What is alcoholic ketoacidosis? Cells need glucose (sugar) and insulin to function properly. Glucose comes from the food you eat, and insulin is produced by the pancreas. When you drink alcohol, your pancreas may stop producing insulin for a short time. Without insulin, your cells won’t be able to use the glucose you consume for energy. To get the energy you need, your body will start to burn fat. When your body burns fat for energy, byproducts known as ketone bodies are produced. If your body is not producing insulin, ketone bodies will begin to build up in your bloodstream. This buildup of ketones can produce a life-threatening condition known as ketoacidosis. Ketoacidosis, or metabolic acidosis, occurs when you ingest something that is metabolized or turned into an acid. This condition has a number of causes, including: shock kidney disease abnormal metabolism In addition to general ketoacidosis, there are several specific types. These types include: alcoholic ketoacidosis, which is caused by excessive consumption of alcohol diabetic ketoacidosis (DKA), which mostly develops in people with type 1 diabetes starvation ketoacidosis, which occurs most often in women who are pregnant, in their third trimester, and experiencing excessive vomiting Each of these situations increases the amount of acid in the system. They can also reduce the amount of insulin your body produces, leading to the breakdown of fat cells and the production of ketones. Alcoholic ketoacidosis can develop when you drink excessive amounts of alcohol for a long period of time. Excessive alcohol consumption often causes malnourishment (not enough nutrients for the body to function well). People who drink large quantities of alcohol may not eat regularly. They may also vomit as a result of drinking too Continue reading >>
Low-carb Diets Can Cause Bad Breath
Low-carb diets may be good for your waistline, but you might not be able to say the same for your breath. Low-carb lifestyle junkies are more likely to suffer from a seldom discussed side effect of such diets -- halitosis, aka bad breath. And since more than 25 million people say they have tried the Atkins diet (not to mention other low-carb eating plans), according to the National Marketing Institute, bad breath may be an epidemic! Bad breath in the low/no-carb sect is often caused by certain chemicals that are released in the breath as the body burns fat. They are called ketones, and entering into a fat-burning state of ketosis is the hallmark of the Atkins diet. So the good news is that if your breath stinks, you're probably doing a good job of sticking to that low-carb diet. "Carbohydrates aren't readily available, so you start to use other fats and proteins as your source of energy, and as a result you are going to get a breath problem," explains Kenneth Burrell, DDS, the senior director of the council on scientific affairs of the American Dental Association. Pass the Bread? This is not an oral hygiene problem, Burrell says, so "all the brushing, flossing, and scraping of the tongue that you can do is not possibly enough to overcome this." The bottom line is that you must "reconsider the diet and modify it so this doesn't happen," he says. Sure, "there may be some ways to mask it by using mouthwashes, but you can't overcome the fundamental problem other than by changing the diet -- or at least introducing some carbohydrates." "It's a difficult problem to solve because if one uses any sucking candy or lozenge, one has to be careful that it has no sugar in it" as sugar is a big no-no on many low-carb eating plans, says S. Lawrence Simon, DDS, a New York City periodon Continue reading >>
Ketosis Breath Smells Like Alcohol
Ketosis Breath Smells Like Alcohol - False smell alcohol breath - natural health & forum, What would cause my breath to smell like i've been ketosis occurs when your your husband could very well have a false smell of alcohol breath from the. What disease breath smell alcohol, The most likely condition to cause the breath to smell of alcohol is diabetic ketoacidosis. this condition is one of the first signs of type 1 diabetes.. " breath smells alcohol" comments vaping, "your breath smells like alcohol" comments since sometimes diabetics breath smells like alcohol for one the effects of acetone breath from ketosis,. Dui breath tests "tricked" -carb diets & hypoglycemia, How low-carb / high-protein diets can "trick" a california dui breath ketones from ethyl alcohol. worse, “ketosis” can produce breath that smells like an. Does ketosis breath smell alcohol | , Does ketosis breath smell like alcohol does ketosis breath smell like alcohol - keto faq - learn ketosis, lchf, keto , learn everything about ketosis, lchf, keto and other diets. ketosis - wikipedia, ketosis is a metabolic state in which some of the body's energy supply comes from ketone bodies in the blood, in contrast to a state of glycolysis in which blood.. Ketones -carb diet trigger , As he had been supervising private aviation he had access to a second breath-alcohol while one is in ketosis, is alcohol any more dangerous like the earlier. What ketosis breath smell ? | yahoo answers, I'm on a low carb diet and my breath smells and my mouth tastes sweet, but i thought ketosis was supposed to make your breath smell kind of funky. what'. Alcohol breath odor -drinking subject - , There is a complication of diabetes, high blood sugar, that results in the breath having chemicals like ketones which are not too f Continue reading >>
Breath Acetone Is A Reliable Indicator Of Ketosis In Adults Consuming Ketogenic Meals1,2,3
Abstract Background: Ketogenic diets are used therapeutically to treat intractable seizures. Clinically, it appears that the maintenance of ketosis is crucial to the efficacy of the diet in ameliorating seizures. To understand how ketosis and seizure protection are related, a reliable, noninvasive measure of ketosis that can be performed frequently with minimal discomfort is needed. Objective: The objective was to determine which index, breath acetone or urinary acetoacetate, is more strongly related to the plasma ketones acetoacetate and β-hydroxybutyrate. Design: After fasting overnight for 12 h, 12 healthy adults consumed 4 ketogenic meals over 12 h. Blood, breath, and urine samples were collected hourly. Blood was analyzed for plasma acetoacetate and β-hydroxybutyrate, breath for acetone, and urine for acetoacetate. Results: By the end of the 12-h dietary treatment, plasma acetoacetate, plasma β-hydroxybutyrate, and breath acetone had increased 3.5-fold, whereas urinary acetoacetate increased 13-fold when measured enzymatically and 25-fold when measured with urinary ketone dipsticks. Plasma acetoacetate was best predicted by breath acetone (R2 = 0.70, P < 0.0001). Plasma β-hydroxybutyrate was equally predicted by breath acetone and urinary acetoacetate (R2 = 0.54, P = 0.0040). Conclusions: Breath acetone is as good a predictor of ketosis as is urinary acetoacetate. Breath acetone analysis is noninvasive and can be performed frequently with minimal discomfort to patients. As an indicator of ketosis in epilepsy patients consuming a ketogenic diet, breath acetone may be useful for understanding the mechanism of the diet, elucidating the importance of ketosis in seizure protection, and ultimately, enhancing the efficacy of the diet by improving patient monitoring. I Continue reading >>
What Disease Makes Your Breath Smell Like Alcohol?
Diabetic ketoacidosis is usually manifested by the person's breath bearing a fruity or alcoholic odor. This is because the person's cells are not able to use the glucose he consumes for energy due to the cells' low insulin levels, according to MedlinePlus. In this instance the body resorts to burning fat in order to provide energy for the cells, and by-products known as ketones are produced. As ketones accumulate in the bloodstream, the person's breath starts to give off an odor of alcohol. Diabetic ketoacidosis is potentially life-threatening. See a doctor immediately if it is suspected. Learn more about Conditions & Diseases Continue reading >>
As fat is broken down, acids called ketones build up in the blood and urine. In high levels, ketones are poisonous. This condition is known as ketoacidosis. Diabetic ketoacidosis (DKA) is sometimes the first sign of type 1 diabetes in people who have not yet been diagnosed. It can also occur in someone who has already been diagnosed with type 1 diabetes. Infection, injury, a serious illness, missing doses of insulin shots, or surgery can lead to DKA in people with type 1 diabetes. People with type 2 diabetes can also develop DKA, but it is less common. It is usually triggered by uncontrolled blood sugar, missing doses of medicines, or a severe illness. Continue reading >>
How Low-carb / High-protein Diets Can "trick" A California Dui Breath Test
Some medical and physiological conditions can cause California DUI breath tests to produce falsely high results. Such conditions include: hypoglycemia, fasting, and high-protein / low-carbohydrate diets (such as the Atkins and Paleo diets). These conditions involve insufficient carbohydrate intake for energy, or -- in the case of diabetes -- insufficient insulin to keep blood sugar levels in check. The result in both cases is the body's production of "ketones.” Ketones are similar in chemical composition to isopropyl alcohol, the type of alcohol found in solvents such as acetone.1 They are different from ethyl alcohol, the type of alcohol in an alcoholic beverage. Many DUI breath testing devices cannot reliably distinguish ketones from ethyl alcohol. Worse, “ketosis” can produce visible signs that mimic alcohol impairment, including: dehydration and excessive thirst, sluggishness, flushed face, decreased coordination, and even As a result, people with hypoglycemia… or who follow a low carbohydrate diet… are often falsely accused of: To help you better understand how these conditions can lead to a falsely high DUI breath test, our California DUI defense attorneys discuss the following, below: 1. What are ketones? Normally, our bodies get energy from carbohydrates in our diet. When we eat foods containing carbohydrates, our digestive system breaks down the digestible ones into sugar. One of these sugar molecules is glucose, the main energy source for our bodies. Glucose is absorbed into the bloodstream after eating. We often refer to this as “blood sugar.”3 When we don't eat enough carbohydrates to produce the blood sugar we need, our bodies have to burn our fat stores instead.4 Fats are broken down in the liver. There, they are turned into ketones and ketoa Continue reading >>
Drunk Versus Diabetes: How Can You Tell?
Dispatch calls your EMS unit to the side of a roadway, where police officers have detained a driver on suspicion of driving under the influence of alcohol intoxication. You find the female driver handcuffed in the back seat of a police cruiser. She is screaming profanities and hitting her head against the side window. An officer tells you that she was weaving in and out of traffic at highway speed, and it took several minutes to pull her over. She was noncooperative and it took several officers to subdue her. She sustained a laceration to her head, which the officers want you to evaluate. The woman continues to swear at you as you open the car door. You note that she is diaphoretic and breathing heavily. You can smell what appears to be the sour, boozy smell of alcohol, even though you are not close to her. You can see that the small laceration near the hairline on her right forehead has already stopped bleeding. Her speech is slurred and she appears to be in no mood to be evaluated. The police officers are ready to take her down to the station to be processed for driving under the influence. Sound familiar? It should — this is a scene that is played out often in EMS systems. While it may seem initially that these incidents are not medical in nature, they really deserve close attention by the EMS personnel. In this article we will focus on the challenges of evaluating a patient who is intoxicated versus a patient who is experiencing an acute diabetic emergency. There have been numerous instances where EMS providers have exposed themselves to serious liability secondary to medical negligence. Let's take a closer look. Diabetes Diabetes is a serious disease that affects nearly 29 million people in the United States . Advances in diabetic care have resulted in an impr Continue reading >>
Acetone Breath And Diabetes
My husband is 58 and has type 2 diabetes. Two days ago his breath started to smell very strongly, and he was suddenly very tired and slightly nauseated. He recovered from this, and the smell went away. I've read about acetone breath in diabetics. Do you think that is what he had? What's the cause? — Alice, Connecticut Acetone breath in diabetics is caused by an excess production of acetone. Acetone, hydroxybutyrate, and acetoacetate are ketones, byproducts of fat metabolism. When the body does not have enough insulin (as is the case in people with diabetes), a hormone that is key in glucose metabolism, it instead uses fatty acids as an alternative source of energy, and ketones are the result of this process. Ketones are also produced during a fasting state or when consuming a ketogenic (high-fat, low-carbohydrate) diet. Ketones can cause nausea, vomiting, and fatigue. But I am concerned that your husband might be experiencing diabetic ketoacidosis, which is a serious and life-threatening condition. I suggest that you check your husband’s sugar level at the time you notice his acetone breath and contact his doctor for further advice. It is also quite likely that his acetone breath might be a result of missing meals. Learn more in the Everyday Health Type 2 Diabetes Center. Continue reading >>
Low-carb Side Effects & How To Cure Them
Are you struggling while starting out on a low-carb or keto diet? Do you get headaches, leg cramps, constipation or any of the other more common side effects? Use the information on this page to avoid them – and feel great while losing weight. The main solution to most common problems when starting low carb is to increase the intake of water and salt. It’s even better to do it preventatively during the first week. If you do, you’ll most likely not experience any of these problems, or they’ll only be minor. Use one of the shortcuts below for specific problems – or just continue reading for all of them. Top 6 common problems when starting Less common issues on low carb Low-carb myths Leg cramps Leg cramps are not uncommon when starting a strict low-carb diet. It’s usually a minor issue if it occurs, but it can sometimes be painful. It’s a side effect of the loss of minerals, specifically magnesium, due to increased urination. Here’s how to avoid it: Drink plenty of fluid and get enough salt. This may reduce loss of magnesium and help prevent leg cramps. If needed, supplement with magnesium. Here’s a suggested dosage from the book The Art and Science of Low Carbohydrate Living by Drs. Jeff Volek and Stephen Phinney: Take 3 slow-release magnesium tablets like Slow-Mag or Mag 64 a day for 20 days, then continue taking 1 tablet a day afterwards. If the steps above are not enough and the problem is bothersome, consider increasing your carb intake somewhat. This should eliminate the problem. The more carbs you eat though, the weaker the impact of the low-carb diet. Bad breath On a strict low-carb diet some people experience a characteristic smell from their breath, a fruity smell that often remind people of nail polish remover. The smell is from acetone, a ket Continue reading >>
Why Alcohol Lingers On Your Breath
Let’s talk about a good summertime topic today — “alcohol breath.” Well, OK, it’s really not “exclusively” a summertime topic — whether it’s a summer bbq or wintertime cheer, alcohol is prevalent in any season. But for many people, summer bbqs, concerts, ballgames, the beach, a day at the pool, etc., all lend themselves to drinking a nice cold one, so we’ll talk about it now. Basically, the main questions people usually ask about alcohol and bad breath are threefold: Why does “alcohol breath” stay around so long, why is it so hard to get rid of and just what is that smell/terrible mouth feeling the morning after? We’ll discuss all three. To start, it’s sometimes assumed that alcohol itself has no smell (or taste), and what you are smelling in that bottle of whiskey is the other ingredients, etc. I found a lot of disagreement with this online, with some experts/places saying it does have a smell (1), and others saying it doesn’t (2). However, I have never personally smelled alcohol that didn’t have an odor. Even vodka, which is supposed to be odorless, has a smell (to me, anyway). So put me down in the camp that smells something, even with pure alcohol. But regardless of whether the substance itself has a smell itself or not, there is no denying that almost all alcoholic beverages have an odor. This is the first, and most obvious, source of “alcohol breath.” The simple fact is that what you drink is going to hang around for awhile after you drink it. Be it coffee, cola or alcohol. So if you drink whiskey, for awhile after, you will have whiskey breath. If you drink beer, then beer breath it is. If you drink wine coolers ... you get the idea. But truthfully, that’s really not the alcohol breath most people are talking about. The actua Continue reading >>
Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and β-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the spontaneous decomposition of acetoacetic acid. It is often described as smelling like fruit or nail polish remover. Ketosis may also give off an odor, but the odor is usually more subtle due to lower concentrations of acetone. Treatment consists most simply of correcting blood sugar and insulin levels, which will halt ketone production. If the severity of the case warrants more aggressive measures, intravenous sodium bicarbonate infusion can be given to raise blood pH back to an acceptable range. However, serious caution must be exercised with IV sodium bicarbonate to avoid the risk of equally life-threatening hypernatremia. Cause Three common causes of ketoacidosis are alcohol, starvation, and diabetes, resulting in alcoholic ketoacidosis, starvation ketoacidosis, and diabetic ketoacidosis respectively. In diabetic ketoacidosis, a high concentration of ketone bodies is usually accomp Continue reading >>
Low Blood Sugar Levels & Funny Taste In The Mouth
When you consume carbohydrates in things like breads, pasta, fruit and sweets, your body converts them to glucose, a type of sugar. Your body then burns the glucose to create energy. Simple carbohydrates such as fruits, refined sugar and white rice are converted to energy quickly and are used up just as quickly. Complex carbohydrates like whole grains give you longer-lasting energy and leave you feeling full longer. You should try to consume more complex than simple carbohydrates. Your body needs a steady diet of carbohydrates because it doesn't store them like it does fat. If you haven't consumed enough carbohydrates to keep your blood glucose up, that's known as having low blood sugar or hypoclycemia. When that happens, your body begins burning fat for energy. When your body burns fat for energy, the fat breaks down and creates chemicals called ketones. This is called ketosis. A byproduct of ketones is a chemical called acetone. Your body gets rid of the acetone in your body by breathing it out, which is why you may have a funny taste in your mouth. Your breath may smell funny to others when you're experiencing ketosis as well. Some people describe the taste and smell as a fruity or sweet taste, while others say it tastes metallic. Who Experiences Ketosis People with diabetes who experience a drop in blood glucose and insulin often experience ketosis; in this case it's known as diabetic ketoacidosis. If you are experiencing diabetic ketosis it's important to eat or take a glucose tablet as soon as possible and call your doctor or an ambulance if your condition doesn't improve. People who are following a weight loss diet low in carbohydrates and high in protein also frequently experience ketosis as their bodies burn off the fat they're trying to lose. Ketosis may be se Continue reading >>
False-positive Breath-alcohol Test After A Ketogenic Diet.
Abstract A 59-year-old man undergoing weight loss with very low calorie diets (VLCD) attempted to drive a car, which was fitted with an alcohol ignition interlock device, but the vehicle failed to start. Because the man was a teetotaller, he was surprised and upset by this result. VLCD treatment leads to ketonemia with high concentrations of acetone, acetoacetate and beta-hydroxybutyrate in the blood. The interlock device determines alcohol (ethanol) in breath by electrochemical oxidation, but acetone does not undergo oxidation with this detector. However, under certain circumstances acetone is reduced in the body to isopropanol by hepatic alcohol dehydrogenase (ADH). The ignition interlock device responds to other alcohols (e.g. methanol, n-propanol and isopropanol), which therefore explains the false-positive result. This 'side effect' of ketogenic diets needs further discussion by authorities when people engaged in safety-sensitive work (e.g. bus drivers and airline pilots) submit to random breath-alcohol tests. Continue reading >>
Why Does My Breath Smell Like Acetone?
People often associate strong smelling breath with the food someone has eaten or poor dental hygiene. But it may reveal much more than that. If a person's breath smells like acetone or nail polish remover, it could indicate health conditions, including diabetes. The way a person's breath smells can be an indicator of their overall health. This article explores why a person's breath might smell like acetone and what this might mean about their health. Contents of this article: How diabetes can affect breath Diabetes can affect the way a person's breath smells and can cause bad breath, or halitosis. In a 2009 study, researchers found that analyzing a person's breath helped to identify prediabetes when diabetes is in its early stages. There are two conditions associated with diabetes that can cause bad breath: gum disease and a high ketone level. The proper name for gum diseases in periodontal disease, and its forms include: Diabetes can be associated with an increased risk of gum disease, which may cause a person's breath to smell bad. However, gum disease does not cause a person's breath to smell like acetone. If a person has diabetes and their breath smells like acetone, this is usually caused by high levels of ketones in the blood. Diabetes and acetone breath When diabetes is not managed well, the body does not make enough insulin to break down glucose in the blood. This means that the body's cells do not receive enough glucose to use as energy. When the body cannot get its energy from sugar, it switches to burning fat for fuel instead. The process of breaking down fat to use as energy releases by-products called ketones. Ketone bodies include acetone. Acetone is the same substance that is used in nail varnish remover and is distinguished by its fruity smell. When a pe Continue reading >>