I zoomed with a dietician this week. We talked about ketogenic diet and brain health, specifically schizoaffective disorder. She gave me goals for macros and ketones. I am having trouble just staying in the requirements of Virta, the company that is monitoring my diabetes, so she suggested following that and then make changes.
The suggestions she made was: going from 30g carb a day to 22g. And, cutback on artificial sweeteners. Keep my protein the same, and increase fat. She also suggested, for my particular issue, that I should have 2-3 mmol/l ketones in blood. When I started keto, I was getting numbers in that range, but now it runs around 1.0 so she suggested adding mct oil. She also suggested balancing the unsaturated fat I use with some monounsaturated fats.
I am trying to hit the macro targets now, but will really start in earnest in May.
I had asked my psychiatrist if he would talk with the Virta doctor and he agreed, but I don’t think he has called. I have been stable a long time, and am wary of making any medication changes. The dietician told me to work with my psychiatrist about any changes, which I would do anyhow.
I really can’t believe I have stuck with this as long as I have. I want to make it a lifestyle change but it is hard. I feel good and am thinking clearly. My main issue is that something does not agree with my gut. My fasting glucose has dropped 20 pts. Still not low enough to change my diabetes meds, but it is an improvement. I have lost about 1 lb/week, it’s not melting off, but I think it is reasonable.
I am in a medically monitored nutritional ketosis program and working with a psychiatrist for my mental illness. Please don’t try this alone.