Ketones

Have a look at these links,see if any of them are useful.


http://www.patient.co.uk/showdoc/40001335/

http://www.patient.co.uk/DisplayConcept ... Results=50

Ketones are the greatest thing in the world! Better than drugs. As I'm getting older I'm finding it harder and harder to get into and stay in ketosis, though... :cry: Seems like I can get there after about a week - but it's REALLY hard to stay in ketosis...

Retinopathy is usually caused by high blood sugar levels damaging the blood vessels in the eyes.

research has shown that it's high Bgs that cause blood vessel damage and lead to complications. There's a definite link between HbA1c and complications. I don't think anyone has found a correlation between Ketones and complications

High levels of ketones are not a long term complication, they are an acute one
Since ketones are formed when fats are broken down. Some people who are dieting like to be 'in ketosis.' See Patch's posting. It is a very different matter if the ketones are produced because the cells haven't sufficient insulin to access the available glucose. They can build up very quickly making the blood acidic... diabetic ketoacidosis which can lead to a diabetic coma.
People who have frequent incidences of DKA, may also have higher than desired average blood glucose levels. Its these high averages or wildly fluctuating levels that over time, can lead to other complications.( ketones may be dangerous during pregnancy though this is disputed by some)

I don't know if you wanted more on ketones, DKA and type 1 but this is quite a good article, its addressed to young people who pump, but most is applicable to all type 1s.
(nb American levels so divide by 18 ie 150mg = 8.3mmol)
http://www.netwellness.org/question.cfm/35485.htm


You should ask your doctor what to do if you have ketones present.(best to do it before you need the advice, you may never need it but its best to be prepared). You would need to take larger amounts of insulin than would be necessary just to bring blood glucose levels down. Drinking lots of fluids also helps.

When should you check for ketones? (my doctors protocol)
Anytime blood glucose is over 13.8mmol
When ill. Often illness, infections, or injuries increase the need for insulin and can cause sudden high blood glucose and this is an especially important time to check for ketones.
If planning to exercise and the blood glucose is over 13.8mmol.

Keep an eye in it Rebecca, If you are developing an illness things can alter very quickly. I'm asuming that your doc knows that you're producing ketones.

Hi Rebecca,
Advice to us is that blood ketones under 0.6 are of no significance (a 'trace'), and are probably so-called starvation ketones because you haven't eaten for a few hours eg overnight. Provided you are getting enough basal insulin, you are not at risk from DKA. Basal requirements go up when you are ill, though, which is why the advice is to check more often then.
Sue