It is understandable @Dee1960 . Firstly, Nutritional ketones are different completely different from ketones that appear when your blood becomes too acidic because of very high blood sugars and not enough insulin. People with T1 diabetes are those most likely to suffer Diabetic keto acidosis (DKA) . It’s very uncommon for people with Type 2 diabetes , because T2 is due, mostly, but not always, to too much insulin. T1 no insulin production.OK that makes sense. I've only been diagnosed this year and still trying to work things outthere's so MUCH! I was conserend that if I didn't have carbs my mmol would drop to much and I've read somewhere about keytons if you don't have enough carbs.
I'll take a look thank you.ketones are a bi-product of the body burning fat to use for energy, state of ketosis. some people choose to follow keto diet as method of control for helping to control blood sugars although apparently following a keto diet comes with a much higher risk of dka for those with type1 according to dsn i see and they do not recremmend that form of diet for type1 esp if the person has had DKA in the past. I've recently been asked to up my carb intake slightly to see if it has an effect on ketone levels. the same dsn has said that several people which were diagnosed as type2 have done exceptionally well on a keto diet.
So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.It is understandable @Dee1960 . Firstly, Nutritional ketones are different completely different from ketones that appear when your blood becomes too acidic because of very high blood sugars and not enough insulin. People with T1 diabetes are those most likely to suffer Diabetic keto acidosis (DKA) . It’s very uncommon for people with Type 2 diabetes , because T2 is due, mostly, but not always, to too much insulin. T1 no insulin production.
Nutritional ketones are generated when you go on a very low carb diet, like Keto. The aim of that diet is to drop your carb intake to a level where your body has to switch from carbs to burning fat for energy. It’s called fat adaption. That is the aim of going on a very restricted carb diet. Quite a few members here are able to remain in the normal blood sugar range by sticking to a very low carb diet.
By reducing you carb intake you will be trying to find how many carbohydrates your body can deal with, without your blood sugars remain elevated.
ed word correction
some people find that they can cope with carbs better at various times of day. some forms of carbs some people can also tolerate better than others. fats/protiens will generally slow down 'spikes'So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.
Yes, if at 2hrs after first bite of your 2 slices of bread, your Blood Glucose was more than 2 mmol higher than it was just before eating.So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.
If it helps, I eat around 20g carb per day and have done for over five years now. 99% of that time I have had ketones in my urine which is simply a sign that my system is using bodyfat for fuel - it's making the glucose that I'm not getting from carbs in food. These days if I have a blood or urine test I tell them in advance that there will be ketones in the sample because I'm on very low carb.OK that makes sense. I've only been diagnosed this year and still trying to work things outthere's so MUCH! I was conserend that if I didn't have carbs my mmol would drop to much and I've read somewhere about keytons if you don't have enough carbs.
I have freestyle libre 2. It was a cheese tostie I had! So it was the fats slowing down the mmol returning to fasting state.i'm going add a liltle more info some carbs may take much longer to digest and any potential spike can later ... (more complex the carb can take longer to breakdown) if i eat mac n cheese i will not see a spike start to rise for approx an hour with max reading around 3-4 hours after initial first bite then would be very very very slow to return to 'fasting state level'. i wouldnt of been able to catch above without cgm as would of been within 2mmol after 2 hours however would of went higher and for a longer period of duration. foods glycemic index could be worth looking into
So what are these for and hope often should I test with these?If it helps, I eat around 20g carb per day and have done for over five years now. 99% of that time I have had ketones in my urine which is simply a sign that my system is using bodyfat for fuel - it's making the glucose that I'm not getting from carbs in food. These days if I have a blood or urine test I tell them in advance that there will be ketones in the sample because I'm on very low carb.
There is often confusion between ketosis (which is the bodyfat-using) and diabetic ketoacidosis, which is the serious condition. People on the forum have reported this confusion extends to doctors and nurses as well.
nice that you have freestyle libreI have freestyle libre 2. It was a cheese tostie I had! So it was the fats slowing down the mmol returning to fasting state.
*how, not hope.So what are these for and hope often should I test with these?
I can't download it on my phone, I think it's to old but I do have a reader.nice that you have freestyle librei'd presume you'd of checked out the glucose reports https://www.libreview.com/ theres a section near the top: Considerations for the Clinician¹ sometimes that can contain useful infor. Weekly Summary
section i find most useful.
although the fats would slow down the return to fasting state the same holds true for spike it would have effect of slowing down the inintial spike as well (to a lesser maximal 'interestrial glucose level').
those check ketone levels, which if your not feeling ok you should check. a build up of ketones can result in diabetic ketoacidosis. https://www.diabetes.co.uk/diabetes-complications/diabetic-ketoacidosis.html for some info. in general my ketone levels appear to be elevated (was advised yesterday to increase carbs slightly to see if that has any effect)... diagnosed as type1 lada here. higher ketones higher chance of dka. most on keto/low carb diets will have some present as they are a bi-product of the body burning fat to use for energy. after ketones have done their job they are usually pee'd out.So what are these for and hope often should I test with these?
you can download the data from the reader to a pc / laptop if you have one. https://pat.libreview.io/articles/meter-drivers reports etc then can access as your phone is too old. you could also try using xdrip+ or simular third party app if your phone isnt compatable with librelink.I can't download it on my phone, I think it's to old but I do have a reader.
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