There‘s a big difference between diabetic ketoacidosis and nutritional ketosis:I'm incredibly new to this, and heed the advice of others who've lived with t1 diabetes more than what I'll say. But, I'd be conscious of checking ketones to begin with. As far as I know, you can encourage ketogenesis by fasting, increasing the risk of dka. It may be best to speak with your diabetes team about this they'll provide better, tailored advice to your situation.
Thanks for the link, it's really informative! I would assume though that when ill, fasting on a low carb diet would put you at greater risk of dka? Assuming the illness is making your glucose levels haywire.There‘s a big difference between diabetic ketoacidosis and nutritional ketosis:
Nutritional ketosis vs diabetic ketoacidosis (DKA) - Diabetes
To begin Diabetes Awareness Month, we wanted to make the important distinction between nutritional ketosis and diabetic ketoacidosis (DKA).www.diabetes.co.uk
According to Dr Bernstein the real problem is dehydration.Thanks for the link, it's really informative! I would assume though that when ill, fasting on a low carb diet would put you at greater risk of dka? Assuming the illness is making your glucose levels haywire.
@Dudette1Great link
I had euglycemic ketoacidosis and it was an absolutely horrible experience.
I don’t think many people know about it.
A man on here told me I wasn’t in DKA because my levels were normal.
I showed him the doctors letter and said yes I was.
This site is brilliant for educating us all![]()
Like so many on this site have reported, our ability to tolerate carbs regardless of diabetes type, is so variable and probably some genetic factors. I don't have a sweet tooth, but would love to more frequently indulge in artisan bread and various potato dishes - sadly not realistic as I spike very high with even small portions of these and my insulin ratios to control suggest significant temporary insulin resistance. Perhaps a giveaway was that 30 years prior to diagnosis I could only lose weight on the classic Atkins diet. Low fat, low calorie had no effect. Do what works for you!I would never ever ever low carb againmy experience was bad enough that it scared the life out of me.
My ketones have been fine with fasting and I will always keep an eye on them still. I eat my breakfast in the morning and have a big dinner at around 2:00pm then I fast, I feel better for it, so far so good![]()
Most T1s adjust their own doses on a daily basis.You should let your doctor know so that he adjusts insulin if needed. My MIL fasted for 12 h a few days in a row and ended up with severe sight issues.
Most T1s adjust their own doses on a daily basis.
If your insulin doses are correct, the basal should keep you steady in the absence of food, and you add bolus insulin depending on what you eat (and some other factors).
If fasting for 12 hours (many people do this every day between dinner and breakfast, although many others like a midnight snack) caused your MIL serious problems, I guess her basal dose wasn't tailored to her needs.
What caused the sight issues? Did she go high or low, and how did this affect her sight in only a couple of days?
Is your MIL a T1 on the usual basal/bolus regime, or was she perhaps using a mixed insulin? Fasting on mixed insulin is close to impossible.
The doctor is correct if she's on fixed doses of basal and bolus, or on a mixed insulin.her doctor told her that fasting messes with her daily insulin doses and can be dangerous to her.
Its a valid concern but actuaully having nutritional level of ketones is desirable as they act as fuel . Insulin is still needed for a type 1 not making very much though because in addition to ketones the body will continue to make glucose via the liver.I'm incredibly new to this, and heed the advice of others who've lived with t1 diabetes more than what I'll say. But, I'd be conscious of checking ketones to begin with. As far as I know, you can encourage ketogenesis by fasting, increasing the risk of dka. It may be best to speak with your diabetes team about this they'll provide better, tailored advice to your situation.