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SCORE Ralph 10-07-2010 02:47 PM

Ive been a diabetic for over 10 years... I know that acetone taste when your sugar is high and that its related to keto-ACI-dosis (as opposed to Ketosis). How are these 2 related? Just curious if this is a good thing to try as a diabetic (aside from your personal experience being diabetic for 26 years).

dyna mo 10-07-2010 02:59 PM

Quote:

Originally Posted by Ralph - GetScoreCash (Post 17585209)
Ive been a diabetic for over 10 years... I know that acetone taste when your sugar is high and that its related to keto-ACI-dosis (as opposed to Ketosis). How are these 2 related? Just curious if this is a good thing to try as a diabetic (aside from your personal experience being diabetic for 26 years).

ketoacidosis does not occur for folks who are not diabetic. it is an extreme level of ketosis build up. with someone who is not diabetic, their natural production of insulin keeps the ketosis in check.

i did really well on the keto diet- mostly due to the ultra low carb intake. my insulin requirement is directly related to how many carbs i consume, so even though i was not exercising while on the keto, i was not needing to shoot as much insulin as i was prior.

:)

SCORE Ralph 10-07-2010 03:07 PM

Quote:

Originally Posted by dyna mo (Post 17585269)
ketoacidosis does not occur for folks who are not diabetic. it is an extreme level of ketosis build up. with someone who is not diabetic, their natural production of insulin keeps the ketosis in check.

Yea, I know that, question was relative to diabetics.

Quote:

Originally Posted by dyna mo (Post 17585269)
i did really well on the keto diet- mostly due to the ultra low carb intake. my insulin requirement is directly related to how many carbs i consume, so even though i was not exercising while on the keto, i was not needing to shoot as much insulin as i was prior. :)

Im on the pump actually, so I do carb-to-insulin ratios as well. But my question was more about the ketoacidosis... for so many years Ive heard 'ketoacidosis bad bad bad', how do you control your body to not get to that point (an extreme level of ketosis); whats the balance?

dyna mo 10-07-2010 03:14 PM

Quote:

Originally Posted by Ralph - GetScoreCash (Post 17585294)
Yea, I know that, question was relative to diabetics.



Im on the pump actually, so I do carb-to-insulin ratios as well. But my question was more about the ketoacidosis... for so many years Ive heard 'ketoacidosis bad bad bad', how do you control your body to not get to that point (an extreme level of ketosis); whats the balance?

ketoacidosis is bad. i'm not really comfortable making a suggestion to you about it, in all honesty, diabetes is serious business. i didn't have any problems going ketoacidotic while on the diet. but i've never really had problems with ketoacidosis, there's been times when my blood sugar was 350 to off the scale and i was not in ketoacidosis.

perhaps run it by your endo/nurse practitioner. :)

dyna mo 10-07-2010 03:20 PM

here is some more info from a diabetes board i hang out at

Quote:

4- If so, what are the signs and how does one KNOW it isn't just plain 'ketosis' from dieting showing on the ketostix?
Someone following a controlled carb diet in ketosis would never be in ketoacidosis so this is something you don?t have to be concerned with. DKA is typically characterized by hyperglycemia over 300 mg/dL, low bicarbonate (<15 mEq/L), and acidosis (pH <7.30) with ketonemia and ketonuria. The ketonuria (ketones in the urine) is a result of the DKA, not a cause. Ketones in the urine of those following a carb controlled diet would never reach the amount of ketones in the urine of someone in DKA.

5- Can ketosis in a diabetic INDICATE ketoacedosis or the posibility of it in the future [in type 2.... OR type 1].
Not at all. Ketoacidosis in a diabetic is a result of extremely high blood sugar which interferes with the ph of the blood. It does not cause ketosis. The only similarity between ketosis and ketoacidosis is that they both result in ketonuria.

6- Can a diabetic being IN ketosis be dangerous and bring on ketoacidosis if ketosis continues, and especially at a high level..... and indefinite time, like months... or ALWAYS being in ketosis in future.
A diabetic needs to be concerned with their blood sugar, as this is what can trigger ketoacidosis. Ketosis will not trigger ketoacidosis.

7- Can too many keytones from dieting actually CAUSE ketoacidosis in a diabetic?
Not at all, for the reasons I described above. Ketosis and ketones do not cause ketoacidosis. They are two separate things which are often confused because of the similarity of their names.


SCORE Ralph 10-07-2010 03:24 PM

Excellent post. Gonna have to look into this.

dyna mo 10-07-2010 03:54 PM

Quote:

Originally Posted by Ralph - GetScoreCash (Post 17585351)
Excellent post. Gonna have to look into this.

i found this video to be a good explanation re: keto diets and diabetes



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