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Low carb high ketones confusion!
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<blockquote data-quote="phoenix" data-source="post: 649000" data-attributes="member: 12578"><p>It;s also important to test when ill. If you are vomiting or have diarrhoea and continuing to take insulin then levels can be reasonably low. However because the liver is depleted of glycogen ketones are produced and because of the fluid loss they can reach higher concentration. This can, albeit rarely, be sufficient to lead to acidosis ie DKA Normalglycemic or euglycemic DKA can also sometimes happen in pregnancy .</p><p><a href="http://www.pjms.com.pk/issues/janmar08/article/bc2.html" target="_blank">http://www.pjms.com.pk/issues/janmar08/article/bc2.html</a></p><p>That's one reason that people who are vomiting and can't keep anything down and have ketones are told in the UK to get medical advice</p><p> </p><p>( I'm not advocating it because it's obviously a difference but I actually have a bit in my protocol about sipping sugary drinks ie flat cola if below 150mg/dl , coupled with specified amounts of insulin when sick with ketones present . This doesn't seem to form part of DAFNE sick day rules I notice )</p><p> </p><p>The ketones produced in a low carb diet are absolutely no different to the ketones produced in DKA. It is the amount ie the concentration in the blood that leads to acidosis.</p></blockquote><p></p>
[QUOTE="phoenix, post: 649000, member: 12578"] It;s also important to test when ill. If you are vomiting or have diarrhoea and continuing to take insulin then levels can be reasonably low. However because the liver is depleted of glycogen ketones are produced and because of the fluid loss they can reach higher concentration. This can, albeit rarely, be sufficient to lead to acidosis ie DKA Normalglycemic or euglycemic DKA can also sometimes happen in pregnancy . [url]http://www.pjms.com.pk/issues/janmar08/article/bc2.html[/url] That's one reason that people who are vomiting and can't keep anything down and have ketones are told in the UK to get medical advice ( I'm not advocating it because it's obviously a difference but I actually have a bit in my protocol about sipping sugary drinks ie flat cola if below 150mg/dl , coupled with specified amounts of insulin when sick with ketones present . This doesn't seem to form part of DAFNE sick day rules I notice ) The ketones produced in a low carb diet are absolutely no different to the ketones produced in DKA. It is the amount ie the concentration in the blood that leads to acidosis. [/QUOTE]
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