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Type 1 Diabetes
Type 1 lower carb, exercise and ketones
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<blockquote data-quote="Katiel1" data-source="post: 2358459" data-attributes="member: 528501"><p>Hello,</p><p></p><p>I might be able to help here!</p><p></p><p>I went uber low carb (virtually zero carb) about 5 years ago, not for weight loss reasons but for a quick fix to lower my Hb1ac without having to be aggressive with insulin doses.</p><p></p><p>I was on MDI so didn't think I had the need to check ketones unless feeling poorly.</p><p>Had one episode a few years ago where bloods were stubborn the whole day, couldn't get below 12mmol but didn't think to check ketones. Avoided any sort of carb (eating purely protein and fats) for the whole day whilst continually giving corrections which wouldn't seem to do anything. Finally thought to check my ketones well into the evening and they were 3+ so went to A&E. </p><p></p><p>They ran all the usual blood tests and nothing at all sinister going on. They didn't even need to administer any additional insulin, just a quick drip for hydration and went home a couple of hours later. When I told them I hadn't eaten any carbs all day to try to get bloods to come down with corrections, they said that's why I'll have ketones!</p><p></p><p>Even non-diabetics have ketones when on restricted diets, especially when combined with exercise, it's a sign your body is in starvation mode and you're losing weight.</p><p>It's why you may find your bloods spike and you have ketones present when exercising on low carb, it's because your liver pumps out glucose to make up for the lack of carbohydrates you've consumed.</p><p></p><p>I'm on the pump now so generally more ketone aware and definitely no where near as low carb as I used to be (aim for minimum of 80g carb per day) but will sometimes find I have ketones of around 0.8 on days where I haven't had enough carb. The only solution to budge these is to bolus for some proper carbs, 30g minimum, plus a little bit extra to mop up the ketones and it sorts out the problem <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>It's always important to understand why you might have ketones present but if you can rule out illness and dehydration and your bloods are under 12-13mmol, it's most likely your body in ketosis (starvation / losing weight), which is different from DKA.</p><p></p><p>It's still definitely worth talking to your clinic when starting a keto / paleo / low carb diet as physiologically it creates all sorts of changes to your body but if tackled in the correct way with the correct knowledge, won't necessarily cause damage.</p><p></p><p>I hope that helps!</p></blockquote><p></p>
[QUOTE="Katiel1, post: 2358459, member: 528501"] Hello, I might be able to help here! I went uber low carb (virtually zero carb) about 5 years ago, not for weight loss reasons but for a quick fix to lower my Hb1ac without having to be aggressive with insulin doses. I was on MDI so didn't think I had the need to check ketones unless feeling poorly. Had one episode a few years ago where bloods were stubborn the whole day, couldn't get below 12mmol but didn't think to check ketones. Avoided any sort of carb (eating purely protein and fats) for the whole day whilst continually giving corrections which wouldn't seem to do anything. Finally thought to check my ketones well into the evening and they were 3+ so went to A&E. They ran all the usual blood tests and nothing at all sinister going on. They didn't even need to administer any additional insulin, just a quick drip for hydration and went home a couple of hours later. When I told them I hadn't eaten any carbs all day to try to get bloods to come down with corrections, they said that's why I'll have ketones! Even non-diabetics have ketones when on restricted diets, especially when combined with exercise, it's a sign your body is in starvation mode and you're losing weight. It's why you may find your bloods spike and you have ketones present when exercising on low carb, it's because your liver pumps out glucose to make up for the lack of carbohydrates you've consumed. I'm on the pump now so generally more ketone aware and definitely no where near as low carb as I used to be (aim for minimum of 80g carb per day) but will sometimes find I have ketones of around 0.8 on days where I haven't had enough carb. The only solution to budge these is to bolus for some proper carbs, 30g minimum, plus a little bit extra to mop up the ketones and it sorts out the problem :) It's always important to understand why you might have ketones present but if you can rule out illness and dehydration and your bloods are under 12-13mmol, it's most likely your body in ketosis (starvation / losing weight), which is different from DKA. It's still definitely worth talking to your clinic when starting a keto / paleo / low carb diet as physiologically it creates all sorts of changes to your body but if tackled in the correct way with the correct knowledge, won't necessarily cause damage. I hope that helps! [/QUOTE]
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