High Blood Sugar On Keto

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Diabetes And A Paleo Diet

Every minute, three people in the U.S. are diagnosed with diabetes, for a total of 20.9 million people living with the disease (as of 2011, so that number is probably even higher now). That’s up from just 5.6 million in 1980. Currently, about 7% of people in the US have diabetes, but that doesn’t actually tell the whole story. An estimated 86 million more have pre-diabetes (blood sugar high enough to be dangerous, but not enough to be diabetes. Diabetes is sometimes called a “lifestyle disease,” meaning that it’s caused by lifestyle factors like diet and exercise, rather than a particular germ or gene. It’s often (but not always!) associated with other lifestyle diseases like obesity, high cholesterol, and high blood pressure, because the same kinds of lifestyle patterns tend to cause more than one of those problems. When the Paleo crowd starts talking about diabetes, we typically start from the fact that it’s almost unknown in traditional cultures, even among people in later middle-age. The natural suggestion from there is to eat like people in those cultures – minimal processed and refined foods. But there are a few problems with this: All those traditional groups Continue reading >>

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  1. sk8wh33ler

    I looked around here and in the web, but could not find a clear answer. So the situation is: I am in ketosis around 6 month and started to get higher blood sugar 2 month ago. Before I was around 70 - 90. Now I am around 100 to 120, no matter when I meassure. Blood-Ketone level is always around 0.4 to 1.2. My macros are ok and I felt good most of the time. The last 2 weeks though I started to feel a bit down so I started to worry a bit and read into the high BG thing I found 2 articles which leaves a lot of questions unanswered.
    They are a bit old, so there might be more information by now? I am really worried that I have to stop keto just because of this.... can anyone help by making a holding argument? Can I just ignore this? Thanks in advance.

  2. DavePD

    Given your BHB of .4 to 1.2, I think it's more likely you still need to limit carbs and/or protein as there's likely too much glucose still in play. Check your postprandial glucose 1, 2, and 3 hours after meals and see if you spike above 120. If so, your meal is still too high in carbs and/or protein when coupled with your existing insulin response.
    When you get your next blood test, be sure to ask for "Fasting Insulin" too. (This should actually be standard in ALL metabolic panels, but isn't.)
    I'm about 17 months into the diet and I've observed my fasting blood glucose bottom out at 70s to start, then slowly increase to 90s (or even low 100s about 15% of the time), yet my blood BHB is typically between 1.8-3.8. I'm confident this is glucose sparing as my fasting insulin tests are now at the bottom of their range (3.3 with reference range 2.6-24.9) AND I check my postprandial glucose which rarely climbs above 120.
    To add to /u/Solol123's point -- protein is tricky because I find if I have too much within a single meal (such as large steak), it will bring up my glucose postprandial and even have a lasting margin into the next morning with higher glucose and lower BHB.

  3. sk8wh33ler

    thanks for the advice. I will try to control protein even more and will stay with mostly 77g a day.

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