Post Time: 2025-09-01
Why Fasting Glucose and A1c are Higher on a Carnivore Diet and What to Do
The carnivore diet, an all-animal-products approach to eating, has gained popularity for its potential benefits in weight loss, inflammation reduction, and improved mental clarity. However, one commonly reported side effect that can raise concerns is an increase in fasting blood glucose and A1c levels. This article explores the reasons behind this phenomenon and provides practical strategies to manage these changes effectively.
Many individuals transitioning to a carnivore diet find that their fasting blood sugar numbers initially rise, despite a significant reduction in carbohydrate intake. This seemingly paradoxical situation often leads to questions and confusion. The main reason lies in a physiological process known as adaptive glucose sparing, also referred to as physiological insulin resistance. This condition, not a disease, emerges when the body adapts to a very low-carbohydrate environment. Essentially, your body gets more efficient at using glycogen stores, which are derived from fat and protein via gluconeogenesis, for energy. When your diet is predominantly protein and fat, the metabolic pathways are not used to carbohydrate consumption. So while the amount of glucose in your blood could be higher, your body might not be absorbing that glucose because it doesn't expect the carbohydrates. The insulin response might not be optimized for the new diet.
Here’s a quick summary of the key points:
- Adaptive glucose sparing increases glucose release.
- Gluconeogenesis increases glucose production by using protein and fat
- Reduced carbohydrate intake leads to different metabolic pathways.
- Physiological insulin resistance means your cells become temporarily less sensitive to insulin.
This isn't necessarily a sign that the diet is harming you; rather, it is often an adaptation process that may level out over time. However, for individuals who are concerned or have pre-existing conditions, it's vital to understand how to track and manage this process.
The Science Behind Elevated Fasting Glucose and A1c on a Carnivore Diet
To fully grasp why the carnivore diet might lead to these changes, we need to examine the underlying metabolic processes.
1. Gluconeogenesis: When carbohydrate intake is minimal, the body needs alternative fuel sources. Gluconeogenesis is the process where the liver converts protein and fats into glucose to maintain essential blood glucose levels, particularly for cells like red blood cells, which primarily use glucose. On a carnivore diet, with its high protein and fat content, gluconeogenesis is highly active. It is critical to note that gluconeogenesis does not make blood sugar as high as a meal of carbohydrates would, nor would the process last that long. 2. Physiological Insulin Resistance: In the context of very low carbohydrate intake, cells become less sensitive to insulin. The exact mechanisms are complex, but it involves changes in how insulin signals glucose transport into cells. This is why, despite the presence of adequate insulin, blood glucose levels can remain higher than expected. It's not true insulin resistance (pathological); this effect tends to occur during the first several weeks of adaption to the diet. This is the 'physiological' effect. 3. A1c Levels: A1c reflects your average blood glucose level over the past 2-3 months. With higher fasting glucose, A1c might show an increase. However, it’s crucial to understand that this change might not indicate pathological insulin resistance. Instead, it is likely a consequence of the adaptations discussed above. Research shows that some low-carb diets do not see elevated A1c or increased diabetic risks.
A Detailed Look at the Processes
| Process | Description | Impact on Blood Glucose |
|---|---|---|
| Gluconeogenesis | The liver converts non-carbohydrate sources (protein, fats) into glucose. | Increases glucose production, may raise fasting levels |
| Physiological Insulin Resistance | Cells become temporarily less sensitive to insulin’s glucose uptake signal | Reduces glucose uptake, potentially raising blood levels |
| Adaptive Glucose Sparing | The body prioritizes glucose for essential cells; efficiency for glycogen storage increases | Results in less glucose being absorbed |
- Important Note: It's essential to consult with healthcare professionals who understand the carnivore diet and metabolic processes. Standard guidelines are not optimized for very low carbohydrate diets.
Managing Elevated Glucose and A1c on a Carnivore Diet: Practical Steps
While higher fasting glucose and A1c can be concerning, there are several ways to manage these changes within the context of a carnivore diet. These strategies focus on supporting the body’s adaptation process and monitoring progress effectively.
1. Time and Consistency: Patience is key. Many experience a decrease in these levels as the body adapts. Give your body several weeks or even months to adjust to the carnivore diet fully before making conclusions about its overall effect on blood glucose management. Continue to consume a consistent diet, day in and day out, allowing your body to adjust to the consistency in its routine. 2. Hydration: Ensure you are drinking plenty of water. Dehydration can impact glucose readings. 3. Monitor Your Glucose Regularly: Consistent monitoring, particularly during transition, will allow you to track trends and adapt to potential problems. When the first blood test is completed (approximately two months from starting a carnivore diet), your levels might be very high. Subsequent tests should show a gradual decline. If it is your first time on the diet, you might be inclined to start again. Instead, commit to consistency and give your body the time to adjust. 4. Optimize Macronutrient Balance: While protein and fat are staples, try balancing your intake. If you have a high amount of lean protein, you might produce more glucose from gluconeogenesis. 5. Include Healthy Fats: Prioritize healthy fats (like those found in bone marrow, beef fat, salmon, eggs, or butter). Fats are critical for hormone balance and also serve as energy source. 6. Exercise: Regular physical activity improves insulin sensitivity and can help manage blood glucose levels. 7. Manage Stress: High stress can lead to increased glucose levels. Practice stress-reduction techniques. 8. Consult Healthcare Professionals: It is essential to work with a doctor who is knowledgeable about low-carbohydrate nutrition. They can help interpret your lab results, give personalized feedback, and help address individual circumstances.
Practical Action Plan:
| Action | Why It Helps | How to Implement |
|---|---|---|
| Consistency | Allows the body to adapt, promotes stabilization | Eat the same kinds of food at a regular times. |
| Hydration | Supports overall metabolism and healthy readings | Drink sufficient water daily. |
| Glucose Monitoring | Tracks trends and progress | Test with a home glucose meter first thing in the morning. |
| Balance Macronutrients | May reduce overreliance on protein and gluconeogenesis | Incorporate sufficient healthy fats with protein |
| Physical Activity | Enhances insulin sensitivity and glucose utilization | 30+ mins of moderate activity most days |
| Stress Reduction | Prevents spikes in glucose | Yoga, meditation, spending time outdoors |
Conclusion
The increase in fasting glucose and A1c observed by some on a carnivore diet is often a physiological adaptation to a very low-carbohydrate intake rather than an indicator of disease or a sign that this style of eating is not healthy for the individual. Gluconeogenesis and physiological insulin resistance are the primary causes for these increases. By understanding these mechanisms and implementing practical strategies such as tracking trends, time, and consistency, individuals can manage these changes effectively while still reaping the potential benefits of a carnivore diet. Always work with a healthcare professional knowledgeable about low-carb nutrition to optimize your approach.
Dr Tarakeswari S, Sr Consultant & Head can constipation cause high blood sugar levels – Obstetric Medicine Unit, Fernandez Hospitals answers the question on how blood sugar levels change after delivery of the baby in a woman with gestational diabetes This clip is part of the live webinar with senior and esteemed panelists: Dr. Usha Sriram, Endocrinologist and Founder DIWAS Dr Tarakeswari S, Sr Consultant & Head – Obstetric Medicine Unit Fernandez Hospitals Dr. Shital Patel Lactation Counsellor Moderated by alpha lipoic acid for blood sugar Aparna Mittal, PatientsEngage Diabetes blood sugar level 123 before breakfast during pregnancy or gestational diabetes needs to be managed well. Not just during the pregnancy but after the delivery as well. It is also a window to future health of the woman #Diabetes #Pregnancy #WomensHealth #EducateForABetterTomorrow #BeInformed #gestationaldiabetes