@mattrix
You are missing the point,
IF I am in ketosis, THEN as soon as I take insulin I drop out of ketosis.
.
My bad - I should have phrased myself better. STAY in ketosis, was what I meant, really...
I admit it is not a very good test, I had to skip my basal to get ketones. But even if I start with good figures, 5.2 last night, my Dawn effect means I have to take insulin in the morning.
.
As
@Brunneria and
@Jaylee points out here, the urine sticks are not too accurate, but a lot cheaper, if you have to buy them yourself.
Back to some more questions: Do you split dose your long acting insulin? If not, this could be a part of the problem. Bigger dose insulin, could have a better chance, to revert a beginning ketosis, but if you split, it is easier to control how much is needed, and possible to correct faster, in my opinion. Keep in mind, though - we are all different, and this is possibly not working for you. Secondly- we are not able/allowed to make any kind of diagnoses, nor can we really recommend any changes, so if you think there is something we propose, that could help, you have to discuss it with your GP/Doctor/corresponding. I'm only trying to point out a few possibilities here...
But even if I start with good figures, 5.2 last night, my Dawn effect means I have to take insulin in the morning.
Yup, it's a wonderful thing, that Dawn Phenomenon.
I have similar problems. Ketosis seems to mitigate the Dawn effect a bit, but it takes some time, before that positive effect starts to show up - if it ever does...
If insulin levels are low enough, to match a keto low-carb diet, then just a bit extra insulin in the morning should not be a big problem in my opinion. But to borrow something
@Jim Lahey already pointed out here: "Insulin is a fat storage hormone so of course it will temporarily slow or block ketosis when circulating in quantity." , and I'm mostly refering to the last part "in quantity". I have a suspicion, that this is another part of your problem, but why, that question can be a harder nut to crack.
At Urine 2
Ketones: just under 4mmol/L of urine
Glucose: just under 28mmol/L of urine
PlasmaGlucose: 7.8 mmol/L plasma.
My Dawn Phenomenon has not let me down!!!
Took rapid acting correction insulin
it is about 12 hours since my last insulin.
At Urine 3
Ketones negative
Glucose <14 mmol/L of urine
PlasmaGlucose 5.3 mmol/L of plasma
Hmm - I am of the opinion, that both "Urine 2" and "Urine 3", has still a lot of sugar in it. Do you know what your night time BSLs are? High BSL, sometime at night, could force up your ketone values also, but I suppose you already have thought bout that...
Could it be, you are still i your "Honeymoon phase"? The honeymoon phase, can be quite long, for people diagnosed with LADA?
Hence my question, how can you maintain ketosis and be taking insulin.
Probably the best answer to all your questions - low enough carb intake.
Do you keep your carb amount at less than 20g a day?
Edited to insert Tag...