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<blockquote data-quote="phoenix" data-source="post: 299201" data-attributes="member: 12578"><p>Ketosis can be dangerous in cases where insulin is deficient. </p><p>This is always possible if you need to take insulin. Presumably if you take insulin, whether T1, T1.5 or T2 then you must be at least relatively deficient. In those cases seeing dark purple on a urine strip or levels above 0.6mmol/l in the blood is not a good thing.</p><p> Nigel's endo is not the only one concerned about the possible dangers. When I first went on a pump (so no long lasting insulin) I was told to test<strong> every</strong> morning for ketones and to react to small amounts with a small extra dose of insulin to prevent them rising. Any higher and the extra insulin doses rise commensurately.</p><p></p><p> If you produce enough insulin of your own , it would normally (though not in all cases)act as a brake and stop ketones rising to these levels which will cause the blood to become acidic. Not enough insulin and those 'starvation' ketones can quickly become larger.</p><p></p><p>Only recently a parent posted of a child with low glucose levels but who was vomiting. They couldn't give insulin without glucose as the levels would fall too low but the child couldn't retain oral glucose. The only solution was a trip to hospital by air ambulance and intravenous insulin and glucose.</p><p></p><p>I should think that in a hospital setting, a doctor has a lot of experience of high levels of ketosis, which in the worst case scenario ends up in a coma in ICU. Perhaps it's understandable that h/shes very wary.</p></blockquote><p></p>
[QUOTE="phoenix, post: 299201, member: 12578"] Ketosis can be dangerous in cases where insulin is deficient. This is always possible if you need to take insulin. Presumably if you take insulin, whether T1, T1.5 or T2 then you must be at least relatively deficient. In those cases seeing dark purple on a urine strip or levels above 0.6mmol/l in the blood is not a good thing. Nigel's endo is not the only one concerned about the possible dangers. When I first went on a pump (so no long lasting insulin) I was told to test[b] every[/b] morning for ketones and to react to small amounts with a small extra dose of insulin to prevent them rising. Any higher and the extra insulin doses rise commensurately. If you produce enough insulin of your own , it would normally (though not in all cases)act as a brake and stop ketones rising to these levels which will cause the blood to become acidic. Not enough insulin and those 'starvation' ketones can quickly become larger. Only recently a parent posted of a child with low glucose levels but who was vomiting. They couldn't give insulin without glucose as the levels would fall too low but the child couldn't retain oral glucose. The only solution was a trip to hospital by air ambulance and intravenous insulin and glucose. I should think that in a hospital setting, a doctor has a lot of experience of high levels of ketosis, which in the worst case scenario ends up in a coma in ICU. Perhaps it's understandable that h/shes very wary. [/QUOTE]
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