Can Fasting Cause Ketoacidosis?

Share on facebook


GENERAL ketoacidosis is a high anion gap metabolic acidosis due to an excessive blood concentration of ketone bodies (keto-anions). ketone bodies (acetoacetate, beta-hydroxybutyrate, acetone) are released into the blood from the liver when hepatic lipid metabolism has changed to a state of increased ketogenesis. a relative or absolute insulin deficiency is present in all cases. CAUSES The three major types of ketosis are: (i) Starvation ketosis (ii) Alcoholic ketoacidosis (iii) Diabetic ketoacidosis STARVATION KETOSIS when hepatic glycogen stores are exhausted (eg after 12-24 hours of total fasting), the liver produces ketones to provide an energy substrate for peripheral tissues. ketoacidosis can appear after an overnight fast but it typically requires 3 to 14 days of starvation to reach maximal severity. typical keto-anion levels are only 1 to 2 mmol/l and this will usually not alter the anion gap. the acidosis even with quite prolonged fasting is only ever of mild to moderate severity with keto-anion levels up to a maximum of 3 to 5 mmol/l and plasma pH down to 7.3. ketone bodies also stimulate some insulin release from the islets. patients are usually not diabetic. ALCOHOLIC KE Continue reading >>

Share on facebook

Popular Questions

  1. MikeCrazy

    So I'm getting into ketosis and have come across something that all new should know about...(if they don't already), the keto flu, so to speak. It feels like the flu and/or food poisoning, and can scare the willpower out of you, if you don't know what's going on. Let me explain:
    I'm on day 12 of this diet, and last night I over exerted myself with some exercise. As a result, a mild feeling of nausea that had been subtly bugging me, turned into some quality time with my head hanging over the porcelain throne. I was like WTF is wrong with me? My gut hurt so bad that I almost considered going to the hospital, and my nausea was through the roof. This coming from a guy who was known for the "iron stomach," needless to say, had me very worried. Had I understood what was happening, and what would happen, while transitioning through what's called induction, I would have prepared better, and it wouldn't have been as bad, or maybe almost unnoticeable.
    Things to know:
    1 - Enzymes. Your body makes enzymes for the digestion of fat and starches/sugars, in your stomach. These enzymes are fairly specific, and if they are out of balance you can get a bit upset in there.
    2 - Fungal. Candida cultures (yeast) throughout our bodies, and especially in our gut, thrive on sugars. If you cut the sugar, they die in swaths leaving toxins behind. All those toxins, if not properly flushed, will cause gastronomic distress, a temporary increase in acne, and even cough, stuffiness, and nasty achy flu symptoms. Flushing is the key, leading to the next point:
    3 - Fluids. Not drinking enough water, and not getting the proper balance of electrolytes in your system, will allow a build up of all the toxins release from all sources, including toxins stored in your fat cells. You can have all sorts of issues from it, let alone the dehydration issue – in and of itself.
    4 - Liver. Your liver must deal with all these toxins in your system, and if you are already on the toxic side of the coin, a keto induction can throw your liver into overtime. This causes pain, nausea, and more flu like symptoms. You can feel like death warmed over, when your liver is weak and over-taxed. Again, fluids help, but you may need to reduce fat, and total caloric intake for a few days, to give your liver a chance to catch up. I also hear that turmeric tea helps the liver detox, but I don't know much about it yet.
    So there you have it folks. That’s the scary side of keto induction. It's not so scary and bad, if you know what's going on, and you prepare for it. The biggest key is to drink lots of water with electrolytes.
    Good luck, and stay healthy!

  2. SnowFlinga

    Be careful with the exercise while keto-adapting. You're in a kind of "limbo land" while still in the adaptation phase; you're no longer giving your body the carbs it expects to refuel your glycogen stores and you're not quite efficient yet at burning ketones for energy. So exercise during this period can be a real mixed bag and for some people can sideline them in their attempt to adapt to this WOE.

  3. Leonidas_meets_Spartacus

    It's hard to prepare and depends on individual. I probably had worst 4 weeks of my life when I started eating this way, but it's been very easy for me to maintain with out any cravings for carbs.

  4. -> Continue reading
read more close

Related Articles

Popular Articles

More in ketosis