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<blockquote data-quote="diabetesmum" data-source="post: 93627" data-attributes="member: 6577"><p>Hi Claridge,</p><p></p><p>My understanding is that provided you have enough 'background' insulin, then a small amount of ketones is not going to cause you any problems. There is sometimes confusion between 'ketosis' and 'diabetic ketoacidosis' (DKA), even amongst medical professionals. There are other threads on here you might like to read, I would post the links, but don't know how <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite10" alt=":oops:" title="Oops! :oops:" loading="lazy" data-shortname=":oops:" /> , maybe if you do a search?</p><p></p><p>Anyway, the basic story is that it is a relative lack of insulin that causes uncontrolled production of ketones in the blood, which (usually) combined with high blood glucose levels, causes the blood to become acidic, leading to blood poisoning, DKA. So, provided you are not running short of insulin, your few ketones will not be dangerous to you.</p><p></p><p>The state of ketosis caused by low carbing is not a problem provided you have enough basal insulin in your system and low (ish) blood glucose levels. We have been given guidelines that say a BG of 14 or over combined with blood ketones of 0.7 or more should alert us to check if there is a problem brewing. So perhaps your Dr may get a bit jumpy if your ketones run consistently at 1 or over, but my feeling is still that provided you are getting the correct amount of insulin always, you should be okay. However, you need to have a chat with the Dr once you have had a further read up about it all, I think. Hope this helps.</p><p>Best wishes,</p><p>Sue</p></blockquote><p></p>
[QUOTE="diabetesmum, post: 93627, member: 6577"] Hi Claridge, My understanding is that provided you have enough 'background' insulin, then a small amount of ketones is not going to cause you any problems. There is sometimes confusion between 'ketosis' and 'diabetic ketoacidosis' (DKA), even amongst medical professionals. There are other threads on here you might like to read, I would post the links, but don't know how :oops: , maybe if you do a search? Anyway, the basic story is that it is a relative lack of insulin that causes uncontrolled production of ketones in the blood, which (usually) combined with high blood glucose levels, causes the blood to become acidic, leading to blood poisoning, DKA. So, provided you are not running short of insulin, your few ketones will not be dangerous to you. The state of ketosis caused by low carbing is not a problem provided you have enough basal insulin in your system and low (ish) blood glucose levels. We have been given guidelines that say a BG of 14 or over combined with blood ketones of 0.7 or more should alert us to check if there is a problem brewing. So perhaps your Dr may get a bit jumpy if your ketones run consistently at 1 or over, but my feeling is still that provided you are getting the correct amount of insulin always, you should be okay. However, you need to have a chat with the Dr once you have had a further read up about it all, I think. Hope this helps. Best wishes, Sue [/QUOTE]
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