In 2014 I was told by my General practitioner that my right big toe, which had an infected ingrown toenail that was not healing, might have to come off if I couldn’t control my glucose , and in his opinion I couldn’t.
I was type 2 diabetic, my HbA1c was 7.5% controlled poorly with metformin. He was just writing me a script for Januvia and discussing beginning injecting insulin. I had done some research into Sitagliptin (Januvia) and pancreatic duct tumours so I was not eager to begin this new phase.
Back when I first learned that I would become diabetic back in 2004 my HbA1c was 11.2% and my fasted triglycerides 1111mg/dl. I tried the atkins diet and within 3 months my HbA1c was 6.4% and I escaped a diagnosis. But eventually I stopped that diet, and my glucose control wavered. I became diabetic as everyone who is prediabetic is apparently destined to become. I assumed that was inevitable, because experts told me that.
10 years later I was having the “toe conversation” and I thought “I should try a low carb diet again” … so I made my GP a wager, he’d hold off changing my medication (or chopping off bits) for 3 months and give me a chance to make a change through diet. If I couldn’t get my glucose under control with diet, I would take that Januvia and inject insulin and get used to my new lot in life as an insulin dependent diabetic.
Within 3 months of starting a ketogenic diet my HbA1c was 5.5%, 3 months later it was 5.2% and it stayed that way for 3 years. It is currently 5.3% 4 years later.
In that first 6 months I also lost 80 lbs, 20 lbs since.
In 2016 I began podcasting about my journey to help a diabetic friend … we are both post diabetic, and hundreds of thousands of people have listened to our show and have achieved similar results.
In 2018 I went back to school to study biochemistry.