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Diabetes Diet and Nutrition A healthy, well balanced, nutritious diet which factors in Diabetes can be crucial for the long term management of Diabetes. Use this section to discuss your diet, what you would like to try, swap recipes and more.


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Reassure me!


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Old 02-14-2013, 14:03   #1
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I am a bit of a worrier. Always jumping to worst case senerio. I got nervous last night that I was heading toward Keto-acidosis. (And that I wouldn't wake up). I was having a bit of heartburn which I haven't since eating LCHF, and all day I had some weird breath? I felt like I had bad breath all day. When I tested my ketones it was in the small range, but it just made me wonder how one would know if they were heading to Keto-acidosis, instead of just being in ketosis?

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Old 02-14-2013, 14:31   #2
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I'm no expert, but I'm sure you can't be in keto acidosis without pretty massive blood glucose hikes, and for a period of time. If you test your glucose levels you would definitely know if you were at risk. I also think you would feel pretty ill.
Ketosis is a perfectly normal safe state to be in. xx

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Old 02-14-2013, 14:38   #3
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Scary the first time you see ketones on the strip. Meredith hit the nail on the head though, if your BG level is in the normal range, nothing to worry about.

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Old 02-14-2013, 16:11   #4
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DKA rarely occurs in T2's -- except before diagnosis ... when elevated BG's can shut down your beta cells temporarily.

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Old 02-14-2013, 16:16   #5
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The "bad breath" is from ketones. A normal thing when in ketosis to excrete ketones through the breath.

A good understanding of the difference between ketosis and ketoacidoses will relieve you of all anxiety.

Here's what Shanny said in this thread:
http://www.diabetesforum.com/showthr...ferrerid=32570

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Ketosis and ketoacidosis are different animals, although ketones are central to both.

Ketosis is simply the process of fueling our bodies with ketones instead of glucose. This is accomplished by sharply reducing carb intake, and allowing our metabolism to accomodate - switching over to running on ketones. This removes the glucose issues from diabetes, and what few body functions require glucose (5%), gluconeogenesis can cover by creating glucose from the protein we eat.

Ketoacidosis is the absence of insulin in the presence of glucose. When there is no insulin available (as is sometimes the case of type 1 diabetics - even, as you say, LADA, and occasionally type 2), glucose begins to build up and blood sugar levels skyrocket. So the simple scenario is that having ketones along with high blood sugar is the recipe for disaster and destruction. Regular frequent testing is the solution to this - keep your meter handy.

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Old 02-14-2013, 18:45   #6
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So it is not something that will rapidly develop or sneak up on me if I am paying attention.

Whew! I feel better! Thanks y'all!

For those who stay in ketosis, what do you want those strips to read? A small amount of ketones? A large amount?

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Old 02-14-2013, 19:33   #7
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Please understand that the sticks only measure excess ketones that have been filtered out by the kidneys and eliminated through urine.

The difference in "amount" - or "small vs large" on the strips only relates to the concentration of ketones in the urine, which fluxuates according to how hydrated or dehydrated one is. It does not indicate how far one is into ketosis or what the ketone level is in the blood. That would have to be measured from blood with a ketone meter.

The sticks really only measure "yes" or "no" presence of ketones. Any level of ketones on the sticks will indicate that you are in ketosis. No indication of ketones only means that there is not an excess of them being filtered out - you could still be in ketosis and register negative on the sticks.

So, there is no goal here in regard to the sticks.

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Old 02-14-2013, 21:37   #8
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VeeJay- thanks for that explanation! I'm still learning!

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Old 02-14-2013, 22:36   #9
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You're in a good place to learn. Some diabetes educators out there don't know the difference between ketosis and ketoacidosis, so don't feel bad.

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