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How To Flush Out Ketones

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Ketoacidosis In Cats – Causes, Symptoms & Treatment

Ketoacidosis in cats at a glance Ketoacidosis is a serious complication of diabetes in which ketones and blood sugar levels build up in the body due to insufficient levels of insulin which is required to move glucose into the cells for energy. As a result, the body uses fat as an alternate energy source which produces ketones causing the blood to become too acidic. Common causes include uncontrolled diabetes, missed or insufficient insulin, surgery, infection, stress and obesity. Symptoms of ketoacidosis include increased urination and thirst, dehydration, nausea, diarrhea, confusion, rapid breathing which may later change to laboured breathing. What is diabetic ketoacidosis? Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes characterised by metabolic acidosis (increased acids in the blood), hyperglycemia (high blood glucose) and ketonuria (ketones in the urine). It is caused by a lack of or insufficient amounts of insulin which is required to move glucose from the bloodstream and into the cells to be used for energy. When this occurs, the body begins to search for alternate sources of energy and begins to break down fat. When fat is broken down (metabolise Continue reading >>

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  1. CherryAA

    @sock Fiddler -
    In reply to your blog question - I thought I would post on the public forum, so others can learn/ correct/ contribute as appropriate .
    a bit more research for you to get your head around - dreadfully oversimplified by me
    There are three ways to measure ketones and three types of ketones.
    I think about this in three stages ( which may be utterly wrong but makes sense to me )
    a) peeing out the excess in urine ( like blood sugar problem ) because the body cannot yet process fats effectively but it is starting to make a lot of use of fats , you are calorie deficient overall so fat isn't going into your fat stores anymore and you are peeing out the stuff you put in that it can't yet use because its not yet fully fat adapted.
    b) increasing the level of ketones in your blood because the body is now switching properly to fat burning - the ketones could be exogenous ( because you ate a lot of fat) or endogenous ( because you are retrieving it from your fat store )- you don't know which. So now you have much more circulating ketone bodies in your system which you can measure through blood ketones .
    c) breathing out ketones because you have processed the fats in your blood and now you are expelling the waste products i.e. you are really using the actual FAT in your system and the exhaust pipe is switched on.
    You may well be doing b) and c) at earlier stages in the process, just that the ketone measures you are using can't actually tell you that until you get to c)
    Effectively you can measure these stages as you embark on the journey.
    a) the first and cheapest is ketostix which measures it in urine.
    https://www.amazon.co.uk/Bayer-Keto...=UTF8&qid=1501238842&sr=8-2&keywords=ketostix
    These work well at first because you pee out ketones when first adapting to a keto diet and the sticks tend to tend a deeper shade the more into ketosis you are which is very satisfying,
    Once you have been fat adapted for while they no longer work so well. By way of example I just did the test this minute and had a pale pink shade at the very first level of ketosis - so I know I am in ketosis but it doesn't look like its working very well. When I did this test 6 months ago after a more calorific diet than I have eaten this week I was well up the colour chart range. As far as I understand it the reason is that once your body is properly running on fat it, it either uses it within the body or expels it through the breath and it no longer feels the need to pee the excess out ( A bit like blood sugars where you get a lot of sugar in urine) .
    b) The second stage is Blood Ketones - these effectively show how well your body is adapted to running on fat - the same test at the same moment for me currently shows blood ketones at 1.7 mmol, i.e. well in the nutritional ketosis range - this shows that my body is utilising ketones efficiently as opposed to carbs - which it should be because my total carbs over the last 6 days is only 130g.
    The way to think about this is that blood ketones show how well your body is running on fat - you can induce exogenous ( external) ketones by for example eating MCT oil this doesn't actually help you lose weight it just means you are now burning the fat you are introducing to your diet and over time your urine ketones will still go down, you will still be " fat adapted " but you won't actually lose weight. You will only lose weight is your body is burning more ketones than are being consumed ( just like carbs in fact ). So it is perfectly possible to maintain or increase weight and be in ketosis - as many athletes are , you just have to eat enough fats and proteins.
    You can buy a blood ketone meter from Amazon for £25, and the 25 sticks for about £20 . so this is rather an expensive process. the good news being that actually once in ketosis there is no real need to check again for a while unless you know you relaxed your diet. There is a tendency to want to check a lot though so that gets expensive at nearly £ 1 per strip.
    There is a school of thought that the more fat adapaed you are, the harder it is to get high readings on the blood ketone meters - so a truly fat adapted individual may well have very low blood sugar AND very low blood ketones - meaning that his body is running supremely efficiently using very little energy overall.
    c) The third stage is through measuring breath ketones.
    Breath ketones show how will your body is actually burning the fat in your blood stream as the product of that process is expelled in breathe as waste , measured in parts per million and called BrAce
    Research has been done that tries to correlate blood and breath ketones which shows that whilst there is a connection its not that obvious - which suggests that many people can eat low enough carbs to get into ketosis, but too much fat to get into endogenous ( i.e internally generated ketosis ) from burning your own fat.
    https://optimisingnutrition.com/2015/07/20/the-glucose-ketone-relationship/
    Often people chase getting into ketosis by consuming the relevant products which you see being marketed all the time - e.g. raspberry ketones and MCT Oil , or by adding bullet proof coffee- so they are happy that they are achieving a high level of blood ketosis . They are not necessarily actually losing weight - I think this is what I have been doing for the last six months that my weight has been on a plateau. I think you will only lose weight by adding these products if the resulting feelings of satiety reduce your desire for other foods by more calories more than eating the coffee etc consumed ( which I have found to be true for the bullet proof coffee) . Other may have different views.
    For me the real goal for weight loss is not ketosis per se, its increasing the amount of internal fat you are using and that can be measured through breath- a Ketonix machine.
    https://www.ketonix.com/index.php?o...category&layout=blog&id=29&Itemid=433&lang=en
    Research studies have been done that correlate the extent of expelled ketones called BrAce and measured in parts per million and the rate of weight loss
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4737348/
    "
    The amount of caloric restriction has the next greatest impact on BrAce. Fasting, the extreme form of caloric restriction, can elevate BrAce, up to 170 ppm over the course of weeks, more than macronutrient changes in adults (Figure (Figure1).1). However, fasting is not a sustainable lifestyle whereas a HFLC diet can be a lifestyle that leads to long term elevated acetone levels.
    Less extreme than fasting is moderate caloric restriction which allows some food intake and appears to cause modest changes in breath acetone. Breath acetone levels rise as stored fat is metabolized to make up the difference between basal energy requirements and caloric intake. Using caloric restriction, multiple studies have shown a correlation between fat loss and increases in breath acetone 8, 24, 25, 27, 29. Specifically, individuals that maintain a breath acetone of 2 ppm should realize a fat loss rate of at least 114‐227 g week−1, based on the scientific literature 8, 27, 29. On the high end, BrAce could reach 8 ppm which could correspond to a fat loss of 1,200 g week−1 8.
    As you know I have been trying to " fast" or at least keep to a very low calorie, very low carb diet whilst still exercising this week. My 6 day calorie deficiency compared to requirement has been about 1800 per day as a result and I have lost 4.6 kg as a result ( mainly water weight I know). My BrAce currently is 9ppm slightly higher than the 1.2 kg per week fat loss above., though nowhere near the 170 ppm achievable through actual fasting for a long time)
    Ketonix is not cheap to buy ( I have the red one 189 usd ) however the advantage is that once purchased there are no ongoing expenses and you can test anytime of day.
    I hope the above make ketone measurement a bit more understandable and i look forward to finding ut more about it myself from others more knowledgeable than me.

  2. SockFiddler

    Gosh, @CherryAA thank you so much for taking the time to write this.
    It seems that, by eating only when I'm hungry and then only until sated, my body is naturally dropping its carb and protein intakes, which is awesome and surprising given my life-long food habits. However, I recognise that I still have some work to do on my psychology before I'm able to consider taking any further steps.
    Ketosis, fasting and a VERY low carb diet are all possibilities - I'm not averse to trying anything for a while. But first I have to get my mind ready for it, and that can really only be done by considering my (changing) relationship with food, my goals and by learning more about these processes so that they make inherent sense to me and, therefore, make it easier to understand my goals.
    I really admire you. I've been following your blog with much interest, but now I see the amount of effort and thought that goes into it and I'm a little bit in awe. That's not a prohibitive thing, though - 6 months ago, I'd have been in awe of what I've managed to achieve already in my first 6 weeks as a diagnosed diabetic.
    It's all about the mindset. And yours is rock solid.
    <3

  3. CherryAA

    SockFiddler said: ↑
    Gosh, @CherryAA thank you so much for taking the time to write this.
    It seems that, by eating only when I'm hungry and then only until sated, my body is naturally dropping its carb and protein intakes, which is awesome and surprising given my life-long food habits. However, I recognise that I still have some work to do on my psychology before I'm able to consider taking any further steps.
    Ketosis, fasting and a VERY low carb diet are all possibilities - I'm not averse to trying anything for a while. But first I have to get my mind ready for it, and that can really only be done by considering my (changing) relationship with food, my goals and by learning more about these processes so that they make inherent sense to me and, therefore, make it easier to understand my goals.
    I really admire you. I've been following your blog with much interest, but now I see the amount of effort and thought that goes into it and I'm a little bit in awe. That's not a prohibitive thing, though - 6 months ago, I'd have been in awe of what I've managed to achieve already in my first 6 weeks as a diagnosed diabetic.
    It's all about the mindset. And yours is rock solid.
    <3
    Click to expand... Would that it were " rock solid" if it were I would be thin by now
    but thanks - what is clear to me though, is that for many of us - getting rid of the sugar addiction is the real key and once you have achieved that - all of the other stuff becomes possible because you are no longer plagued by a hug desire to eat at every possible moment .The thing that you characterise as Psychological is to my mind a by product of, a very hard to get rid of, assumption that your weigh gain and lack of willpower regarding food is a symptom of your mental state . I have found the most liberating part of all this has been realising that actually that's not psychological at all, its physiological and as the damage done from the previous intake of rubbish foods starts to go away, so will the things you can achieve through diet start to expand and the idea of ketosis, fasting, very low carb will start to seem like natural developments of an already healthy path rather than something so far away its beyond comprehension. I look back on myself 12 months ago and I am an utterly different person as regards my own personal health than I was then The only thing I really changed was getting the processed foods and sugar out of my life.

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