2nd appointment/Ketones

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2nd appointment/Ketones


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Old 06-04-2016, 08:04   #1
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Default 2nd appointment/Ketones

Well, I had my second appointment with lab work for blood and urine. My A1c was down to 6.1 (from 6.7 on March 30) after 8 weeks of eating no sugar, no bread and no rice. YEAH!!! But the doctor said that I had a +- for ketones in urine. She suggested I add bread or rice to my diet.

Could somebody explain to me what ketones are? How should I respond? Add the starch foods to keep ketones "in check".

Turns out that the doc would not write a prescription for a glucometer and test strips since I was not injecting insulin. That was sad. She said I did not need to test my BG. A friend gave me one and I have ordered test strips from Amazon. That order should be here next week. Then I can start testing.

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Old 06-04-2016, 12:25   #2
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Your doctor probably has a very limited knowledge of what really goes on in the body and is lumping ketones and diabetes into one big basket. Ketones in the presence of high BG is a bad thing. For a type 1 or type 2 whose BG is very high and is producing ketones, there is a chance of DKA diabetic ketoacidosis. This can be life threatening. for someone who can still produce insulin naturally (and does), insulin shuts down the production of ketones before they get to a high enough level to be harmful. A type 1 is more likely to go into DKA, for a type 2 it is much less likely, but not impossible. Production of ketones while maintaining controlled BG is ketosis and is not dangerous at all. Here is a website that explains it better. And another here.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (02/2020)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
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updated 10/12/2020

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Old 06-04-2016, 12:52   #3
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Quote:
Originally Posted by mbuster View Post
Your doctor probably has a very limited knowledge of what really goes on in the body and is lumping ketones and diabetes into one big basket. Ketones in the presence of high BG is a bad thing. For a type 1 or type 2 whose BG is very high and is producing ketones, there is a chance of DKA diabetic ketoacidosis. This can be life threatening. for someone who can still produce insulin naturally (and does), insulin shuts down the production of ketones before they get to a high enough level to be harmful. A type 1 is more likely to go into DKA, for a type 2 it is much less likely, but not impossible. Production of ketones while maintaining controlled BG is ketosis and is not dangerous at all. Here is a website that explains it better. And another here.
Thank you for this information. I was also told I have a fatty liver so tried to be really strict with my diet to lose weight, hoping I would lose the fat off my liver. Is it possible to do that?

Thanks for the links you sent. I will enjoy researching and learning more.

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Old 06-04-2016, 12:57   #4
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Thank you for this information. I was also told I have a fatty liver so tried to be really strict with my diet to lose weight, hoping I would lose the fat off my liver. Is it possible to do that?

Thanks for the links you sent. I will enjoy researching and learning more.
Yes, eating fat does not necessarily make you fat nor cause fatty liver. The carbs are being modestly quiet about deserving the credit.

There are many more sites out there about ketosis and ketogenic diets.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (02/2020)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
65 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/12/2020
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Old 06-05-2016, 04:56   #5
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I have read from posts by members here that eating LCHF and maintaining low and stable blood sugar will clear up a fatty liver.

A quick look at what is written in the Diet Doctor site:

A Low-Carb Diet Best for Fatty Liver - Diet Doctor

Quote:
Not surprisingly, yet another study* shows that a low-carb diet is a good treatment for fatty liver. In only six days on a low-carb diet, the reduction in the amount of liver fat was about the same as it was for seven months (!) on a calorie-restricted diet. Furthermore, the volume of the liver decreased quickly, probably because of less glycogen and fluids (decreased swelling).
* Effects of dietary interventions on liver volume in humans. - PubMed - NCBI

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Old 06-05-2016, 05:03   #6
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Yes, ketones when on a low-carb diet is expected and often desired. With a low-cab diet, it indicates that your body is starting to get its energy from fat. As others have already mentioned, the problem is when your blood sugar is out of control AND you are leaking ketones.

For what it's worth, I had fatty liver and was able to get all my liver panel numbers in range with a LCHF diet. The fat in one's liver doesn't come from fats you eat, but from alcohol and carbohydrates that your liver can convert to fat, and then store.

The diet is not a cure. When I eat more carbs, my liver panel numbers go up again. So I need to stick with it forever basically.

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