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Any Type I Diabetics Out There?


audone

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audone Newbie

Hi - I am new to this site. Had a positive blood test about 5 weeks ago and will have GI biopsy April 15th. I was diagnosed with Type I diabetes when I was 17 (am now 31). When I started the gluten-free diet, it was hard but manageable. Now 5 weeks in, my blood sugar has been crazy! I have tried to cut out all carbs but am having trouble doing this and feeling full. I'm just wondering if anyone has had this happen and what I should do.


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psawyer Proficient

Welcome to the board.

I, too, am a type 1 diabetic. There are a number of others here.

Many gluten-free foods which are substitutes for "ordinary" foods are higher in fat and carbohydrate and lower in fiber.

But what I found most significant was that after I went on a gluten-free diet, my intestines began to heal. As they healed, my ability to absorb nutrients, especially carbohydrates, increased. Over a period of a few weeks, my dosage of fast acting insulin had to be increased dramatically. Over a three-month period it more than doubled. Over a six month period, I gained back fifty of the seventy pounds that I had lost due to malabsorption.

Managing the combination of diabetes and celiac disease is a challenge. Keep this in mind: when the diets appear to be in conflict, the gluten-free diet MUST prevail. A small amount of extra carbohydrate will do far, far less harm to your body than any amount of gluten.

I would not try to cut carbs out completely. You must match carb content to insulin, and insulin gets harder to manage as levels get lower. The no-carb diet is fine for a type 2 diabetic who is controlled solely via diet, but is dangerous for someone on insulin. If you cut things too tight, severe hypoglycemic reactions are possible. I have been there--I don't wish it on anyone else.

You will find much support and information here.

missy'smom Collaborator

You may want to check out Dr. Richard Bernstein and his book Diabetes Solution. He follows and teaches his own specialized low-carb diet for the management of diabetes. He's a remarkable man who interestingly, was diagnosed with celiac disease when young, and had type 1 from an early age. He was developing complications and set out to find a better way, and found it. He became a doctor and specializes in diabetes. He has led a very long, healthy life. He was one of, if not the first man to use the first meter. The diet is very compatible with being gluten-free. There is a forum set up to support those who follow his methods and he broadcasts a live teleconference once a month to answer questions that are sent in.

ranger Enthusiast

I'm not type I, but am a typeII. This probably wouldn't apply to you, but a strange thing happened to my BS on my way to becoming gluten free. My last AIC before I want gluten-free, was 13.5 I was prescribed Glyburide, and my DOC was talking insulin. After 1 month on the gluten-free diet, my next AIC had gone down to 8 on half the meds. I am due for another soon, but after only 3 months of being on the gluten-free diet, my fasting bs readings are in the 70 to 100 range! If I eat too much gluten-free bread, it makes it rise, but I eat a good amount of other carbs with no problem. And, I eat something sweet every day. I cannot explain this, but the Numbers do not lie. So, I am not only regaining my health, but my diabetes seems to be going away! I DO NOT MISS WHEAT!

missy'smom Collaborator

That's great that you're seeing such an improvement ranger.

Being gluten-free trained me to read labels, call manufacturerers for info. and learn to cook and eat pure, simple foods which helps me manage diabetes now.

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      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
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