[IP] Ketosis vs Ketoacidosis
First off, I just wanted to say thank you for your great explanation of
ketosis vs. ketoacidosis. I felt very encouraged reading your post on the IP
I know it's so controversial so I checked with both my endo and my PCP
prior to starting to eat low carb. Both doctors agreed that it would be fine.
I started eating low carb in July. (Kind of following my own "Atkins"
plan...eating more vegetables and cutting out the bread etc.). I've lost 20
lbs. and am SOOO encouraged. My blood sugars are running better than they
ever have. The best part is I'm not hungry and I don't feel deprived. I love
seeing the decreased insulin requirements and the much better b/g control. My
basal rate has gone from ~ 25 units/day to ~ 16 units. Daily insulin total
has dropped from 40-50 units to 20-25 units/day. I've also realized what a
vicious cycle it is when you're eating higher carbs. Eat the carbs, take more
insulin, crave more carbs. :-( It's great not having those cravings for
more and more food.
With ketoacidosis, your b/s is out of control. With ketosis, your b/s is
under control. I see eating lower carb as a way of life, something I plan
to continue doing. I see my endo next week. I have to say I'm anxious to
see what improvement there is to my A1C!
Pumping since 01/00
Date: Wed, 24 Sep 2003 13:24:18 -0700
From: Laura Fleagle <email @ redacted>
Subject: [IP] Re: Ketones vs. Ketoacidosis
I can only speak from my personal experience. I'm type 1 and have eaten
low-carb for over three years now. I often show light to moderate ketones
(with normal blood sugars), and have seen no ill effects as a result. In
fact, one of my main reasons for choosing a low-carb diet is because it is
so effective in keeping my sugars in the normal range! (the other reason
is weight loss).
Dr. Bernstein is a physician with type 1 diabetes who recommends (and who
has followed) a very low-carb diet for many years. His diet calls for
about 30 grams of carb a day, which is definitely low enough to put most
people (myself included) into ketosis. Although I wish his book would have
addressed this issue more than it did, it does not seem to have caused a
problem for him or his patients.
Of course, I'm not a doctor and I'm not giving any medical advice to
anyone! Ketones will always be a complicated issue for anyone with type
1. IMO, if someone with type 1 is showing ketones in their urine and there
is ANY doubt as to whether it's something other than diet-induced ketosis,
they should deal with the situation immediately.
Just my thoughts on the subject....FWIW
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