Gliflozins make your kidneys waste out glucose at a lower blood sugar than they usually do (5 or 7 instead of 10 or 14). As a side effect, they lower insulin, and if insulin gets too low, ketosis runs unchecked and you get ketoacidosishi, I'm now over 2 weeks into doing this carb free diet, like i have said i have lost weight, my sugars are way down to what they were, i'm hitting 4's and 6's which i never did for over a year, trouble is i am on empagliflozin and after speaking somewhere else here on the forum and i'm told that this should not be taken when on a keto diet... now, i do have quite a few dizzy spells, i feel nauseous but never actually sick, i do go to the loo like i lost count how many times a day but then i also drink a couple of litres of fresh water every day too, i keep getting this nasty acid like tummy ache and have had diarrhea yesterday but only the one day and though it could be some form of cleansing due to the diet.
Anyway, these dizzy spells, the hot flushes and i do get very thirsty are symptoms of the KA but my sugars are not high at all, today i woke up on 5 exactly and after breakfast i went to 6.2, i have one of these urine testing kits (EconoTest) and it shows i have lots of ketones as i expected from the diet- but this test strip also says that i have high glucose and this is where i'm getting confused, how can i have high glucose when my sugars are low and sorry to seem thick- i get dreadful brain fog since radiotherapy. I have to admit, i feel thinner but also quite rotten, i have been really irritable too or more than usual.
I am due to see my nurse next week too so shall be mentioning all of this but due to my horrendous anxiety I kind of need some advice to try and at least settle down a bit, i have paced up and down, washed the same washing 3 times today and just don't know what to do with myself.
View attachment 37550 .
Gliflozins make your kidneys waste out glucose at a lower blood sugar than they usually do (5 or 7 instead of 10 or 14). As a side effect, they lower insulin, and if insulin gets too low, ketosis runs unchecked and you get ketoacidosis
Gliflozins make your kidneys waste out glucose at a lower blood sugar than they usually do (5 or 7 instead of 10 or 14). As a side effect, they lower insulin, and if insulin gets too low, ketosis runs unchecked and you get ketoacidosis
@Ellenor2000 I'm not on anything now, that was the first couple of weeks in December, the thread has evolved a lot since then and @Goonergal i do know this regards the difference, somewhere on this forum i stated i was in hospital with dka some 2 years ago prior to having Lymphoma, i asked the question above ' does anybody know' regards sodium because i thought i did and have been taking electrolytes daily, i'm just wondering if anyone can expand on the low sodium thing.
hi, I'm now over 2 weeks into doing this carb free diet, like i have said i have lost weight, my sugars are way down to what they were, i'm hitting 4's and 6's which i never did for over a year, trouble is i am on empagliflozin and after speaking somewhere else here on the forum and i'm told that this should not be taken when on a keto diet... now, i do have quite a few dizzy spells, i feel nauseous but never actually sick, i do go to the loo like i lost count how many times a day but then i also drink a couple of litres of fresh water every day too, i keep getting this nasty acid like tummy ache and have had diarrhea yesterday but only the one day and though it could be some form of cleansing due to the diet.
Anyway, these dizzy spells, the hot flushes and i do get very thirsty are symptoms of the KA but my sugars are not high at all, today i woke up on 5 exactly and after breakfast i went to 6.2, i have one of these urine testing kits (EconoTest) and it shows i have lots of ketones as i expected from the diet- but this test strip also says that i have high glucose and this is where i'm getting confused, how can i have high glucose when my sugars are low and sorry to seem thick- i get dreadful brain fog since radiotherapy. I have to admit, i feel thinner but also quite rotten, i have been really irritable too or more than usual.
I am due to see my nurse next week too so shall be mentioning all of this but due to my horrendous anxiety I kind of need some advice to try and at least settle down a bit, i have paced up and down, washed the same washing 3 times today and just don't know what to do with myself.
View attachment 37550 .
Hi @miffli,
So sorry about the experience you are having with high blood sugars, worries, and apparently very cavalier attitude of your GP. It'd definitely be nice to get some answers. I really feel for you.
As to your ketone levels of 2.5 mmol, this does seem to be commensurate with eating very low carb and also eating very little. Personally, my ketones also seem to be very high when not eating much (and also exercising a lot).
In my view, I would find the higher blood sugar levels more of a concern -- especially considering you're only consuming more carbs. I tend to agree with @Brunneria. Could your GP possibly refer you to a specialist -- a diabetes clinic or an endocrinologists to look for the root cause?
As to low sodium (and mind you I am not an expert on this), doesn't this just seem to indicate that you're not having enough salt. Eating low carb and subsequent lower insulin causes your kidneys to retain less water and with this less salt. Thus, many recommend to up your salt intake when low carbing. I would be curious what other's take on this is.
Have you been assessed for anti-beta cell/anti-insulin type antibodies?@Ellenor2000 I'm not on anything now, that was the first couple of weeks in December, the thread has evolved a lot since then and @Goonergal i do know this regards the difference, somewhere on this forum i stated i was in hospital with dka some 2 years ago prior to having Lymphoma, i asked the question above ' does anybody know' regards sodium because i thought i did and have been taking electrolytes daily, i'm just wondering if anyone can expand on the low sodium thing.