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How To Get Ketoacidosis

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The Scary Experience Of Diabetic Ketoacidosis

Today, we’re excited to share with you another guest blog from Katie Janowiak, who works for the Medtronic Foundation, our company’s philanthropic arm. When she first told me her story about food poisoning and Diabetic Ketoacidosis (DKA), I knew others could benefit from hearing it as well. Thanks Katie for your openness and allowing us to share your scary story so that the LOOP community can learn from it. Throughout this past year, I’ve had the honor of sharing with you, the amazing LOOP community, my personal journey and the often humorous sequence of events that is my life with T1. Humor is, after all, the best (and cheapest) therapy. Allow me to pause today to share with you the down and dirty of what it feels like to have something that is not the slightest bit humorous: diabetic ketoacidosis.You are hot. You are freezing. You are confused. You are blacked out but coherent. You go to talk but words fail you. Time flies and goes in slow motion simultaneously. You will likely smell and look like death. In my instance, this was brought on by the combination of excessive vomiting and dehydration caused by food poisoning and the diabetic ketoacidosis that followed after my b Continue reading >>

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  1. kellymh

    I generally don't post too much on reddit because I was being continuously trolled, but I feel like so many women want to know about keto and pregnancy/breastfeeding, so I decided to share my story. It's long, so grab a snack :)
    So I was doing keto for several years before I got pregnant. Then the morning sickness hit and I couldn't handle it, even with a prescription for nausea medication (reglan). Around the 25 wk mark I felt much better and started keto again with no drama or problems. I found that restarting was mostly mind over matter. I was so afraid I was going to get sick eating meat again, but when I actually just ate it, I was fine. YMMV, but I would encourage you to try. I'm in the medical field, so I did a disgusting amount of research. The info is out there- what you eat during pregnancy has long term consequences for your baby. I'm not about mom shaming, but the internet seems to love telling pregnant women to eat whatever they want. I think this is insane. You should do your best, for your sake and your childs. And lets be honest- thats not consuming a pint of ice cream and a package of oreos. We know when we can do better. Do a little better at a time, and before you know it you'll be back to full keto. My heartburn and nausea got DRAMATICALLY better once I was back to keto. Now for the semi scary part- I did my screening for gestational diabetes around 28 wks (i think) and I failed it miserably! I read on here later that you are supposed to carb up for a few days before the test, but I didn't read that in time so I don't know if it would have helped. Anyway, I start seeing a perinatologist. I had already been tracking my blood sugar for a while before this, and it was PERFECT. Not a single value out of range. The nutritionist urged me to eat 150 carbs a day, but saw my numbers and said, along with my doctor, "You're one of our best patients. Just keep doing what you're doing!" haha! No problem, doc. I'm 5'2" and started pregnancy at 124 lbs, and when I delivered I was 139. I was eating about 1600 cal a day, and between 20-30 carbs. Interestingly enough, my perinatoligst worked on a research study in medical school that examined ketones in pregnancy. It's worth noting that he has contributed to several textbooks in the field. Basically the study found no danger, but was scrapped due to funding before it could be published. The state of nutrition research is sad! I was having high level ultrasounds pretty frequently and my baby boy was perfect. They said he would be smaller when he was born, but that was to be expected because I'm small. I was 6 lbs 3 oz, my mom was 6 lbs, and one of my aunts was 5 lbs 4 oz. The women in my family make small, healthy babies! On March 25th my son was born weighing 5lbs 6oz. Luckily I don't worry about percentiles and all that crap, because he was in like the 3rd percentile for weight. NO ONE was worried, not my doctor, not his pediatrician, or anything. He's been exclusively breastfed from day 1. I stopped tracking my food so closely because newborn life is exhausting. I stuck to the same stuff I ate while I was pregnant. I've lost 10 of the 15 lbs I gained. I plan on starting to track again soon. Here's the coolest part to me- at his 4 wk pediatrician visit, my son weighed 8 lbs!!! The pediatrician was amazed he'd only had breastmilk. She said "Really?! He hasn't had any formula at all?!" Nope! He's 6 wks now and has the most adorable double chin :) I can't speak to what would happen about suddenly starting keto while breastfeeding, but I only did it for 10 wks before he was born, and I've obviously had no supply issues because he is growing like a weed! In fact, while pregnant I entered a diet contest on ketodietapp.com, and won second place! Here is the link for my story: http://ketodietapp.com/Blog/post/2016/02/21/results-of-the-30-day-january-ketodiet-challenge
    Anyway, thats my story! I know this sub isn't super active, and I think its because the internet seems to really discourage women from doing low carb. All the "big" breastfeeding websites really demonize it, see La Leche League and KellyMom. I am friends with a LLL leader, and she said she's had many moms do low carb and BF, and that the problem isn't so much the drop in carbs as the drop in calories. It seems the best way to start keto may be to just track what you normally would eat for a few days to get a baseline calorie number, and then maybe decrease gradually?! I hope all this was helpful for someone :)
    **oh yeah, I had a normal vaginal delivery, and recovery was a breeze. I had no problems pooping or anything, in pregnancy or after.

  2. ketolaura

    Quick question: why do you need to carb up before the test?
    I am 13 weeks pregnant and I am hoping to go low carb soon. I gained 2 pounds in the last month (eating anything and everything) and according to the ultrasound the baby is normal and doing great. But I want him/her to have good eating habits. I hope to set a good example.
    I'm happy your pregnancy went well.

  3. rickamore

    Quick question: why do you need to carb up before the test?
    Due to Physiological insulin resistance you'll test a false positive for glucose intolerance as your BG skyrockets from 75g of glucose. Eating 150~g of carbs/day for three days before the test is enough to reverse it and test normally on the glucose test.
    If you plan to stay keto the whole time, you'd be better off testing BG yourself for several days or seeing if they will test a1c.

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