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Ketosis Diet And Hypoglycemia

The Ketogenic Diet And Hypoglycemia

The Ketogenic Diet And Hypoglycemia

I wanted to write a technical post about a question I keep getting regarding the ketogenic diet and hypoglycemia. Even if youre not into the keto diet, I think you may find some useful ideas to makelow blood sugar less invasive in the short term. I recently shot a series of videos about the ketogenic diet and diabetes as part of my daily YouTube vlogging and you can check those out and subscribe here. My general goal in my diabetes management is minimalism. Minimal intervention, treatment and daily impact. The most basic manifestation of this is to aim for the use of less insulin, which can create greater blood sugar stability. This strategyled me to a low carb diet. The need to have athletic performance in addition to the blood sugar stability led me one step further to the keto diet. Using less insulin and eating fewer carbs means that lows do still happen but less frequently and they are easier to handle. Consider driving an empty truck down a hill. Its going to be easier to stop than if its loaded down and has greater momentum. The same concept applies to insulin loads and slowing the drop of blood sugar. Simply lightening the load can simplify control of the vehicle. When a low blood sugar occurs, the treatmentideally involves matching anincrease in BG to the proportionate decrease in order to balance the two out. Therefore all hypo treatments are not created equal, or one treatment does not fit all lows since different methods of raising blood sugar work differently. One of the biggest obstacles to blood sugarstability is over correction of lows. Over correction can result from either the source of the treatment, the quantity of the treatment or a combination both factors. In other words, you dont have to eat the entire pantry to overcorrect and spike. Sometimes Continue reading >>

Does The Ketogenic Diet Work For Type 2 Diabetes?

Does The Ketogenic Diet Work For Type 2 Diabetes?

You’ve probably seen dozens of headlines about the ketogenic diet by now, which has made its way into popular culture largely by celebrities and supermodels giving the long-standing fad diet a repeated stamp of approval. Is this the diet to follow if you have diabetes? Studies suggest the answer isn’t so simple. Some science shows its meal plan may be helpful, while other research, like one study published in September 2016 in Nutrients, highlights the importance of whole grains in the diets of people with diabetes — a restricted food category in the ketogenic diet. While the keto diet can offer many potential benefits for diabetes management, following it requires pretty serious commitment. So take a beat before you take the plunge — and consider these questions that can help you and your medical team determine if it’s right for you: How Does the Ketogenic Diet Work Exactly? There’s a good reason the ketogenic diet is also referred to as a low-carb, high-fat diet. Indeed, following the ketogenic diet means reducing carbohydrate intake to typically less than 50 grams (g) of carbohydrates per day, while increasing fat and protein intake, according to a review published in August 2013 in the European Journal of Clinical Nutrition. To put that into perspective, an individual on an average, non-restricted diet can easily eat more carbohydrates than that in one typical meal — for instance, a turkey, cheese, and veggie sandwich on whole-grain bread with a small, 1 ounce (oz) bag of classic potato chips would come in at around 51 g of carbs. These dietary changes drive down insulin levels, eventually leading your body into a state of ketosis, during which it is burning fat rather than carbohydrates. What Are Some of the Potential Benefits of a Ketogenic Diet for Continue reading >>

Keto Induction Vs Hypoglycemia

Keto Induction Vs Hypoglycemia

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Resurgam Type 2 (in remission!) Well-Known Member I had what must have been false hypos when I switched to low carb, which I treated with a few grapes, then a sit down for a few minutes until the feeling passed. I think that if I had allowed myself to become anxious and consumed a lot of carbs I'd have been bouncing around like a ping pong ball. The relief did not last all that long, but I was at home so it was not all that dangerous - though I did get lost on my way to bed - I turn out all the lights and walk from the landing to bed in almost total darkness, but we have lived here for decades so it was quite a strange feeling to become disoriented. After a day or so the feeling passed and I went into ketosis, but I did have to persist. I could have dropped the carb count more slowly to allow time for my body to adapt - but I have never been afraid of low carb, and still aren't despite the hypo feeling. The article you have just posted is written by people who haven't got a clue about the symptoms and how RH happens, it is a supposition that everyone has reactive hypoglycaemic and it is normal for those who have episodes of RH is normal. The condition they are describing is post prandial symptoms that are not hypos, there is a condition that is not RH but has the exact symptoms but don't hypo. My condition is real, my symptoms are real, I have a high intolerance to carbs and sugars. I have been in ketosis for well over two years, it is symptom free and since going into ketosis I have not had an episode of Hypoglycaemia. I know I still have the condition because of my last eOGTT (extended or prolonged oral glucose test) and I still went into hypo. Don' Continue reading >>

Symptoms Of Hypoglycemia | Ketogenic Diet Program

Symptoms Of Hypoglycemia | Ketogenic Diet Program

When one switches over to a low carb diet, such as with the Ketogenic Diet Program, you may encounter short term symptoms of hypoglycemia.The body lacks the needed carbohydrates that it was used to for fueling the body. At the same time the body has not had enough time to create the enzymes needed to burn fat for fuel instead of burning glucose. As a result, this gap produces low blood sugar levels giving the body symptoms of hypoglycemia. This is a normal occurrence when switching over to a Ketogenic Diet Program. If symptoms of hypoglycemia happens to you when switching over to this low carb diet, then you may want to eat more often to help compensate for it. If you talk to your doctor about these hypoglycemic symptoms, please keep in mind that most doctors are not knowledgeable about ketogenic diets, or with nutrition in general for that matter, so they may not know how to respond, or they may give you the standard negative comment. Previously, we talked about some of the other common symptoms you may experience. I believe that each body is different and that each person mayexperience different symptoms. For me my brain struggled for about 6 weeks. Nothing I couldnt live with, but it was definitely a nuisance.For you it may be fatigue or any number of things. Thebrain is just used to getting its fuel to function from glucose. When switching your brain over to using ketones for energy instead of glucose, it takes the brain time to adjust. The symptoms of hypoglycemia that you may experience are just natural and when you stick with the Ketogenic Diet Program,once your body goes into a constant state of ketosis then these hypoglycemic symptoms should completely disappear. These symptoms are short lived so its not something that you need to be alarmed about, I just want Continue reading >>

Ketotic Hypoglycemia

Ketotic Hypoglycemia

Ketotic hypoglycemia is a medical term used in two ways: (1) broadly, to refer to any circumstance in which low blood glucose is accompanied by ketosis, and (2) in a much more restrictive way to refer to recurrent episodes of hypoglycemic symptoms with ketosis and, often, vomiting, in young children. The first usage refers to a pair of metabolic states (hypoglycemia plus ketosis) that can have many causes, while the second usage refers to a specific "disease" called ketotic hypoglycemia. Hypoglycemia with ketosis: the broad sense[edit] There are hundreds of causes of hypoglycemia. Normally, the defensive, physiological response to a falling blood glucose is reduction of insulin secretion to undetectable levels, and release of glucagon, adrenaline, and other counterregulatory hormones. This shift of hormones initiates glycogenolysis and gluconeogenesis in the liver, and lipolysis in adipose tissue. Lipids are metabolized to triglycerides, in turn to fatty acids, which are transformed in the mitochondria of liver and kidney cells to the ketone bodies— acetoacetate, beta-hydroxybutyrate, and acetone. Ketones can be used by the brain as an alternate fuel when glucose is scarce. A high level of ketones in the blood, ketosis, is thus a normal response to hypoglycemia in healthy people of all ages. The presence or absence of ketosis is therefore an important clue to the cause of hypoglycemia in an individual patient. Absence of ketosis ("nonketotic hypoglycemia") most often indicates excessive insulin as the cause of the hypoglycemia. Less commonly, it may indicate a fatty acid oxidation disorder. Ketotic hypoglycemia in Glycogen storage disease[edit] Some of the subtypes of Glycogen storage disease show ketotic hypoglycemia after fasting periods. Especially Glycogen storage Continue reading >>

How The Ketogenic Diet Works For Type 2 Diabetes

How The Ketogenic Diet Works For Type 2 Diabetes

Special diets for type 2 diabetes often focus on weight loss, so it might seem crazy that a high-fat diet is an option. But the ketogenic (keto) diet, high in fat and low in carbs, can potentially change the way your body stores and uses energy, easing diabetes symptoms. With the keto diet, your body converts fat, instead of sugar, into energy. The diet was created in 1924 as a treatment for epilepsy, but the effects of this eating pattern are also being studied for type 2 diabetes. The ketogenic diet may improve blood glucose (sugar) levels while also reducing the need for insulin. However, the diet does come with risks, so make sure to discuss it with your doctor before making drastic dietary changes. Many people with type 2 diabetes are overweight, so a high-fat diet can seem unhelpful. The goal of the ketogenic diet is to have the body use fat for energy instead of carbohydrates or glucose. A person on the keto diet gets most of their energy from fat, with very little of the diet coming from carbohydrates. The ketogenic diet doesn’t mean you should load up on saturated fats, though. Heart-healthy fats are the key to sustaining overall health. Some healthy foods that are commonly eaten in the ketogenic diet include: eggs fish such as salmon cottage cheese avocado olives and olive oil nuts and nut butters seeds The ketogenic diet has the potential to decrease blood glucose levels. Managing carbohydrate intake is often recommended for people with type 2 diabetes because carbohydrates turn to sugar and, in large quantities, can cause blood sugar spikes. If you already have high blood glucose, then eating too many carbs can be dangerous. By switching the focus to fat, some people experience reduced blood sugar. The Atkins diet is one of the most famous low-carb, high-p Continue reading >>

Can A Ketogenic Diet Cause Hypoglycemia Or Low Blood Sugar?

Can A Ketogenic Diet Cause Hypoglycemia Or Low Blood Sugar?

Short Answer: It can but usually only in the first few weeks of keto and usually in only the most insulin resistant. Your Old Diet Before we get into how hypoglycemia is possible with a ketogenic diet, let’s review what happens with your blood sugar levels when you start a ketogenic diet. While you were eating your traditional high-carb Standard American Diet, you were training your body to produce a large amount of insulin with every meal. This insulin was important because the high levels pf blood glucose your diet was producing was toxic to your body so your body had to get that sugar out of the blood stream and into cells where it could be used as fuel or stored as glycogen of triglycerides. Your New Diet Now let’s look at what happens when you start a ketogenic diet. Your body continues to produce the same amount of insulin when you eat which should cause your blood sugar levels to drop so instead, your body begins to pull sugar out of all the nooks and crannies in your body where it stored it. The first reservoir to be tapped is the glycogen stored in your muscles. This stock of sugar is large enough that you can potentially go several weeks with normal blood sugars on keto but eventually those stores run out and that’s when things can get a crazy. Now for most people, by the time the stores of sugar are depleted, your body has already begun making a few of the necessary changes to your metabolism to run on fat and the feeling of being “run down” or what is sometimes called the “Keto Flu” only last a few days. The body makes the transition over to running on stored fat and ketones and you are off to the races but for a few people, especially the really insulin resistant ones, you can start to feel the symptoms of hypoglycemia. Symptoms of Hypoglycemi Continue reading >>

Hypoglycemia, Keto, And Me. : Keto

Hypoglycemia, Keto, And Me. : Keto

I just wanted to make a post for anyone who has hypoglycemia and is considering trying keto. I wish I had been able to find something like this when I was considering it because I was worried about how it would affect me, thinking it could be terrible for my health, considering hypoglycemia is low blood sugar and you're pretty much required to have ~0 intake of sugar in order to be in ketosis. Alas, my boyfriend, who'd done and loved keto in the past talked me into at least trying it.First, I'll start out with my symptoms before keto. Of course, as it goes, I would get headaches almost every night, get shaky, dizzy, hot, lightheaded, and often get to the point of being nauseous if I went even up to 4 hours between eating. Sucks. Of course, this didn't ALWAYS happen, but it lead to me eating more often than "necessary" and overeating. I was up to 168 lbs at my biggest, and as a 5'3 girl, that's fairly unhealthy. When I started keto, as I mentioned, I was worried that my symptoms would get worse due to not having sugar, which was my savior previously and the only way that I could get myself feeling normal again. But I thought I'd give it a shot, since I was over being tub-tub.My first day, I was SO WORRIED. I thought I was going to die. I was having all of my normal symptoms, but for a full ~36 hrs, as opposed to whatever short amount of time it takes for me to get some food in me. Then I remembered keto flu is a thing. Unfortunately, the symptoms of keto flu are (for me, at least) EXTREMELY similar to the symptoms of low blood sugar. But don't let it scare you too much. Just pop some almonds, drink LOTS of water, and let it pass. Once the keto flu passed, I cannot tell you how amazing I felt. The headaches stopped completely, I VERY rarely get shaky and lightheaded, and Continue reading >>

Why I Chose A Ketogenic Diet For Diabetes Management

Why I Chose A Ketogenic Diet For Diabetes Management

Often people use the term “diet” to mean something that is temporary for a specific purpose, usually weight loss. For me, it is a permanent way of eating now. I am a retired physician living with Type 1 diabetes since 1998. I started to exercise regularly in 2007 to help ward off complications, particularly cardiovascular disease. I was unaware at the time that aerobic exercise alone would have little impact on the development of cardiovascular disease. It wasn’t until 2011 when I contemplated doing an ironman distance triathlon, that I discovered diet is the most important determinate in the development of most chronic diseases, including cardiovascular disease. My research led me to begin a very low carbohydrate, ketogenic diet in February 2012. Why I Chose a Low Carb Ketogenic Diet for Diabetes Management Carbohydrate is the macronutrient that raises blood glucose the most, so keeping consumption low is my primary goal. Of next importance is using whole foods that naturally have the necessary micronutrients and enough complete proteins to support my exercise. I had to add fat to my meals to replace calories from the omitted carbohydrates. My protein intake did not change after starting a ketogenic low carb high fat diet. This way of eating has resulted in a significant improvement in my blood glucose control and a 1.2% reduction in HbA1c. Most importantly, the diet supplies my body with the energy, substrates, and nutrients to enable daily resistance and aerobic/endurance exercise, with minimal need for sports nutrition (sugar), or development of hypoglycemia. I completed The Great Floridian Triathlon in October 2012 without any sugar, food, or hypoglycemia thanks to my low carbohydrate ketogenic lifestyle. Nutritional Ketosis My diet keeps me in a state of nut Continue reading >>

Hypoglycemia And Low-carb

Hypoglycemia And Low-carb

Many people know that low blood sugar or hypoglycemia (HG) is usually associated with persons with type-1 diabetes. Their blood sugars are often very labile –going too high and dropping too low. In this situation HG not only causes severe symptoms that diminish one’s quality of life but can be lethal. One of the benefits of carbohydrate restriction in a person with type-1 is that blood-sugar swings even out with more moderate highs and far less hypoglycemic reactions. One reason why this happens is because we are able to decrease medications including insulin that a person with type-1 diabetes must take. Reactive Hypoglycemia: Lots of People Have It The purpose of this article is to talk about reactive hypoglycemia (RHG), a far more common occurrence. It is often unrecognized and undiagnosed. It is not likely to cause death but is associated with a long list of symptoms that can interfere with everyday life. Symptoms of RHG are often treated with prescription drugs but because it is the result of lifestyle it should be treated with lifestyle changes. Reactive hypoglycemia or low blood sugar is not the opposite of diabetes (high blood sugar). It is the same condition just an earlier phase. When one eats too many carbs, especially simple sugars and starches, glucose is digested and dumps in the blood quickly. The body responds by making insulin to carry glucose into the cells for energy. Any excess glucose is stored as glycogen and when the glycogen store is full, the glucose gets stored as fat in fat cells. There are a number of factors than can lead to diabetes. If a person has a genetic risk for diabetes they are likely to be carbohydrate intolerant to some degree. This means their cells may be resistant to the effects of insulin requiring more and more to be produ Continue reading >>

Ketogenic Diet And Hypoglycemia

Ketogenic Diet And Hypoglycemia

Grief had me wide awake at 3 a.m. on Saturday, I was trying to figure out which chores I could cram into the 14 hours before I returned to the land of migraine disability. I had admitted defeat with the ketogenic diet. One more meal was all I had left on the diet; dinner would take me back to migraine as usual. Ketogenic Diet and Hypoglycemia: Cause and Effect Frustratingly, even though the ketogenic diet reduced my migraine attack severity and enabled me to be more functional, it also caused hypoglycemia—which is in itself a migraine trigger. Despite a month of various fixes, I couldn’t get it under control. (I’ve actually been wrestling with it for two months. That awful nausea I attributed to dehydration was actually hypoglycemia. The wrung out feeling I woke up with each day was the fallout from hypoglycemia-triggered migraine attacks that came on while I slept.) How I Discovered Hypoglycemia Was the Problem After increasing to 2500 calories to gain some weight back, I woke up each day ravenous and shaky. This seemed odd—how could I be hungrier than when I ate 1700 calories a day? Knowing that a ketogenic diet could cause hypoglycemia, I began researching. Not only did I discover that it was likely I had hypoglycemia, but the nausea and accompanying symptoms of the previous month fit the pattern of reactive hypoglycemia perfectly. Reactive Hypoglycemia Reactive, or postprandial, hypoglycemia occurs two to four hours after eating. It’s usually a crash after eating a meal high in carbohydrates. Although I wasn’t eating many carbohydrates, my blood sugar was so low the rest of the time that I’d crash after my meal each day. It would start two hours after the meal, but I’m so used to ignoring vague physical symptoms that I didn’t notice until they got Continue reading >>

Will Low-carb Diets Cause Blood Sugar Levels To Drop?

Will Low-carb Diets Cause Blood Sugar Levels To Drop?

Video of the Day If you're accustomed to eating a very high-carb diet and suddenly switch to a very low-carb diet, you could experience rather dramatic drops in your blood sugar during the first few days or weeks of your transition. This low blood sugar can cause notably uncomfortable side effects and intense cravings. Carbs and Blood Sugar Your body converts consumed carbohydrates into glucose, a type of sugar. When the glucose enters your bloodstream, it leads to an increase in your blood sugar level. The pancreas produces insulin in response to spikes in blood sugar, which helps your body store the sugar for energy. This insulin release subsides when your cells absorb the sugar and your levels stabilize. In a healthy body, the surge of blood sugar and insulin is relatively moderate and keeps you evenly motoring through your day. When you eat lots of carbohydrates, your body's blood sugar remains consistently high and your system constantly pumps out insulin. This chronic elevation of blood sugar and release of insulin causes inflammation, an increase in fat storage and an inability to burn stored fat. Chronically high blood sugar levels increase your risk of disease, including heart disease and type 2 diabetes. You crave carbohydrates regularly for energy, because your body isn't efficient at using stored fat for fuel. How a Low-Carb Diet Impacts Blood Sugar If you regularly consume a large amount of carbohydrates, especially refined ones like white bread and soda, you may experience a notable drop in blood sugar when you drastically reduce your carb intake. In the first week of carb reduction, your body will seek to maintain your high sugar intake. You'll crave carbohydrates and may even feel weak because your body hasn't yet become efficient at burning fat for fuel Continue reading >>

Help With Hypoglycemia

Help With Hypoglycemia

Im hoping for some insight. I attempted going keto last November (in solidarity with my husband). After 2-3 days I would end up with hypoglycemia in the mornings upon waking. BG would be 45/50/55 and I was shaky, exhausted, nauseated which endedin vomiting for hours in two occasions. So I went to my doc and all his tests were normal, so he sent me to an endocrinologist and all HIS tests were normal. The Endo diagnosed me with reactive hypoglycemia. Now I have two thoughts on this. The first is that RH is basically early T2D. The second is that the Endo isnt very smart since I never have hypos after eating I only have them when waking. I did a round or Whole30 in January. Not one hypo, and I was tracking my BG. I was frequently in the 60s but felt fine. I decided to try keto again as I want all the amazing benefits and nobody can find anything wrong with me. I started in March 1st, and have been pushing the sodium and magnesium. I felt great! Until this morning on day 7, woke up shaky and nauseated. My BG was 50. So I added about. 1/4 sweet potatoe into my breakfast. I know this lifestyle is important to my wellbeing- mainly for cancer resuction. Do I just go slowly? Is it possible my body just doesnt do GNG well? Hmmmm. I am not sure. Hopefully someone with more smarts on this will turn up. The only thing I can thing to suggest is to maybe ease in a little slower if having a bit higher carb stops it? Does the sweet potato help? Maybe smaller and smaller amounts of similar if it does? I also have reactive hypoglycemia. After the hours long test I was well below 50. Before I knew that I would binge on sugar and then crave a triple cheeseburger, it always helped level me. I used to think simply staying away from processed sugar and simple carbs would be enough. I ate high Continue reading >>

Transitioning To Keto & Avoiding The Keto Flu

Transitioning To Keto & Avoiding The Keto Flu

Although "keto flu" symptoms are commonly experienced by people transitioning to a lower carbohydrate diet, if you ever feel unwell when following a ketogenic diet, you must pause it and see your care provider. Before going on a ketogenic diet, you should first discuss it with your doctor and make sure that it is a safe and healthy option for you. Ketogenic diets are not beneficial for everyone (see medical conditions which are contraindicated with ketogenic diets below, and do your research before trying a low carb or keto diet which is very restrictive in carbohydrates). In some cases, low blood sugar can result in adverse reactions (with diabetics in particular) so caution and proper doctor supervision and permission must be sought when making any drastic dietary changes. What exactly is the “Keto flu”? During the beginning stages of the ketogenic diet, its common to begin feeling “bogged down”. Due to ketogenic processes happening in your body, this abnormal feeling is to be expected. However, it must not be sustained due to prolonged exposure to circulating ketones. The “keto flu” is a feeling of flu-like symptoms due to your muscles and organs not being able to function optimally due to circulating ketones generated by the ketogenic diet. It may also be related to hypoglycemia or low blood sugar (see below). Common symptoms include lightheadedness, nausea, fatigue, mental fogginess, abdominal cramps, headaches, and diarrhea. How long does it last? It really depends. However, Keto flu symptoms can begin to appear as early as 1-2 weeks into the ketogenic diet and will remain as long as ketosis is occurring. If symptoms become uncomfortable or interfere with daily routines, the ketogenic diet should be stopped and carbohydrates are to be reintroduced. Hyp Continue reading >>

Reactive Hypoglycemia

Reactive Hypoglycemia

Reactive hypoglycemia is a condition in which the body reacts to a perceived catastrophic drop in blood sugar. I say perceived because during an episode, the blood sugar readings may be in the normal range, but still "feel" like low blood sugar to the person having the reaction. In my experience, hypoglycemia happens to most people when first beginning a low carb, ketogenic diet. It may be especially strong in people who have already developed insulin resistance or pre-diabetes from a chronic excess of carbohydrate intake. There are different types of low blood sugar causes. Transient hypoglycemia normally happens when most people who have been eating a high carb diet drastically reduce carbohydrate intake for the first time. This type happens during the first several weeks of carb reduction because the body has not had time to create the enzymes or metabolic state to burn internal fat stores for fuel. Basically there is a gap in the amount of carbohydrate available for fuel, and the process of accessing fat stores for fuel. The lack of fuel sources results in transient low blood sugar. Reactive hypoglycemia is more of an acute reaction to a very high carb meal. For instance, when a person eats 2 or 3 glazed donuts, there is a huge spike in blood sugar and compensating insulin secretion after such a meal. The large insulin spike drives blood sugar very low several hours after the meal. How Reactive Hypoglycemia Happens Insulin, a hormone, is secreted from the pancreas in response to eating food, especially foods high in carbohydrates. Its main job is to move the sugar your body makes from the food you eat into your cells so that this excess sugar can be broken down for energy or stored. Insulin is a very powerful hormone, and it acts very quickly. The amount of insulin Continue reading >>

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