Help ketones!

I am sure that you have done the right thing - but is there someone you could contact - a neighbour or friend, even if it is just to let them know the situation and that you plan to contact them at regular intervals - or give a signal such as cutting off after four rings - if they do not hear from you at the arranged time, tell them to contact emergency services.
I hope that you will soon be OK with the correction dose.

I would keep tested and correcting.
It is common when our BG is high to become insulin resistant and need twice as much insulin to correct.

Hi, @Beth c , I don't want to worry you unduly, but, to be on the safe side, there's a rare condition called euglycaemic dka, which is where a person can be dka but not have high bg.

It sometimes comes about through fasting when ill, low carbing, infections.

If your +4 is way higher than it normally is, I'd get it checked out at emergency, even though bg is ok.

It'll probably be totally fine but you've been concerned enough about it to post about it, which suggests your +4 reading is out of the ordinary, and that alone rings a few alarm bells.

There was a thread a few months back where a poster reported a similar thing, although her ketone levels were much higher, she was reassured by keto people that she was fine, even though she'd gone from about 3 to 16 in a short period of time, and it turned out that, no, she wasn't fine, she had a kidney infection, so it was actually a major problem.

Docs aren't that aware of edka, so here's a link describing it:
www.edmcasereports.com/articles/endocrinology-diabetes-and-metabolism-case-reports/10.1530/EDM-17-0081

Beth c said:

Thanks for this reply, I have just checked again and they have come down to just above traces, so feels a lot better, my other half is due home any minute too so will at least have support at home. I will check again before bed just to ensure they are still getting lower, if not I will seek medical attention. Thank you

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That's good, Beth, looks like you're okay dokay!

Glad that everything came right - the signalling ploy is from my penniless days when I might not even have coins for a call, so I devised various cunning plans which worked without actually having the call connected.

Glad you got better! With such high ketones I would consider hospital, especially if you have trouble getting back down.