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<blockquote data-quote="catapillar" data-source="post: 1663427" data-attributes="member: 32394"><p>Nutritional ketosis is different to diabetic ketones.</p><p></p><p>Nutritional ketosis happens when your body is using fat for fuel.</p><p></p><p>Diabetic ketones happen when you don't have enough insulin.</p><p></p><p>You tell the difference by your blood sugar levels. If blood sugar levels are normal then ketones aren't anything to worry about.</p><p></p><p>Your body wants you to have glucose in your blood, you know, to keep you alive. The easiest way for your body to get glucose into your blood is via carbohydrates. That's why the medical advice is to calculate bolus doses by carb counting. But, when you aren't eating carbs your body has to find glucose from somewhere else. It does this by turning protein eaten into glucose in a process called gluconogenesis. If you are eating low carb, you may find you need to bolus for protein. The gluconogenesis process takes time, so you may need to consider delayed or extended bolus. The standard advice on bolusing for protein is to: a)discount the first 30g then; b) divide the remaining grams of protein in half and that is the number of grams of carbs you tell your pump you are eating. But, gluconogenesis is a process, it doesn't always happen reliably, so bolusing for protein should be approached with caution.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1663427, member: 32394"] Nutritional ketosis is different to diabetic ketones. Nutritional ketosis happens when your body is using fat for fuel. Diabetic ketones happen when you don't have enough insulin. You tell the difference by your blood sugar levels. If blood sugar levels are normal then ketones aren't anything to worry about. Your body wants you to have glucose in your blood, you know, to keep you alive. The easiest way for your body to get glucose into your blood is via carbohydrates. That's why the medical advice is to calculate bolus doses by carb counting. But, when you aren't eating carbs your body has to find glucose from somewhere else. It does this by turning protein eaten into glucose in a process called gluconogenesis. If you are eating low carb, you may find you need to bolus for protein. The gluconogenesis process takes time, so you may need to consider delayed or extended bolus. The standard advice on bolusing for protein is to: a)discount the first 30g then; b) divide the remaining grams of protein in half and that is the number of grams of carbs you tell your pump you are eating. But, gluconogenesis is a process, it doesn't always happen reliably, so bolusing for protein should be approached with caution. [/QUOTE]
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