How Long Does It Take To Get Ketoacidosis?

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How Long Does It Take To Reach Ketosis?

It only takes 1-3 days to get into ketosis. But getting in ketosis is easy, becoming keto-adapted is the tricky part. It usually takes a month to get to the first stage of becoming keto-adapted, and it takes up to 2 years to fully train your body to use ketones fully. The body is always producing at least some small level of ketones. But the ketones themselves really aren't important, it's what their levels signify (fat breakdown). Once the available blood glucose and stored glycogen is used up, the body starts breaking down triacylglycerols (the fat we all hate) to use the resulting fatty acids for energy to get gluconeogenesis going in order to stabilize blood glucose levels. The results from this oxidation of triacylglycerols are ketone bodies. all of these metabolic processes are constantly occurring all at once to some degree, just some way more than others depending on the levels of insulin and other hormones. I just am looking for the specifics like what concentration of glucose is enough to signal the fed-state (when the body stores fat,) and at what rate the body uses the blood glucose it has. The reason a key symptom of untreated diabetes is rapid weight loss is due to th Continue reading >>

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  1. Shama

    I was diagnosed as t1 four weeks ago. I was admitted to hospital with BGLs of 19 and ketones were 5.5, so I was DKA.
    I spent 24 hours in emergency while they brought down my ketones to zero then spent another 8 days in hospital getting stabilised and learning how to inject insulin etc.
    My question is: how long does it take to fully recover from DKA? I went back to work yesterday and was exhausted after 7 hours (including a short lunchbreak). I deliberately didn't do very much; just got through my backlog of emails and did a bit of reading. When I got home, I perked up a bit after dinner. Today, it was the same at work but tonight I am SO tired I can barely walk and I can't do *anything* other than sit and watch tv. I can't keep doing this. I need to be able to function at least a bit in the evenings, and this is without me doing my usual job of answering complex (and long) phone calls and emails. Is this normal??
    I wasn't in a coma (I walked into emergency). I lost 3kg in the fortnight before I was admitted despite eating heaps, and lost more weight before that. I had a lot of muscle pain and muscle cramps before diagnosis, and couldn't walk up a hill without having to stop all the time to catch my breath. (plus the classic insatiable thirst and peeing heaps)
    When I first got out of hospital I basically just tried to get on with normal life and started exercising, ie a 20 minute walk most days. Then I carried lots of heavy boxes (long story) over several days. I was fine at the time then lost some stamina late last week. The DE (after I'd done all this exercise, not before!) said now was not the time to hit the gym, just as a throwaway comment. I didn't ask her to elaborate but did scale back my daily walks a bit.
    I'm going to ring the DE or endo tomorrow to see if this is normal and if I need more time before going back to work (I'm not driving yet, hubby can't afford to take time off to pick me up early each day and the bus home involves two 15 minute walks each end and a 45 minute bus ride). But I would like to know other people's experiences with DKA recovery, particularly if it was a pre-diagnosis one with several weeks of symptoms.
    Thanks in advance :)

  2. Magenta76

    Hi Shama, sucks that you have to be here, but glad that you found us!!
    I, unfortunately, have a LOT of experience with DKA's... (something like 9 or 10 in 13 years of diagnosis) Each of them the recovery time has been different.
    My diagnosis, I have no idea what my level of ketones was, I know my BSL was 30something, and I was incredibly ill, and weighed something ridiculous like 50kgs.... with hindsight I was probably presenting symptoms at least 2 or 3 months before I was diagnosed.
    After my diagnosis, I took the probably set standard, month off. I went back to work as a chef after that, I don't really remember what it felt like, I was 22 so I probably was not too bad. I think we all would have different recovery times to anything and everything, so I don't think anyone could give you a straight answer on how long it will take for your body to go back to "normal". Talk to your HP's but take it day by day would be the best bet. Not really helpful, I know, but can't say any more than that.
    My last DKA was extremely severe. We're talking coma, organ failure type stuff. That was 18 months ago. My body is still recuperating from that one. I know that for me, each time I have a DKA, the whole episode is worse, and I take longer each time to get better. I just wish I discovered and knew about all the triggers for me. Stress is a large factor for about half of mine, which unfortunately means that when I get the all clear to work again, I have to change my career.
    Good luck with everything, and I hope you are feeling better soon. Try not to overdo it. Your body would still be adjusting. Let it. :)

  3. tantan

    Hi Shama,
    I have a similar story to you. I was diagnosed about 4 years ago, with ++++ ketones (whatever that means), a BGL of 32.7, and weight loss of 9kg in the preceding 3 and a half weeks. My understanding is that DKA involves the body basically chewing up fat because the lack of insulin means it can't access the glucose in your body, even if you're eating lots of it! So a lot of that weight loss is coming from storage (and we all need some fat storage for normal functioning! :-) ). At the end of the day, it will take a body awhile to replenish those stores, work properly again, and get back to the state it was at prior to diagnosis (and prior to the weeks leading up to diagnosis).
    I can't remember how long it took me to recover fully. I was diagnosed several weeks before Christmas, which was a massively busy time at the company where I was working. The doctor at the hospital gave me a medical certificate for at least a week off, but I actually only took about two days. However, I only worked shorter days for at least a week, maybe two, once I went back. I wasn't allowed to drive, so my co-worker would pick me up in the morning on her way to work, and my husband would pick me up in the afternoon when he finished at his work (which was always about 1-2 hours earlier than my usual finishing time). I found that I felt better in the mornings, so that worked for me.
    I think the best one can do for one's body after something like DKA is to eat healthily and get plenty of sleep!
    All the best!

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