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Message: <blockquote data-quote="Chris24Main" data-source="post: 2736247" data-attributes="member: 585131">That's a hell of a good question...Be prepared, though, for the reaction to be closer to panic that you may be inducing Ketoacidosis - But by January you will be so well informed that you can have a perfectly pleasant conversation about it, not like the knuckle-whitening argument I had...but - if I can drop that neatly for the moment and answer your question...It's difficult to say what you should be expecting. If you were a person in top metabolic health, and you embarked on a Ketogenic regime (understanding that this is not just a diet) - you would expect high levels of ketones. If you were undergoing Ketogenic therapy for a mental disorder, you might expect very high levels of ketones.But - if your starting point is T2DM diagnosis, then your body is trained to operate on sugar for fuel (by definition you must have elevated insulin, and insulin resistance - that makes ketosis difficult) - so you can substantially reduce your intake of starches and sugars... and your liver just compensates by producing more..[usual caveat, absent any other pathology that's affecting insulin production in the pancreas]so - it takes time; you can make rapid progress with blood glucose, but it takes time to "re-train" your body to expect to operate on a lower level of blood glucose, and instead, work with ketones. There are different ways of saying this that are more medical, because of course organs cannot be "trained" like a dog, but it's close enough that the metaphor works.In other words, I believe that a Ketogenic regime coupled with intermittent fasting is the most effective way to reverse insulin resistance, but you have to be doing it for that reason, not expecting any significant level of Ketosis - for maybe a year, maybe two... but that's ok, because you can relax more about the pace - it doesn't need to happen overnight, and I`ve found that the general improvement in all sorts of other health markers are substantial to the point of being unbelievable.</blockquote>

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