaptation to prolonged starvation. Anyway my blood sugar levels are higher when fasting so I noticed some improvement with increasing ketones.
What I found is that drugs, and treatments can influence blood glucose levels. Also anything that raises cortisol will cause BG to increase. Thank you for this information, it helps me to understand more.
I appreciate you covering this. Iâm really curious about whether these effects on HbA1C hold as true for keto and low carb as they do for carnivore. Iâve been eating keto and low carb for a number of years and have experienced the slightly higher fasting glucose and A1C you describe. I may just have to break down and try a continuous glucose monitor for a while to see what my blood sugar is really doing.
Thanks Judy! you just explained my situation! FBS=110 A1c = 5.5 TG = 135... I already had an idea that I was carnivore normal, but I was almost clueless why my TG was a little high.... When you said liquid fats... that struck a cord with me... My daily bacon and eggs..... I just didn't think twice about using all of the bacon grease for my eggs.... I was actually so habituated to using all of the grease to cook the eggs that I just didn't measure the amount of grease... I have cut waaay back on the grease... the eggs are still good... just not as creamy. LOL I will wait until my next dr. visit to get retested... meanwhile... I am not worried about it. I feel good on carnivore.... I've been on meat focused eating for nearly 8 years... now I am 95% Lion diet... with a few detours throughout the year.... nothing significant.... apples... berries... yogurt, and a light dusting of alcohol. Beer is my choice... and I can count the yearly six packs on 1.5 hands.... it is what it is....heheheh I am 66 years old and healthy otherwise.
When she mentions liquid fat she means oils that are liquid at room temperature, not butter or fat from meats that solidify at room temp
@@angieobes9835 ahh, everything else she said about carnivore blood work fits though.
I've been on carnivore now for about 14 months. My glucose was ticking up originally, but now I'm more concerned with hypoglycemia. My fasting glucose is now from 60-75 and it'll increase to the 100 - 120 after a meat/fat meal. It doesn't come down quickly, but will be right at 90-105 by the evening. And the next morning's numbers will be 60-75 again. I feel fine, no symptoms of low glucose so I assume that it's due to being fat adapted. It's not uncommon for me to have numbers in the 50's.
Same here, my 3 months of strict Carnivore, my AIC went up and my HDL went down. LDL up
Thank you for this video. This is exactly what happened to me. It was so confusing.
I asked Dr. Berry about it during one of his live videos. He said, with a small percentage of carnivores , the red blood cells sometimes stick around a little longer. Basically they take longer to die. He suggested having my doctor check my glycated albumin which is apparently a better indicator of whatâs going on with the red blood cells. It is a test that reflects short term glycemia and is not influenced by situations that falsely alter A1C levels.
Wow ! Thanks ! I know when Iâm feeling off I make a warm water and add a teaspoon of honey and a tablespoon of butter it goes down nice and I feel better! This explains why! đđđ„°
I would feel very hypoglycemic on a carnivore diet. I eat meat and vegetables and little carbs and I feel as good as I can for my age. I also eat a low histamine diet and I feel much better
My overnight fasting BG is 88-95. I'm not strict carnivore, I do eat green salad and berries at lunch.
Iâve been on a keto diet for 18m and A1C and fasting glucose around 5.2-5.5 higher than I expected Doesnât change however and I feel great!
I would monitor my iron levels too, to be safe. My iron levels highly affected my BG readings and my hemoglobin A1C.
Great viedo Judy! If my A1C is 5.8 and fasting glucose is 95 mg/dL, but my fasting insulin is low at 3.7 you/ml and Triglycerides is 40 mg/dL, HDL is 64 mg/dL, Triglycerides/HDL is below 1.0 at 0.63. My Homa IR is also below 1.0 at 0.9. I eat meat based diet. I wear CGM and my fasting blood sugar is around 95-108 with standard deviation of 10-12.
Do I have insulin resistance with the high A1C despite all other markers are normal? Do I need to test for LPIR and C-Peptide too? I read somewhere that I may have type 1 or 1.5 diabetes. Very worried.
You must be psychic bc I just started carnivore (with minimal fruit, like 1 piece/serving/day max) and was concerned about my fasting glucose being over 100 first thing in the morning! Like you said, I could increase my fruit intake if I wanted to chase a number, but I'd rather stick to carnivore and simply let it ride if my other blood work is in healthy range. I'm lucky to have a doctor who is okay with low carb diets and fasting, as the nutritionist was recommending tons of carbs, no fasting, and I felt like đ©! I'll stick to what works, to what feels best, and find a community of like-minded people to keep me on track!
Here's a few other videos that talk through the A1C and red blood cells living longer:
o Conversation with Dr. Bikman: czcams.com/video/MEzAvos1jak/video.html
o Conversation with Dr. Mason: czcams.com/video/sEL7tPbOIcE/video.html&t
o Conversation with Dr. Layman: czcams.com/video/LL2VOvwm9Sc/video.html&t
Just be aware that fructose isn't measured in the A1C blood test. Dr Ken Berry has only recently learned this. This video has links to papers in the description: Hidden Danger in Fruit & Honey [ *A1c Misses Fructose Damage* ] 2024 czcams.com/video/40ZA0brHmMg/video.html
Help, please! I had my bloodwork done October of last year. My blood glucose was 91 and my A1c was 5.4. I was pretty happy considering my age (65+) and that I am about 40 lbs overweight. I dabbled with keto in Nov & Dec, lost about 10 lbs & decided to start carnivore in January to keep losing weight & feel better overall. I did I not lose any more weight, but the worst part is that after about a week in, I started getting what I can only describe as "the shakes". It's not a pleasant feeling at all. I kept hoping I would turn the corner, but I couldn't sleep & felt anxious/nervous all the time. After two months, I just couldn't handle it any longer, so I quit & started eating bad carbs & gained what little I had lost on keto. I tried carnivore again in June & gave up again. I just can't handle that constant nervous feeling. I had high hopes that I would eventually start to feel great due to all the claims I see on YT, but I actually feel better when I have some carbs (Ketovore?) Is this normal for some people? Any recommendations?
Thank you so much common sense
Love the study about dolphin! I donât go to doctors they think I am sick yet I feel greatđ
They canât read blood work results
Hi Judy, I wonder what your thoughts are on incorporating Berberine supplementation on a Carnivore diet? I would presume it would generaly be uneccessary but perhaps useful in some scenarios.
This I have known for years! Being a T1D, for my entire life. Glucose levels do not stay at the same number all of the time! Lack of sleep, eating to much, exercise, stress also contributes to the blood sugar complex issue. Not sure of why people think that glucose won't go up, when eating a Carnivore diet. It does, just more slowly... How much insulin one takes in, because to much insulin leads to weight gain, and harms the body.
Great video thanks so much!! đ„°
Would also be interested in a video ApoB. Mine is 116 and Iâm concerned it shouldnât be this high?
Been carnivore over a year and my LDL cholesterol is 152, HDL 96, TRIG 79. Iâm not too concerned about that because of the low triglyceride, but just wondering if I should worry about the ApoB or maybe youâd recommend some other tests for context?
Thx so much for putting out such helpful content!!
How many grams of protein do you eat per lb. of lean body weight?
And how much exercise do you do?
Iâm getting 100grms/ day or more protein but using 25 grms beef protein powder as I just canât eat that much meat! Exercise 10,000 steps min and 30 min high intensity cardio. Pushups, squats, longes, daily but probably need to do more strength training though?
Simple answer is the body is capable of making sugar from lean meat. Problem is no GP test any of this.
Iâm a lean diabetic and the minute i give up carbs my sugars go haywire. Temporarily they are really good but after 2 days if i take carbs my PP sugars are crazy with the same food that otherwise would have been fine. Any suggestions?
It could also be relatively high as our livers produce glucose however at an steady rate that keeps it at say the 5.5 level so never a crisis for your body and doesnât trigger insulin
I've just had all my sex hormones tested, and they're very low (something I figured would happen being on Carnivore due to body recomposition I guess. I had a full hysterectomy in 2019 and have been on BHRT since then. I'm close to 60 days on this way of eating, but my insulin has gone up. Is it possible that my extremely low hormones also affect my insulin? I am likely to believe so. All my other tests are quite amazing and my triglycerides are the best they've ever been and well within range. My HDL is super great too. Just a note, even though my hormones are terribly low, I can hardly believe that I'm still feeling fairly good. I'd normally be suffering terribly. There are signs like weak muscles, etc., but I've never felt this good with my hormones being this low. I just need to figure out what's impacting my insulin levels. I hardly ever have dairy, just mostly meat and fat. My HbA1c and glucose are all within range but closer to the top of the range. Just a side note since you mentioned ferritin, my S-Ferritin is 258ng/mL. From what you've just said, can I rightly guess my low hormones are causing inflammation and oxidative stress? Thank you for all this info. It's definitelyl come at the right timeđ .
Other sources say that your blood glucose should be between 75-83 for staying in ketosis. Higher levels indicate that you are not in fat burning mode but your body feeds on its own proteins, meaning eating up itself (muscle mass, etc).
Too much protein can turn into glucose by gluconeogenesis which causes the higher blood glucose levels and kick you out of fat burning mode.
What would you say about that?
Any diet that is too strict one way or another is going to cause issues eventually. Meat only until you have healed, but then a normal diet with low oxalate vegetables might make more sense
Yes.
So you view the carnivore diet as not normal?
â@@FargoDaddyit's abnormal cause it doesn't take into account your microbiomes needs for food, which is like 80% of your body
Agreed
You might need to educate yourself a little more. The carnivore way of eating is a normal way of eating. You say the microbiome may be a problem, but many carnivores have tested their microbiome and have tested in the highest rankings of diversity.
Dr. Cywes talks about low insulin > glucagon action and suppressed insulin for long term carnivores. What do you think?
Yeah, he recommends that long term carnivores consume a little bit of carbs to trigger the insulin response so insulin can balance the effect of glucagon. Insulin shouldn't be always extremely low (the extreme case is Type 1 diabetes)
Preface statement, I have no intention of stopping carnivore way of eating. I think we have issues because it is not normal to have food security. Donât get me wrong, I love my food security. But I believe itâs in my best interest to not over eat, but if I do over eat then it is probably advisable to fast for a sufficient period of time to feel hungry get back to homeostasis. We are all learning as we go and as long as I keep feeling good, I will keep eating this way.
Thoughts on Dr. Robert Cywes' theory of insulin supression and carnivore diet?
shared this in another comment but I'll share it again: I think he's a brilliant person but I also think he's very rigid in his points of view. I wanted him to share his data with me (we debated about this in person for over an hour) but he can't because it's his patients and protected by HIPAA. So if you can't share it, how do we know the case studies are correct in context? We don't see the issues he's sharing in our practice, and we've worked with thousands. I also think he doesn't consider environmental factors in blood panels being skewed. Not everything in the blood is only impacted by diet.
Thank you!
My Creatinine went up from .90 to 1.49 so it dropped my GFR drom 104 to 57. Never did a cystatin C so decided to do one. Then did a cystatin C (.86) and it changed the eGFR to 99. My BUN is 28 and the BUN/Creatinine ratio is 19. Am I in good shape with my Kidney function?
My fasting glucose is often 6 in the morning yet my hba1c is 5.3. My homa ir is also low even with that glucose reading of 6 as my insulin is so low. Turns out my morning fasting glucose is just the highest reading and it goes down all day from there so I'm not even worried
InterestingâŠ. I stopped eating red meat (and barely eating any other type of animal protein) 15 years ago. 2 years ago my A1C was high and I was borderline pre diabetic. I reduced my carb intake and after 1 year
A1C was higher than previous year. Then doctor asked me if I was eating enough protein. I reintroduced red meat and after 6month my A1C went down. Iâm wondering if all these years of not eating animal protein lead to inflammation (RA).
I poisoned myself with sugar and margarine 40 years ago. We ate a good amount of meat. Less at times over the years. Constipation has been my main issue for decades. Was paleo, keto, since I forget when. Long time. More and more carnivore in the last 7 months. Went fully carnivore 4 months ago. 3 months ago digestion totally shut down. Must take senna and Magnesium to produce diarrhea or nothing comes out. No energy. Still carnivore. What for? Am I still poisoning myself?
How can you get the CGM? Don't you need a prescription? Would love to try it.
No you don't. There's one called keto mojo. Just search it up.
@nutritionwithjudy This is EXACTLY where Iâm at and I desperately need to connect with someone like yourself. Iâm not sure what to do. Never been diabetic just slightly pre. Iâve been on strict carnivore for 3 months and started wearing a CGM. My fasting glucose a year ago was below 100. Now it does not go below 120. It randomly goes between 120 and 150 throughout the day and seems to be responding to stress as much as food. I started noticing my stress hormones going up and I think it turned into a vicious cycle. If I ate even a piece of bread on and empty stomach it would skyrocket to 200 or 230 and then within 30 minutes come back down to just below 100 and then drift back up to 120. The curve does not look diabetic but the spike amplitudes are insane. After starting the CGM and seeing my elevated glucose I started feeling even more stressed and had to actually take it off. Iâm so frustrated now because I want to be on the diet but all of my understanding about blood sugar health is telling me I donât want to be at 140 all day long. I had not been eating any sugar for a couple of months.
I would test another diet. Type 1 diabetics have great success with low saturated fat diets with lots of whole plant foods. It'll take a couple of months at least I imagine to start clearing out all that fat blocking your cells ability to take glucose out of your blood.
@@bobhill4364 đ€Ł
@@it5190 Good luck with your diabetes.
@@bobhill4364 thanks for the input Bob
So higher blood sugar is fine on a carnivore diet but now while eating carbs? Make this make sense please.
My blood sugar sometimes goes up with exercise. I was told that insulin was released to provide energy.
After being keto/low carb for 4 yrs I went high fat carnivore, after 6 weeks I had a stroke, my bloodwork showed that my cholesterol went from 320 to 850 & inflamation markers were very high. I have been technically pre-diabetic for 20 yrs (fasting glucose generally around 106), but otherwise healthy. adding 50-100 grams of carbs seems to regulate my cholesterol levels. While I felt good on carnivore the idea of going back to it is frightening in my case, any comment?
Did you have the mRNA shot before the stroke? I don't think high fat and high protein can be tolerated by everyone. I watch my fats but still get plenty of healthy fat.
@@Jayla-dj2gj I considered that as i did have the vaccine but it was 11 months prior to the stroke, seems unlikely to be the cause but no way to know. It is conceivable that the jump in cholesterol and inflammation was a protective response by the body to the stroke and not caused by the meat diet, however it seems too coincidental that i go carnivore and have a stroke. Your guess is as good as mine.
Judy - Is there any consideration of fasting a little longer e.g., don't eat 2 lbs of ribeye for dinner then have blood drawn the next morning. Eat the ribeye for breakfast the day before.
I also wonder about beginner carnivores with damaged livers that cannot clear LDL or Chylomicron remnants as rapidly as a healthy liver leading to high total cholesterol.
I have started having a glass of red wine about 7pm and my fasted blood sugar has gone from mid 90's to mid to lower 80's. I did carnivore for about a year and my blood sugar did go up over 100. I quit a couple of years ago.
the short clip on this video is really confusing, it sounds like you are recommending sugar when have high sugar. don't think that clip is very helpful.
The dawn effect makes blood sugar high early in the day. Test later in the fayto grt a mote realistic number.
I check Ketones also anthey range between 0.5 and 2.0 most of the time.
I gained 15 pounds on 3 year carnivore diet and my fasting glucose is high. Are they related and how can I fix it?
when I ate carnivore my fasted bg went up to 104. It's now 73-85 after i started eating more carbs like potatoes
Is it "blood sugar" or "fasting glucose", or used interchangeably at times...?
Miss Judy, my trigs went from 116 to 125 since December. My aic went from 5.8 to 5.6. My crp went from 0.9 down to 0.8. Havenât checked glucose test yet. ApoB is high ldl high, hdl went up from 50 to 66. Always have perfect BP. Bart Kay says not to worry about my apoB đ€·đŒââïž.
My trigylcerides came back at 55 and HDL at 58 but glucose 89 and uric acid went up from 3.8 to 4.4
I seem to be gaining a little bit of weight. My BUN/Creatinine ratio is elevated and my RDW is on the higher end but still in range (it went up significantly). I dont know what to make out of it.
I'm so disappointed that doctors don't check insulin and because my a1c was quite normal she said it's not necessary đźI guess I'll get my own insulinđ
right on, bro. cholesterol? the more the merrier! high LDL? harmless! fat? it's great. saturated fat? even better! beef, bacon and butter? come and get some!!!!!
now it's high fasting glucose and elevated A1C... pffft! that's Carnivore Optimal! you're doing it right!
So it's good to add sugar like honey and fruits?
Wondering why in get hypoglycemic symptoms after being on Carnivore for 2 years?
Weâre on carnivore for 5 years now, our A1c is 6.0 đź our doctor isnât very convinced on carnivore!
I'd change things around and see if it lowers A1c.
@@asarcadyn2414 Honestly we tried everything đ€·đ»ââïž
How many grams of protein do you eat per lb. of lean body weight?
Same with me ...carnivore for 1 year but my A1C is 6.1 ...I feel really good though so I plan on continuing my carnivore diet
I just want to fix my sleep, waking up always between 2-3. This is bothering me. I added back some carbs and still can't see any improvement.
Most people who have these issues never healed their gut when going carnivore. I am one of those people as well. Surprisingly eating carnivore/keto I was still able to heal some major health issues ie. 40 years of daily migraines and 8 years of massively high BP which came on after multiple surgeries and massive antibiotics. Now almost 8 years in and doing carnivore/with keto macros, I had to lower protein and elevate fat to lower BS. But the main culprit turns out to be digestion. My digestion on carbs was bad and never got better on low carb. Lots of bloating etc. It can be masked by bringing in carbs or lowering fat but those are only bandaids and are not addressing the root cause. This gets complicated as it could be because of the front end ie. HCl production or the back end ie. Bile sludge, gallstones or no gallbladder. So it has to be a calculated measured experimental approach for each individual. But absolutely poor digestion will mess up your BS readings.