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What are your ketone levels for low carbers out there?
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<blockquote data-quote="phoenix" data-source="post: 540177" data-attributes="member: 12578"><p>Sorry, I don't agree with saying that ketones in DKA are necessarily 3x what you may find on your readings, as here:</p><p>A blood ketone level of >3.0 mmol/l was considered as frank ketoacidosis <a href="http://www.endocrine-abstracts.org/ea/0023/ea0023oc5.5.htmIt's" target="_blank">http://www.endocrine-abstracts.org/ea/0023/ea0023oc5.5.htmIt's</a></p><p>It's the first one I found, I have read other similar figures when I've looked this up before. I don't believe the figures that I have read on some low carb blogs.</p><p> </p><p>If a pump fails overnight some people, particularly younger people can rapidly develop ketoacidosis (indeed it's one of the reasons that pumps had a bad reputation in the early days, they failed and adolescents who often need more insulin, ended up with DKA after 5 hours without insulin) That's why the protocol at my hospital is to check for ketones each morning, just in case of pump failure .I don't do this but have only developed ketones when my site became dislodged during a long run. As a very old onset T1, I probably have a bit more of my own insulin than others and I think that could be important.</p><p> </p><p>It's also not true that DKA is always associated with high glucose levels : google or look up on here euglycaemic or normoglycaemic DKA</p><p>. If you have an infection or If you are vomiting or really starving ( very low protein) then you may need far more insulin to stop these ketones growing rapidly. (children in developing countries can be diagnosed in DKA with hypoglycaemic glucose levels)</p><p>I don't know if I have a conclusion but I certainly think that those of you who are T1 and have ketones on a regular basis need to be very aware from frequent testing about what is going on in your own bodies (ie record and pattern keeping) . If I'm ill, I essentially start from no ketones ,if you already have them then you need to be aware of how much and how quickly they rise</p></blockquote><p></p>
[QUOTE="phoenix, post: 540177, member: 12578"] Sorry, I don't agree with saying that ketones in DKA are necessarily 3x what you may find on your readings, as here: A blood ketone level of >3.0 mmol/l was considered as frank ketoacidosis [url]http://www.endocrine-abstracts.org/ea/0023/ea0023oc5.5.htmIt's[/url] It's the first one I found, I have read other similar figures when I've looked this up before. I don't believe the figures that I have read on some low carb blogs. If a pump fails overnight some people, particularly younger people can rapidly develop ketoacidosis (indeed it's one of the reasons that pumps had a bad reputation in the early days, they failed and adolescents who often need more insulin, ended up with DKA after 5 hours without insulin) That's why the protocol at my hospital is to check for ketones each morning, just in case of pump failure .I don't do this but have only developed ketones when my site became dislodged during a long run. As a very old onset T1, I probably have a bit more of my own insulin than others and I think that could be important. It's also not true that DKA is always associated with high glucose levels : google or look up on here euglycaemic or normoglycaemic DKA . If you have an infection or If you are vomiting or really starving ( very low protein) then you may need far more insulin to stop these ketones growing rapidly. (children in developing countries can be diagnosed in DKA with hypoglycaemic glucose levels) I don't know if I have a conclusion but I certainly think that those of you who are T1 and have ketones on a regular basis need to be very aware from frequent testing about what is going on in your own bodies (ie record and pattern keeping) . If I'm ill, I essentially start from no ketones ,if you already have them then you need to be aware of how much and how quickly they rise [/QUOTE]
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