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Discussion Starter · #1 ·
While seeing the Endo the other day I told her I was doing low carb. While she is a proponent of a low carb diet she wants me to be careful and make sure I am getting enough carbs to prevent DKA.
I'm not real clear on how that occurs. Can someone please explain it in terms I can understand??
 

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Ummm ... 'twas carbs that brought me to DKA. Hope she meant to say, "ketosis?"

My guess is that your endo's required to recommend the ADA diet -- no matter what. If she's connected to an HMO or medical group, that's a near-certainty. She may, in fact, approve of your low-carbing, but she'll still be forced to push the carbs (perhaps while giving useful advice at the same time).

Isn't this fun?

For my own diet, I eat to my meter, a method I learned here. If my meter says a food is OK, it's OK. Sometimes it says, "OK -- if you take your insulin correctly." All too often, it says No-No. My meter is my pesky personal dietitian ... with a lot of help from this Forum and low-carb sites.
 
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Discussion Starter · #5 ·
It's very possible I misunderstood her and probably why it's stuck in my head and I felt the need to get it sorted out. A thick accent and talking too fast can lead to mis-communications.
 

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An house-plant needs just the right amount of light, water, food, soil pH etc... too much or too little of any of these can lead to the leaves dropping off or worse.

In much the same way: our bodies have systems which require an internal balance in order to provide the ideal environment for our cells. There are systems which (when working normally) manage this balance or homeostasis -- for example there is a feedback mechanism which uses insulin to lower the BG level and Glucagon to raise BGs... so that the normal non-diabetic person always has BGs in the normal range

The fluid balance and pH is also controlled by similar mechanisms.

Ketosis (raised level of Ketones) is our normal physical fasting state between meals and overnight when the body is using Fatty Acids as the major energy source. Many folks rarely see this these days as the Western diet keeps them constantly topped up with refined Carbohydrates. On a low-carb diet you may test positive for Ketones BUT so long as your BG is well controlled there is no cause for alarm.

Ketoacidosis (Diabetic KetoAcidosis - DKA) is a dangerously high level of Ketones that changes the pH (Acid:Base) balance of the body fluids. DKA is most commonly (but not exclusively) seen in an untreated Type 1 Diabetic where there is a lack of insulin -- pump failed, insulin lost potency, insulin not given etc... -- and is usually accompanied by dangerously high BG levels.

As a Type 1 you need to watch for raising BGs and positive test for Ketones... in which case you need to stay well hydrated, and check that your insulin is working... if in doubt seek medical help.
 
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Discussion Starter · #7 ·
An house-plant needs just the right amount of light, water, food, soil pH etc... too much or too little of any of these can lead to the leaves dropping off or worse.

In much the same way: our bodies have systems which require an internal balance in order to provide the ideal environment for our cells. There are systems which (when working normally) manage this balance or homeostasis -- for example there is a feedback mechanism which uses insulin to lower the BG level and Glucagon to raise BGs... so that the normal non-diabetic person always has BGs in the normal range

The fluid balance and pH is also controlled by similar mechanisms.

Ketosis (raised level of Ketones) is our normal physical fasting state between meals and overnight when the body is using Fatty Acids as the major energy source. Many folks rarely see this these days as the Western diet keeps them constantly topped up with refined Carbohydrates. On a low-carb diet you may test positive for Ketones BUT so long as your BG is well controlled there is no cause for alarm.

Ketoacidosis (Diabetic KetoAcidosis - DKA) is a dangerously high level of Ketones that changes the pH (Acid:Base) balance of the body fluids. DKA is most commonly (but not exclusively) seen in an untreated Type 1 Diabetic where there is a lack of insulin -- pump failed, insulin lost potency, insulin not given etc... -- and is usually accompanied by dangerously high BG levels.

As a Type 1 you need to watch for raising BGs and positive test for Ketones... in which case you need to stay well hydrated, and check that your insulin is working... if in doubt seek medical help.
Now That I understand. Thank you so much.
 

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Frank, an exellent description,much better than I could have done. I still can't believe an Endo would confuse the two, mind boggling.
 
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