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Type 1 Diabetes
Hypos milder whilst on keto - is there any scientific evidence?
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<blockquote data-quote="ert" data-source="post: 2120768" data-attributes="member: 504712"><p>A normal person on keto will run their ketones between 1.5 and 3 mmol/L quite happily. But they have a homeostasis mechanism which type 1's do not. That's why they advise for type 1's not to run their ketones this high. It's very easy for your ketones to keep building past 3 mmol/L and your blood PH to change, which is the beginning of DKA. This is why all consultants here are against type 1's being on keto.</p><p></p><p>As I said, no correction of ketones is required unless your blood sugars are constantly over 13 mmol/L. The exception is if you are ill. You can go into DKA with normal blood sugars if you are unwell. My DAFNE nurse has had cases of this.</p><p></p><p>The main issue is the dosing is different for Keto to dosing for carb counting. I follow Bernstein and his insulin calculations are higher than Dafne for keto meals to keep the ketone levels down. For example, my lunch yesterday, Bernstein calculation was 5 units of fast-acting insulin but the DAFNE calculation was just 1 unit. If I took the one unit, then my ketones build up. If I follow Bernstein's calculation then my ketones are trace. So the warning is, don't simply follow carb counting if you are on keto. Bernstein counts 50% of protein and all carbs (Dafne has carbs you don't count, for example from vegetables and legumes.)</p></blockquote><p></p>
[QUOTE="ert, post: 2120768, member: 504712"] A normal person on keto will run their ketones between 1.5 and 3 mmol/L quite happily. But they have a homeostasis mechanism which type 1's do not. That's why they advise for type 1's not to run their ketones this high. It's very easy for your ketones to keep building past 3 mmol/L and your blood PH to change, which is the beginning of DKA. This is why all consultants here are against type 1's being on keto. As I said, no correction of ketones is required unless your blood sugars are constantly over 13 mmol/L. The exception is if you are ill. You can go into DKA with normal blood sugars if you are unwell. My DAFNE nurse has had cases of this. The main issue is the dosing is different for Keto to dosing for carb counting. I follow Bernstein and his insulin calculations are higher than Dafne for keto meals to keep the ketone levels down. For example, my lunch yesterday, Bernstein calculation was 5 units of fast-acting insulin but the DAFNE calculation was just 1 unit. If I took the one unit, then my ketones build up. If I follow Bernstein's calculation then my ketones are trace. So the warning is, don't simply follow carb counting if you are on keto. Bernstein counts 50% of protein and all carbs (Dafne has carbs you don't count, for example from vegetables and legumes.) [/QUOTE]
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Hypos milder whilst on keto - is there any scientific evidence?
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