Comment by Sam Iam on May 9, 2012 at 2:45pm

Also, I'm finding that on this low carb diet, my urine is sometimes negative for sugar with positive ketones. Is this to be expected?

Comment by renka on May 9, 2012 at 6:49pm

This is Avery good question and I was hoping you would have some answers! I have the same problems sometimes but I know that my pancreas does not produce any insulin anymore because I've had the test done where it can show how much it works and it shows not at all..... Id you show some ketones it means that you have had some highs lately and are residual most likely

Comment by renka on May 9, 2012 at 6:49pm

*if

Comment by renka on May 9, 2012 at 6:54pm

Or actually now that I'm thinking about your ketones and I just retread your second post. I wonder if you are not eating enough carbs? Remember the Atkins diet that was out
. They warned people that they could get ketones with to low of a carb diet. It could mean that you are burning muscle for energy which is dangerous. I'm just thinking out loud. If you google ketones you will learn more about where they come from, course they don't come from just diabetics! I hope this helps but I'm just writing as I'm thinking...let me know what you find out cause I'm Curious!

Comment by acidrock23 on May 9, 2012 at 8:46pm

I think the ketones w/ lc diet is not necessarily bad, as long as your BG is ok? If I had .85U and dropped from 140---> 62, I'd try cutting back a bit, maybe even to .80U to see what happens? It might smooth things out. Once it's smooth, I'd maybe aim a bit lower at bedtime and run 80-80 all night?

Comment by Sam Iam on May 9, 2012 at 11:34pm

I've been eating very low carb, about 30-45g / day intentionally, and essentially living off ketones. I believe that these ketones are coming from fat, not muscle. At least that's what I'm hoping. Other than the one issue with an injection site, my BG's have been stable. Around 100, so there's no chance I've been in ketoacidosis. I've alway thought of ketones in urine as trouble. Maybe it's normal in this case, though. I'd like to hear from others that have been on restricted carb diets. Seems like many of us, here.

Comment by Sam Iam on May 9, 2012 at 11:41pm

I was taking .80 / hr when I dropped 140 --> 62. .85 is during the day. I lowered night time to .775. I'll see how it works. I woke up a few nights ago in the middle of the night, and corrected for a 175. So it seems to swing both ways. Mostly down, though. When I was a kid, I went into insulin shot at night many times, so I have a habit of going to bed high. I'd love to run 80-80 but it'll take some work. Night time has always been a problem for me. I'm also an insomniac. Thanks for all the input.

Comment by Sam Iam on May 9, 2012 at 11:45pm

Googling around, the whole ketosis thing seems to be a pretty polarizing issue. I feel fine, though, so I'll just keep doing what I'm doing.

Comment by Sam Iam on May 9, 2012 at 11:50pm

discussed here previously

http://www.tudiabetes.org/forum/topics/ketosis-confusion?commentId=...

Comment by acidrock23 on May 10, 2012 at 4:21am

Ketosis is different from ketoacidosis? Some of the challenge can be figuring out if lows are from "leftover" bolus insulin vs. "overabundant" basal insulin. Junior has some later classes so we've had some 8:30-9:00 dinners for a while and, generally, there seems to be some delay/ slowing of everything at or after bedtime? Sorry I don't have a more useful observation but food for thought or thought for food?

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