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Old 03-02-2019, 17:20   #1
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Hi there! I’m new to the site and need guidance on being Type 1, i started Keto Diet 2 weeks ago and I’m seeing amazing results with my blood sugars. I’m taking Invocana during the day along with 1-2 units of insulin with meals and 58 units at night. My question is, when i test my urine with ketones test strips, the results are high ( purple). Is that dangerous even though my blood sugars haven’t exceeded 125?

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Old 03-02-2019, 20:46   #2
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Hi Sarabee, and welcome to the forum.

Sounds like you are doing very well with Keto.

No, you are not in any danger. It's when there's high ketones in the absence of insulin, and with high blood sugar (well over 300) that DKA happens. That is very differente from being in a state of nutritional ketosis.

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Old 03-02-2019, 20:50   #3
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I see you mentioned you are a Type 1 diabetic, but that you take Invocana, which is an SGLT2 inhibitor - a drug for Type2 diabetes. Are you perhaps a Type2?

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My low-carb recipe collection on Pinterest
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70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains
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Old 03-02-2019, 20:56   #4
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Welcome to the forum, Sarabee! There's lots of great information and support here. I'm looking forward to seeing more posts from you.

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Now with less sugar!

A1c 10-30-2018 still 5.6 with no meds. Thank you LCHF!
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Old 03-02-2019, 21:43   #5
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Quote:
Originally Posted by VeeJay View Post
I see you mentioned you are a Type 1 diabetic, but that you take Invocana, which is an SGLT2 inhibitor - a drug for Type2 diabetes. Are you perhaps a Type2?
VJ, I wondered that too. Sara, I'm assuming that the 58 units at night is a basal insulin? If so, which one?

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Old 03-02-2019, 21:53   #6
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Hi Sarabee, welcome to the forum.

What kind of insulin(s) are you taking? Is the one with meals different than what you take at night? What instructions were you given on how much to take and what to do if your BG got too high or too low?

Invokana is a Type 2 drug and it is odd that a type 1 gets prescribed this drug. I believe you can read about it in the literature that should come with it, if not then click here. There has been some use of these types of meds by type1's but there are additional risks for type 1s. If you are truly a type 1, I would do much research on this drug and read its warnings. Here is one concern.

As a type 1, yes you should be concerned about high ketones at any time and I would recommend that you get a blood ketone monitor so that you know what your ketone levels really are.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
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Old 03-02-2019, 22:07   #7
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Quote:
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I would recommend that you get a blood ketone monitor so that you know what your ketone levels really are.
An indication of "high" on a urine strip is not the same as the level of ketones in the blood. The strips can read low or high simply because of the concentration of ketones in the urine, which can vary depending on how hydrated a person is. (Of course, I'm talking about someone who is on low-carb and does not have high BG).

These urine strips are good for knowing when one starts producing ketones when one is doing a low-carb diet, but once one is in ketosis, they are virtually useless because only a blood ketone meter can determine the degree of ketosis.

__________________
My low-carb recipe collection on Pinterest
https://www.pinterest.com/VRStudio1/...light-recipes/
70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains

Last edited by VeeJay; 03-02-2019 at 22:09.
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Old 03-02-2019, 22:21   #8
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I’m definitely Type 1, My doctor put me on invokana to try to bring down my sugars in addition to insulin. I was spiking at night. It’s helped a little.

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Old 03-02-2019, 23:24   #9
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Quote:
Originally Posted by Sarabee View Post
Hi there! Iím new to the site and need guidance on being Type 1, i started Keto Diet 2 weeks ago and Iím seeing amazing results with my blood sugars. Iím taking Invocana during the day along with 1-2 units of insulin with meals and 58 units at night. My question is, when i test my urine with ketones test strips, the results are high ( purple). Is that dangerous even though my blood sugars havenít exceeded 125?
DKA does not necessarily come with high BG, just the lack of insulin to stop ketone production, and being type 1, not knowing blood ketones can be deadly.

__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 03-03-2019, 00:32   #10
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Humlog during the day and Toujeo at night

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