Waking up at around 3 AM while eating keto or carnivore is fairly common. Feeling like you're "always hungry" is another problem for some people. I've majorly struggled with both of these issues & I believe mine are related to unstable glucose levels and insulin suppression due to eating low-carb for years now. This video will tell you why that is.
I spent the last 6 months tracking every aspect of my daily life + getting every lab and blood test imaginable, to figure out why this is happening & how to resolve it. I'm here to share my recently updated labs, my experiments, and my results with you. I've chatted with so many of you who are dealing with similar issues. You were a bit motivator for me to find answers here. So, I hope this helps.
Please share your experiences in the comment section below to help others. Thank you so much for watching - Holly.
PS - If you want to chat about this more, please join my forum at: www.lifeanddiy.com/forum/.
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as some of you know I started eating
carnivore about a year ago as an
experiment and an Elimination Diet a few
years prior to that I was eating a
mixture of Keto to ketovore so I've been
eating low carb for a very long time now
done a couple of videos about disrupted
sleep on Carnivore and keto and this is
where I wake up between midnight and
3:00 a.m. I know that hundreds to
thousands of you out there are dealing
with the exact same issue due to all the
comments on my past videos some people
will tell you that it's totally normal
and that we should be sleeping in a
biphasic manner many of us don't have
the ability or the time or the interest
to sleep in that way which involves
breaking up your sleep into two segments
and taking a nap again later in the
morning that is not for me
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personally so some of you out there are
older and you may have assumed that your
sleep issue is just related to your age
and I just received a comment like this
from a man who's in his 70s and then he
realized that there were all of us
younger people as well dealing with the
same issue so it obviously seems to be
diet
related I have really struggled with
doing this video because this situation
is so complicated but many of you have
commented on my previous videos asking
if I found a sleep solution I've spent
the last 6 months tracking myself like a
crazy person documenting every single
aspect of my day and night from food
intake to blood sugar levels ketones
cortisol other hormones and other lab
work to try to figure out what in the
world is going on with my sleep and
other issues I am also working with an
excellent doctor and I'd personally like
to consult with a couple of other
experts because I still have some
questions I believe I know what my
issues are and before we get into it
number one I am not a doctor and this is
not at all any type of medical advice
this is just my theory based on my
personal experiences lab work and
extensive research I'm going to put
links to studies Down Below in the
description I also have a forum on my
website where we can chat this topic and
these issues are complex but I'm going
to do my best to try to condense things
down here I believe that I am dealing
with insulin suppression a term
introduced by Dr cus who is well known
in the keto and carnivore communities he
has years of clinical experience helping
patients with their metabolic health and
he specializes in low carb keto and
carnivore diets prolonged low carb
eating can lead to excessively low
insulin levels he says that it looks
like insulin resistance but it's
actually insulin suppression an insulin
suppression where you haven't had a
carbohydrate response for such a long
time that the glp1 system is not
actively able to release insulin
so insulin suppression even when you eat
glucose so if you take a a person who's
a lean mass Hypes carnivore is insulin
suppressed and you give them 75 gram of
glucose to eat which is a standard oral
glucose tolerance test their blood sugar
goes screaming up and stays up for a
long time but if you measure the insulin
by definition it's flat it's below 30
units of insulin at a peak which we call
a craft pattern five which is equivalent
to type 1 diabetes because the system is
as broken in a different way as it is
with um uh with your insulin suppressed
insulin resistant patients insulin is a
hormone that has multiple functions
other
than Just Energy control the concern
though is that you don't have insulin so
your protein synthesis your autophagy
all of those things are failing and
become
problematic when you don't have
insulin we need that insin
so those folks should be consuming a
little bit more sugar and when they
trigger insulin when they're producing
insulin that very very high cholesterol
comes down we've seen that every day in
my office as we put people on our
carbohydrate carnivore diet I make sure
that there's a little bit of
carbohydrate in my diet to trigger
insulin and yes my cholesterol is high
it's 240 but it's not
34500 I'm not sure if you noticed this
but he mentioned the term lean mass
hyperresponders or L mhrs I know that
some of you have heard this term before
and others may not have but Dr cus
Associates it with those who are insulin
suppressed I actually just received lab
work results this morning from a new
doctor and the results show that I am a
lean mass hyper responder it's basically
a phenotype or a group of people which
includes someone who has been eating low
carb for a very long time and they
present with a very unique and unusual
set of cholesterol lab numbers I'm going
to share all of my labs shortly my
doctor seemed pretty concerned he
diagnosed me with Hyper lipidemia which
has never happened before and he
recommended a change in diet or statins
there is research on this topic of lean
mass hyperresponders and also an
excellent video by Nick norwitz and I
will share a link to that down below I
am not against carnivore by the way not
at all I think it can be an ideal option
for some people I think it's important
to keep in mind how very different we
all are and what works for one person
may not work for another in the same way
when we drastically change our way of
eating we are essentially experimenting
on ourselves and it can have
far-reaching implications your body will
always strive for homeostasis to create
a balance but in the process you may
have some struggles I received a comment
recently by a lady who said she thought
her hunger hormones were completely
haywire and I am experiencing that as
well understanding insulin's role is so
important when you eat carbohydrates
Ates your body releases insulin to Usher
glucose into your cells for energy but
with minimal carbohydrate intake over
time the need for insulin diminishes
this is where a problem may arise for
some people if you're lean and Insulin
suppressed from long-term carbohydrate
restriction some people end up with
issues like what I'm dealing with which
I'm going to share in this video I'm
also going to address the Sleep issue
but first I want to talk about Hunger
signaling problems and a big problem
that I'm personally having I've seen
this topic brought up repeatedly by
people who are eating carnivore and
experiencing unbelievable insatiable
excessive hunger so I saw this post on
Reddit recently where a guy was
experiencing this excessive hunger
related issue which I also have and many
people seem to have I noticed in the
comments and the replies some people
were consuming upwards of 4,000 calories
per day and still saying you know you
have to just keep eating until you're
full but the problem is a lot of people
are not experiencing that sensation of
fullness like they were previously and
so this can become extremely expensive
and extremely difficult to have to eat
so much and you know it's also very
distracting when your mind is consumed
with eating and eating and eating and
that seems to be what happens when you
have this type of ravenous hunger so it
really is a problem and I don't think
people understand it this can happen for
several different reasons first first he
needs to make sure that he is consuming
enough fat with his food let's say that
he was consuming enough fat then I
believe this can also happen due to low
insulin levels and changes in your
hunger and satiety hormones gin is
released actually from the GI tract its
main role is to increase your desire to
eat now the signal for gin is reduced
glucose levels in the blood
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for most people after eating their
insulin levels will increase triggering
a feeling of fullness there was a
fascinating study on this shared by the
channel physionic the researchers of the
study recruited four men and two women
that were diabetic and another four men
and two women that were non-diabetic and
then these individuals had insulin
administered to their bloodstream by
infusion the researchers had five
conditions they tested but we'll only
focus on a few of them condition one
included no previous manipulation of the
diabetic group just fasting overnight
condition two the diabetic participants
were primed with insulin overnight
before the study or measurement period
began condition three the diabetic
participants were primed with insulin
for 67 hours before the measurement
period Then the researchers had a
control group including the healthy
non-diabetic individuals that were given
insulin only during the experimental
period and the final group was the
healthy participants given only saline
so no insulin here we're looking at gin
again the higher the Gin the association
with greater hunger or said differently
reduce gin implies less hunger as we see
the insulin Administration to the
healthy non-diabetic individuals led to
a steady decline in Gin this was also
observed in the diabetic individuals but
the effect was significantly delayed the
same was not true for any other diabetic
condition that involved priming with
insulin before the experiment this data
implies that healthy individuals
experience reductions in Gin when they
are exposed to insulin and that diabetic
individuals might as well but the
sensitivity to insulin is reduced
leading to a dampened effect this is
interesting because it means that on a
purely insulin Centric basis through gin
diabetics get less dampening of their
hunger after an equal meal potentially
there's another hormone you may have
heard of and it's called glucagon like
peptide 1 or glp1 I'm sure you've heard
of the drug OIC the reason OIC works so
effectively at helping people to lose
weight is because it makes them feel
like they're not hungry this is done by
activating glp1 a hormone that makes you
feel full and satisfied as well as
delaying gastric emptying how does this
relate to insulin glp1 is what triggers
the release of insulin so it's very
important it is primarily released from
the intestines in response to the
ingestion of carbohydrates as well as
certain types of fats certain types of
fats from meat may not elicit glp1
secretion as effectively as others this
has been shown in research for example
saturated fats which are abundant in
some cuts of beef have been reported to
have a relatively weaker effect on glp1
secretion compared to unsaturated fats
like monounsaturated and polyunsaturated
fats a 2021 research review showed that
unsaturated fats like those in olive oil
are better at stimulating glp1 release
than saturated fats like butter research
shows that eggs especially the whites
trigger glp1 quite effectively glp1 is
also important as it slows gastric
emptying leaving you feeling full for
longer and allowing proper nutrient
absorption you want it to be at a normal
rate for absorption and to maintain
proper blood sugar levels after you eat
your meals this study investigated the
rate of gastric emptying on a high fat
diet versus high carbohydrate subjects
consuming a high-fat diet had a
significant acceleration of gastric
emptying whereas eating a high carb meal
had no impact on the normal emptying
patterns this is just one study but it
is insightful because once you
experience quicker gastric emptying your
gin or hunger hormone will be released
and you'll be hungry again very soon
after eating I've looked into this
because it is something that I'm
personally dealing with and what I've
been experiencing since starting
carnivore for example I can eat a very
fatty ribeye and as I nearly finished
eating it my stomach feels even emptier
and I feel hungrier as I'm finishing my
meal it honestly feels like I ate
absolutely nothing or my all meat meal
it just like disappeared after I ate it
right away and it's really unusual this
has become a big problem for me because
it's disruptive to my daily life when I
feel like I need to kind of obsessively
plan and cook a lot of food and eat a
lot of food I have monitored the amount
of fat I'm taking in also because it's
very very important to get enough fat
and even though I am consuming a fat I
still have this issue and I think the
ribey is a good demonstration of that my
theory is that glp1 is low and gin is
obviously High according to research gin
the hunger hormone increases when you
have an empty stomach or low blood
glucose grelin is also thought to be
involved in the sleep wake cycle
regulation process studies show that
shorter sleep duration is associated
with high grin Levels by adding in
certain carbohydrates whether during the
daytime to alleviate issues during the
day or at night I found it to really
help with the incessant hunger issues
and this is supported by research it
takes longer for the food to digest when
consuming some carbs so it slows down
digestion a bit keeping you full longer
and having an impact on glucose levels
I've noticed a pattern related to my
early wakeup on the nights when I
managed to sleep longer my glucose
levels tend to hover around the '90s in
the morning although sometimes they're
also in the 80s during periods of the
worst and shortest sleep I often find
myself with lower blood glucose levels I
also find that I wake up feeling
unbelievably hungry here you can see my
levels were in the upper 70s to low 80s
very early in the morning between
midnight and 3:00 a.m. so if I continue
to sleep the numbers will probably
continue to lower and I believe my body
is waking me up before the glucose gets
too low I've had episodes of
hypoglycemia when my glucose was in the
upper 70s prior to carnivore I would not
eat very soon after waking up I could go
very long time and I didn't have
excessive hunger because I think my
blood sugar levels were very stable and
so this whole experience is quite new to
me as a result I now am so hungry I have
my first meal within a few hours of
waking up and I try to wait as long as
possible I've done numerous tests and
tried many of your suggestions to help
me get better and longer sleep and a
couple of the things that I've done have
actually helped out quite a lot even
though it may work now it doesn't mean
that it's a solution for everyone or
that it'll even work for me tomorrow or
next week because things seem to be
changing all the time for better sleep I
eat my last meal 2 to 3 hours before bed
I've learned that eating some carbs with
that meal helps me to sleep better by
stabilizing my glucose levels overnight
I then tend to wake up with my glucose
levels in the '90s although sometimes
it's also in the 80s at times when my
sleep has been really bad it's sometimes
associated with me being in deeper
ketosis and having lower glucose levels
I've found that adding in small amounts
of carbs during the day also helps with
the hunger issues that I mentioned after
eating that meat Rich meal I then eat a
few organic carrots this is what's
worked for me recently these contain
some carbohydrates and different
nutrients on the days when I have done
this I have slept so much better and
I've woken up very refreshed it feels
like it helps to slow down the Digest
Ive process or gastric emptying because
it's a harder substance with fiber and
it takes longer to digest I'm eating it
raw it seems like this has a very
positive effect on my blood glucose
level so that they don't get too low
when I'm sleeping and they tend to be
higher when I wake up some people don't
like that but I need that right now also
I know people highly dislike the word
fiber and I do too I have never
understood why doctors push the topic of
fiber so much they tend to push it and
recommend grains and vegetables and
things things that I can't eat at this
point though I do understand why they
can be helpful I've also done an
experiment with making chili with ground
beef this was a super basic chili that
included ground beef cooked with a
little onion I then added a can or two
of tomato sauce or pasta sauce with no
added sugar had lots of seasonings to
make it taste like chili I can't
tolerate beans so I didn't add any of
those I also added avocado to it that
night I slept 9 and 1/2 hours and I woke
up at 5:00 a.m. it was amazing GL
glucose was in the '90s the next morning
and even though I sometimes sleep longer
I am still struggling with my 3:00 a.m.
wakeup because my body clock has become
very accustomed to waking up at that
time I'm also working out more and
getting in more steps because I've
noticed that this can also really help
with fixing sleep issues I also added
a/4 cup of rice recently with a meal and
I slept almost until 5:00 a.m. this just
happened this week and for those who are
concerned about being kicked out of
ketosis of course everybody is different
with their metabolic Health but the
following morning when I ended up
testing my ketones and glucose my Ketone
levels were at one even though these
little tweaks are helping I still
haven't added in that many carbs yet
because honestly I'm really not used to
it but I am going to work on triggering
insulin more by adding in more carbs
than what I have right now but it's
going to take time if you're introducing
things in after having very few carbs
for a long time you you want to be
really careful not to cause blood sugar
spikes or reactive hypoglycemia certain
foods can do that to you and certain
ways of eating can really contribute to
it for example if your stomach is empty
and you have something high in sugar
like a banana that could cause a great
spike in your glucose levels and it
could potentially cause you to have
reactive hypoglycemia I've tested this
out on myself with honey on an empty
stomach I was totally fine with one
teaspoon of honey no terrible reactions
but testing the effects on my glucose
and ketones when I consume two teaspoons
on an empty stomach which is equivalent
to 12 grams of sugar I had reactive
hypoglycemia later as a result and it
was not fun I experienced shortness of
breath my heart was racing dizziness
confusion I was a bit panicky felt very
weird and my face felt very fuzzy and my
tongue almost felt numb it was pretty
bad and the glucose levels were were low
for me my Baseline glucose was 84 and
ketones were 1.8 about 4 hours later my
glucose was 79 and the ketones were two
that's when I experienced my worst
hypoglycemia symptoms the whole thing
about me being in ketosis also is kind
of a confusing thing so if you have any
thoughts on it please let me know down
below hypoglycemia is often associated
with glucose levels lower than 70 but
mine was at 76 and on numerous other
occasions I've had symptoms when my
levels were in the upper 70s one way to
avoid this is to consume those car carbs
right after eating your protein and fats
if I do that in the evening as an
example by the next morning I'm in
ketosis with a level of one often times
this of course depends on what you've
eaten and how your body responds but
that's just my experience right now if
you're experiencing any similar issues
to what I've mentioned here I recommend
getting some blood work done you can
test your insulin levels fasting blood
glucose and C peptide to get a really
good overall picture of what is going on
also hba1c also get your cholesterol
levels and complete blood count done as
well if it's possible according to Dr
cus some people with insulin suppression
will notice other changes in their lab
work such as increased cholesterol
levels a rising triglyceride level and
bu I've also heard of some people
dealing with hormonal issues like low
testosterone I believe Dr saladino had
that problem and after adding in some
carbs he added in a lot of carbs uh his
levels have normalized when tested my
insulin was 3.7 glucose 82 and C peptide
was 1 1.1 my hba1c went from 4.9 on keto
to 5 on Carnivore still pretty low on
Carnivore my cholesterol was 377
triglycerides 116 HDL 95 and LDL
242 here you can see my very latest
cholesterol Labs on the top I just
received these from my new doctor and it
looks like I've had some slight
improvements because I've been trying to
add some foods back in I was mostly
concerned with my triglycerides being
high at the last test so I'm glad that's
now fixed
I am not overly concerned about these
numbers but my doctor definitely is
these numbers seem to fluctuate so much
depending on what I'm eating at the time
and when I used to eat very unhealthy
these numbers were considered way better
and much lower the current Labs show
that I am a lean mass hyper responder
which I mentioned earlier in the video
I'm going to continue working with my
doctor on all of this and I'm also
slowly and carefully adding some
carbohydrates back in I'm intolerant to
many vegetables but I haven't had any
real issues with the carrots if you've
eaten carnivore for more than a couple
of months you will be sensitive to foods
that you add back in and that is totally
and completely normal it might be
frustrating because you're going to need
to possibly add them in very slowly in
order to regain your ability to digest
them easily that's my situation anyway
I've added in avocados which used to
help me with having that feeling of
being full prior to eating carnivore
they help to trigger glp1 it seems that
the effect that used to have doesn't
really work anymore it's very dampened
but I'm still eating them hoping that
it'll help some carnivores are against
eating all vegetables and I find more of
a problem with vegetables than with
fruits for example tomatoes olives
cucumbers and avocados are actually all
fruits and not everybody knows that for
me those things don't cause me any
stomach problems to eat them but if I
want to have something more difficult to
break down in my stomach with more fiber
I'm going to go for the carrots in order
to slow down the gastric emptying or to
help help trigger glp1 to help me feel
full after eating I'm going to focus on
trying to add in some type of food with
my meal stuff like carrots avocados some
nuts Etc things that help with glp1 I
also like to eat organic blueberries a
few times a week after my meal but I try
to do that earlier in the day not with
my last meal just by adding in such
small amounts of carbs with my meals I'm
finding that I am not ravenous and I'm
waking up and not feeling as insanely
hungry as I did before and I enjoy
eating more of a variety of foods doing
this experiment has made me really
really appreciate other foods and I
understand that for some people this is
out of the question because they have
food addictions and if they eat a little
of something they end up binging or
eating really unhealthy I understand why
those people want to stay strict
carnivore and for them it works really
well I also understand that food quality
is not great but I do my best to buy the
best quality that I possibly can so for
me I'm still meat-based and still in
ketosis but in order to fix my health
and improve my symptoms I'm finding that
these add-ins are making a great
difference for me so far please share
your experiences Down Below in the
comments section