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Difference Between Ketosis And Ketoacidosis

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What Is Ketosis?

"Ketosis" is a word you'll probably see when you're looking for information on diabetes or weight loss. Is it a good thing or a bad thing? That depends. Ketosis is a normal metabolic process, something your body does to keep working. When it doesn't have enough carbohydrates from food for your cells to burn for energy, it burns fat instead. As part of this process, it makes ketones. If you're healthy and eating a balanced diet, your body controls how much fat it burns, and you don't normally make or use ketones. But when you cut way back on your calories or carbs, your body will switch to ketosis for energy. It can also happen after exercising for a long time and during pregnancy. For people with uncontrolled diabetes, ketosis is a sign of not using enough insulin. Ketosis can become dangerous when ketones build up. High levels lead to dehydration and change the chemical balance of your blood. Ketosis is a popular weight loss strategy. Low-carb eating plans include the first part of the Atkins diet and the Paleo diet, which stress proteins for fueling your body. In addition to helping you burn fat, ketosis can make you feel less hungry. It also helps you maintain muscle. For health Continue reading >>

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  1. nurseprnRN

    The hypokalemia comes when the patient gets treated with insulin, driving the glucose and K+ into the cells. The kidneys can't (and won't) move so much out through urine with the excess glucose to make for hypokalemia.

  2. Esme12

    There can be a brief period of hypoglycemia in the early stages of an elevated blood sugar (polyuria)....but by the time "ketoacidosis" sets in the Serum potassium is elevated but the cellular potassium is depleted (all that shifting that goes on)
    Diabetic ketoacidosis

  3. April2152

    So pretty much what we would observe clinically is hyperkalemia because the osmotic duiresis does not move serum potassium significantly?

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Ketosis Vs. Ketoacidosis: What You Should Know

Despite the similarity in name, ketosis and ketoacidosis are two different things. Ketoacidosis refers to diabetic ketoacidosis (DKA) and is a complication of type 1 diabetes mellitus. It’s a life-threatening condition resulting from dangerously high levels of ketones and blood sugar. This combination makes your blood too acidic, which can change the normal functioning of internal organs like your liver and kidneys. It’s critical that you get prompt treatment. DKA can occur very quickly. It may develop in less than 24 hours. It mostly occurs in people with type 1 diabetes whose bodies do not produce any insulin. Several things can lead to DKA, including illness, improper diet, or not taking an adequate dose of insulin. DKA can also occur in individuals with type 2 diabetes who have little or no insulin production. Ketosis is the presence of ketones. It’s not harmful. You can be in ketosis if you’re on a low-carbohydrate diet or fasting, or if you’ve consumed too much alcohol. If you have ketosis, you have a higher than usual level of ketones in your blood or urine, but not high enough to cause acidosis. Ketones are a chemical your body produces when it burns stored fat. S Continue reading >>

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  1. Saraleesaralee

    Is it possible to stay on ketogenic diet for life-long?

    I have been on ketogenic diet for 2 weeks. It controls my blood sugar level really well. However I am not over weight. And I am worried about potential long term side effects of the diet. For example, high LDL level, steoporosis, auto immune disease, too much weight loss, vesicular stiffness. I was wondering if there is anyone in this forum has been on ketogenic diet for years? And do you experience any side effects from the diet?

  2. Aaron1963

    I've been on a strict ketogenic diet for 6 months, and was doing LCHF for much of the 5 months prior to that but didn't make any attempts at it being ketogenic so I may have been in and out of ketosis some during that period. I now have a blood ketone meter and remain in ketosis according to it.
    I did suffer excessive weight loss initially. I lost about 40kg (about 90 lbs.), and it ended up sending me from being very obese to being underweight. But I've always eaten very little protein, which I continued to do, plus I was doing intermittent fasting, sometimes not eating anything for days at a time. Once I stopped the intermittent fasting and concentrated on getting adequate protein, my weight went back up to my ideal weight and stabilized there. I've heard from several people that you really need to watch your protein when doing a ketogenic diet being it's easy for excess to hinder weight loss and/or increase your BG.
    I have had a few issues while doing a ketogenic diet, but not 100% sure which if any can be attributed to ketosis vs. some other factor. First off, as winter was approaching I got extremely cold all the time, especially my fingers and toes, but even my whole body was cold. I thought it might have been the caffeine I was getting as part of my ketogenic diet involves drinking lots of coffee with HWC, coconut oil, and butter. I switched to decaf and the problem pretty much went away, but I don't know if it was the caffeine, the ketosis, the massive weight loss (lack of body fat), something else, or a combination of factors.
    I've also had excessive itching and a rash. That's normal for me during the winter months, but this year it started a bit early, went longer, and was much worse than normal. I think it may very well have been my usual sensitivity to the cold dry weather, aggravated by toxins released during my rapid weight loss, and perhaps ketones being emitted through the skin. It's just recently started to clear up and the rash is gone and most of the itching.
    I got keto-breath for a week or two when I first concentrated on going keto. It was very noticeable, but disappeared after that and no issues anymore with my breath.
    This diet is very sustainable for me. I tried my whole adult life to diet to lose weight and was never successful. This time I wanted to lose weight, but my primary focus was controlling my BG, meaning reducing carbs down to a low-carb level, which caused me to gravitate naturally to a LCHF diet. For the first time I have no desire to go back to my old way of eating. I love this diet and it's completely satisfying. So I killed two birds with one stone - got my BG under control, down to non-diabetic levels, and got my weight down to ideal. Plus with the huge benefits (IMHO) of having my body use ketones rather than glucose, I'm totally sold on this way of eating for the rest of my life and have absolutely no worries about not being able to stick to my diet. I really have no strong urges for carbs anymore, and only end up going off the plan rarely due to social pressures or inadvertently eating hidden/unknown carbs.
    My LDL has gone up, but I've heard from others that usually it's benign large fluffy LDL that typically goes up when on a ketogenic diet. And my body is still adjusting. Also I've heard that LDL by itself is not a good measure of risk. So I'm not worried about it, but will keep an eye on things. I also have taken my ketogenic diet to an extreme, hitting a KR of 3.0 or higher almost everyday, and sometimes up to 4.0 or more. Not sure if eating much more fat than necessary for ketosis affected my LDL any or not. Initially my LDL dropped significantly as well as my trigs, but both increased at my last doctor's visit. I may try a more normal KR in the future while monitoring my blood ketones to verify I stay in ketosis and see if there's any difference in my BG, cholesterol, or other tests.
    I did also suffer from other typical symptoms during my keto adaptation phase. Most went away within about two weeks. But it's just been here at the 6-month mark where my BG numbers suddenly stabilized with very little change, and quite low, and overall I just feel absolutely fantastic. I feel like I'm bursting with energy and joined a gym and suddenly love running and working out whereas I hated them all my life.
    Well, I don't have years of experience with ketosis to report anything to you about that. Other than I've heard lots of other people with years of experience and not heard of anyone having any real side effects other than the things I've mentioned. However some people do find ketosis isn't for them and give up very soon. For those that feel it is working for them and stick with it, seems there's no significant side effects. But I'll let the others who've been in ketosis for longer than me speak for themselves.

  3. furball64801

    Hi and welcome to DD I know of a guy called no more carbs that was on it over 2 yrs. It is possible he is still on it, that chat site closed down but he was going strong on it.

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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 fat and produce Ketone bodies in your liver for use as energy when carbohydrates are really low. Low-carb diets on the other hand don't require an exact number of carbohydrates the way that keto does. Obviously since it's low carb you wouldnt expect to have more than 20 to 30 percent of your calories coming from carbs but even at 20 percent it's a huge difference from the five percent that you get with keto. So with low carb we can consider the exact number of carbs undefined whereas with Keto that number is very defined with exact numerical values. What about atkins? When taking a closer look at Atkins you see that Atkins is different from keto and low-carb as well. With Atkins the General accepted split is 30% protein 10% carbs and 60% fat. Again this is higher in carbs than the 5 percent we see with keto which Keto dieters would not support because they would say that having a higher level of carbs would take you out of ketosis. But Atkins at certain points dies definitely put you into ketosis. The plan takes you through four phases and a lot of these phases match up with the keto structure. In Phase 1 of Atkins you have to limit your totally daily carb intake to only 20 grams per day. This is as low if not even lower than keto. Then you progress to phase 2 where you still keep carbs really low but you add in certain vegetables berries nuts and seeds back into the diet. Then in Phase 3 which you only start once you're about 10 pounds from your weight loss goal, but once your there you start to add 10 grams of carbs to your diet each week. And finally in phase four you enter maintenance which allows you to eat anywhere from 45 to 100 grams of carbs per day. Phase one and two sound just like the ketogenic diet and I'm sure when your in those two phases you will be in a state of ketosis but when you enter into phase 3 and phase 4 you're going to be moving more towards a general low carb diet which as ive already mentioned is very different from keto. Now how about paleo, where does paleo fit in all of this. Well paleo once again elicits fat loss by keeping the list of approved carbs short but the paleo plan is different because it only allows Foods that were believed to be eaten by our caveman ancestors. The best paleo macronutrient split as defined by the perfect health diet and paleo leap.com is around 20 percent carbohydrates 65 percent fat and 15 percent protein. Again this is slightly different from what we've seen with low carb and Atkins but it's very different from keto. Even though paleo and Keto are both low in carbohydrates Keto is significantly lower than paleo again keto totals only at 5% of total daily intake. The Paleo diet is also very specific with what foods you can and cannot eat. Even though you can do this diet with regular produce it's highly recommended that all your meat products are grass-fed wild caught and pasture-raised. You're allowed to eat any fresh vegetables except for potatoes and any nuts except for peanuts. Also eggs, healthy oils like olive oil, and fresh fruit especially berries are allowed on the plan. Grains, bread, cereals, any processed food, legumes, beans, and Dairy are completely off the plan. Dairy is a big part of the ketogenic diet for many people. A lot of people get the massive amount of fat required on keto with options like cheese. Cheese would be forbidden on the Paleo diet but on paleo you would actually be able to eat things like pumpkin squash and yams. With keto it would be almost impossible to eat these things because you would easily exceed you're 5% carb allowance. Most of these diets matchup in their efforts to limit grains

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. Viking Warrior

    I´m really focusing all my cravings I have on 1 day the next month. I do not have as terrible cravings as on a high carb diet but I still would like to gorge myself once in a while and eat what ever I like too. The food I choose when I have my cheat meals are about 70% carbs and most of it sugar. I really need these meals to stop all the thoughts I have on eating other things than what I´m supposed to between my cheat meals. Tomorrow I start my third week with my low carb diet and on the day I plan to have my cheat meal I have been on my low carb diet almost 5 weeks.
    My question is:
    What will happen to my keto adaption if I after 5 weeks of strict low carb eating (less then 100g per day without cheat meals) have a HUGE carbmeal with about 5000-10000kcal where 70% is carbs. I will not eat this in 1 hour but maybe in one evening in front of a couple of movies. I´m not joking, I usually eat huge cheat meals with alot of calories but this day is a special event for me and that´s why it may be a little bigger than a usual cheat meal.
    What will happen with my keto adaption with 1 HUGE cheat meal or cheat evening? I will go back to low carb again the first thing next morning. Will I have start the whole keto adaption over from day one with low energy a few weeks again?

  2. ogella

    For me, it takes about 2 to 3 days after a huge carb meal to return to ketosis. And it takes about 4 to 5 days for me to start losing again.

  3. glorth2

    5k-10k? What are you eating?

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