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Are Ketosis And Ketoacidosis The Same Thing?

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Is Ketosis Dangerous?

You may have heard from your doctor that ketosis is a life-threatening condition. If so, your doctor is confusing diabetic ketoacidosis (DKA) with nutritional ketosis, or keto-adaptation. First, some semantics. Our body can produce, from fat and some amino acids, three ketone bodies (a “ketone” refers to the chemical structure where oxygen is double-bonded to carbon sandwiched between at least 2 other carbons). These ketone bodies we produce are: acetone, acetoacetone, and beta-hydroxybutyrate (B-OHB). [For anyone who is interested, they are the 3 most right structures on the figure, below.] Why do we make ketones? For starters, it’s a vital evolutionary advantage. Our brain can only function with glucose and ketones. Since we can’t store more than about 24 hours’ worth of glucose, we would all die of hypoglycemia if ever forced to fast for more than a day. Fortunately, our liver can take fat and select amino acids (the building blocks of proteins) and turn them into ketones, first and foremost to feed our brains. Hence, our body’s ability to produce ketones is required for basic survival. What is diabetic ketoacidosis? When diabetics (usually Type I diabetics, but some Continue reading >>

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  1. Silky

    I became diabetic (Insulin Dependent) when I was just 10 and I'm now 19 (just turned yesterday actually) and in the past year I have been in hospital 5 TIMES!! with ketones, also had to be put in ICU on one occasion aswell, BIG SCARE! Thought I was going to die
    My diabeties is fairly well controlled but the thing that is worrying me is the fact I keep getting ketones, even though I control my sugars well. It's confusing for me, my doctor said it my of been caused from when I was younger (Between about 15 and 17) and neglected my diabeties and ate sweets and all that.
    Anyways... the thing that scares me the most is;
    1. I keep getting ketones.
    2. The way I have been told to get rid of them is quite dangerous.
    The reason for it being dangerous is because my doctor told me that I should inject insulin, untill the ketones are gone (unless my ketone level is at 3, then I should come into hospital), but the has caused my sugars to drop rapidly and I get shakey, blurred vision etc (you all know the signs)... I tried drinking sips on luzozade sport (my favorite drink), and it seemed to work, and I can successfully get rid of the ketones and also avoid going hypo... but tends to leave my bloods, a bit out of whack untill my next injection, and I tend to wee and drink a lot.
    Has anyone even had this problem? or is currently going through it?
    If so then please chat to me, it's driving me nuts!!

  2. Shelley

    Hiya Silky,
    Sorry l dont know much about T1 apart from what l've read in passing on this board.
    However have you tried just drinking lots of water to flush away ketones (if thats (poss)? - lt was just a thought, l dont really have a clue.
    l know water is good at keeping the kidney's flushed.
    l'm sure someone else will answer you soon, l saw a few of your posts and just thought l'd try.
    Welcome to the Diabetes Daily Forum.

  3. Silky

    thanks for the welcome Shelly.
    Yeah I tried drinking water, doesn't do that much in my opinion... mass' of insulin seems to be the only way and that is why I'm sooo scared! because I know how serious ketones is, the doctors once told me that if I didn't come in hospital when I did, then another hour and I'd be in a coma or worse... but thankfully I'm still here and alive and well.

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What’s The Difference Between Ketosis And Diabetic Ketoacidosis?

Ketosis and ketoacidosis sound similar and are sometimes confused, but don’t mistake these conditions for one another. These involve two different sets of circumstances with considerably different outlooks. Both are triggered by an increase of ketones in the body, which are acids released into the bloodstream when the body burns fat for energy instead of carbohydrates. But it’s how the body responds to this increase that sets ketosis and ketoacidosis apart from each other. RELATED: How to Tell the Difference Between Good and Bad Carbs What Is Ketosis and How Does the Process Work? “Ketosis is a natural state that occurs when you start to metabolize fat instead of sugar,” says Michael Greenfield, MD, endocrinologist and chief medical officer at El Camino Hospital in Palo Alto, California. “It occurs often when people fast and use up the stores of sugar in their body." To understand ketosis, it helps to understand how the body burns energy. Carbohydrates and fat are both energy sources, and the body typically burns carbs (sugar or glucose) first, and then fat. If there aren’t enough carbohydrates in your system, it begins to break down fat for energy, which puts your body Continue reading >>

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  1. FeralProudSwahili

    Hi and TIA,
    I know there are a few midwives who post in here so I have a question for you or anyone else who may know...
    I have had a gastro bug since Monday. I saw my midwife last night for a routine appointment and when I did the urine dipstick test, the protein level was between 30-100 (++ -+++). My urine was very concentrated so obviously I was/ am dehydrated.
    It's usual for me to have a trace of urine, but I've never had it that high. My midwife dismissed it as being due to the urine being concentrated. This doesn't sound quite right to me. What are your thoughts?

  2. 3_for_me

    Sounds sensible to me, the test is meASuring protien levels per unit of urine so if you remove a portion of the water content of your urine due to dehydration it will make the protien levels more concentrated. I wouldn't be concerned about the result, especially if you have no other concerning symptoms, I'm sure you'll find everything will be back to normal by your next appointment.

  3. jenkp

    I was recently in hospital due to dehydration from a vomitting bug and had both Large Ketones and increased protein..I have always had trace protein and increased up to +30..so yes the more concentrated your urine the more increased your levels would be. OB wasnt actually concerned too much about my protein (as i have no other symptoms of pre-eclampsia) and was more worried about my ketones...
    Wouldnt worry especially if your BP is normal and no other worrying symptoms but you will find your levels should go back to normal once you are not dehydrated.
    Cheers

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Which is the best weight loss diet? Ketogenic diet vs low carb diet vs atkins vs paleo? Which one of these meal plans is best to burn fat? FREE 6 Week Challenge: https://gravitychallenges.com/home65d... Fat Loss Calculator: http://bit.ly/2O70G4m Isn't the ketogenic diet and low carb diet essentially the same thing? How about Atkins and paleo aren't all of these diets just a fancy way of saying keep your carbs low. Well it's definitely safe to say that you are limiting your carb intake in all of these diet plans but each plan calls for a slightly different approach to burning fat. Most ketogenic diets require you to keep your carbs under 30 grams a day and the most carbs that I've ever seen on a keto plan was 50 grams a day. Usually this will account for 5% of your total daily intake. Then you would have somewhere between 75 to 80 percent of your calories from fat. And finally 15 to 20 percent of your calories from protein. With ketogenic it's clear that the carbs are very limited at only 5 percent per day and the reason why carbs are so limited is because the ketogenic diet is trying to put you into ketosis. To sum it up simply ketosis is a state in which you're going to burn more

Ketoacidosis During A Low-carbohydrate Diet

To the Editor: It is believed that low-carbohydrate diets work best in reducing weight when producing ketosis.1 We report on a 51-year-old white woman who does not have diabetes but had ketoacidosis while consuming a “no-carbohydrate” diet. There was no family history of diabetes, and she was not currently taking any medications. While adhering to a regimen of carbohydrate restriction, she reached a stable weight of 59.1 kg, a decrease from 72.7 kg. After several months of stable weight, she was admitted to the hospital four times with vomiting but without abdominal pain. On each occasion, she reported no alcohol use. Her body-mass index (the weight in kilograms divided by the square of the height in meters) was 26.7 before the weight loss and 21.7 afterward. Laboratory evaluation showed anion-gap acidosis, ketonuria, and elevated plasma glucose concentrations on three of the four occasions (Table 1). She had normal concentrations of plasma lactate and glycosylated hemoglobin. Screening for drugs, including ethyl alcohol and ethylene glycol, was negative. Abdominal ultrasonography showed hepatic steatosis. On each occasion, the patient recovered after administration of intraven Continue reading >>

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  1. Carolyn

    These little sticks are the bane of my life! I have an obsessive nature at the best of times and I know in my heart of hearts that using them every time I go to the loo is ridiculous but I can't seem to stop! I think it's because I'm not getting what I consider an acceptable result from them lol and must be trying to bully them in submission
    Last time I did Atkins, many years ago, I simply did it as a weight loss programme rather than the way of life I intend to adopt this time. I did lose a little weight, nothing like my success last week, but when I used the ketostix I was always in the dark pink/purple region. This time, I am hovering between the first two pinks. I didn't read up properly on the Atkins the first time in the sense that I did eat as much as I wanted and I didn't bother with salad and veg whereas this time I am following it to the tee, at least I'm trying to! But my ketostix results are rubbish compared to when I didn't do it properly.
    Confused! Can anyone shed any light on this for me and then I can quit using a tub of ketostix a day

  2. Jo

    If there is any degree of colour then you are in ketosis and don't need to worry. The result may look low because you are drinking lots of water or other fluid - the sticks measure the amount of ketones in the urine so if you are diluting it a lot, it will look lower. However be assured that any degree of colour indicates that you are in ketosis, and therefore burning fat for your energy instead of carbohydrate, and that is all we need!

  3. Carolyn

    Just another interesting thing though Jo, if I have an Atkins bar, which I don't every day, and then do a stick, I go back to negative on my stick! Weird?

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