This is a great (interesting) question from Kirez who is dealing with Type 1 diabetes by using a paleo diet and hard training. Here is the original question/statement:
I’d like to talk again regarding insulin-dependent diabetes sometime. I’m noticing some surprising, unanticipated effects with strict paleo diet and heavy training — after initial decreases, my insulin requirements have gone UP. ?!?! I seem to be in caloric deficit (for 2-3 months now), maintaining weight but not increasing, high performance levels, ramped up metabolism — and requiring more insulin. It defies credulity. Higher metabolic rate, only protein & fat —-> increased gluconeogenesis???? I’m baffled, but monitoring everything rigorously and can’t explain it. My wife’s an endocrinologist, she’s with me on all this. (Neither of us is especially well educated regarding nutritional biochemistry, however.) From my experience, I’m seeing caloric deficit and simultaneously maintaining body weight and don’t know how this is possible. The only credible thought is that I can’t count very well.
By my way of thinking, minimizing insulin requirements is an objective measure of a diet’s quality and effectiveness.
I’m not expecting you to know all the answers, but this is on my mind and I wanted to share it with you.
The type 1 Diabetes really complicates things due to a lack of precise insulin management. From what you are saying however you have been in caloric deficit for some time, have seen a performance slump and escalating need for insulin. I’d wager you have some elevated cortisol and what amounts to a chronic stressor. I’d try a little more post WO carbs and possibly raise your total caloric content. Ideally we should see an up-tick in your performance and following on that an improvement in your insulin regulation. If you want to shoot me a detailed food log we can get a bit more detailed.