KETOSIS vs Ketoacidosis: A Doctor Explains the Difference

[@kimberlyscott3562]

My son is type 1...I love going into scientific detail about ketoacidosis vs ketosis to all the haters 😂

[@juliemaggard7094]

I found your vids yesterday and have watched probably a dozen...Thank you for making them, they are very informative. I also followed your wife for the great recipes, etc.

[@RUDEGAMINGNATION]

Kimberly Scott I’m a miracle because my blood sugar was 990 after two hours on insulin drip

[@melisand8295]

Well done!!!😄😄😄

[@criket1220]

Thank you!! I’m a RN...I had a CRNA lecture me about how bad “ketoacidosis” was for my body and my kidneys and how dangerous it was...I said “I completely agree! That’s why I want to stay in ketosis.” She kept arguing with me that I was in ketoacidosis... I finally said “look...I’m conscious...but if I need an insulin drip I’ll let ya know!” Now she and her daughter do ketosis...go figure

[@The806Traveler]

Awesome story! Strange how even health professionals are lacking this knowledge.

[@tanyas6643]

The806Traveler it’s because we health professionals have been drilled on CONVENTIONAL medical (and health) “wisdom”, which sees anything “out of the ordinary “ as a bad thing. High fat versus low fat... is one example.... and some will still insists that low fat (and “healthy” grains) is the way to go, even though they see the rising numbers in diabetes and obesity.

[@calisthenicsnoob9990]

So if dka is the body cant use glucose as energy so it is forced to used fat as energy, and in keto diet there is 0 carb so the body uses fat as energy, the only diffetence is the amount of blood sugar level, so are you saying the acidity in blood is caused by high blood sugar rather that the process of ketosis?

[@leonidassabr9197]

@@calisthenicsnoob9990 the acidity is caused by ketosis not glucose i think. Cant be sure

[@ixd7ev254]

So, is she left alone to administer anesthesia?

[@aether2025]

I've been type 1 for over 20yrs. I've been on keto lifestyle for 13months after researching how to heal my liver. Well guess what my sugars are down to an average 4.6 UK numbers. My liver has healed and all the associated problems have disappeared. Ketogenic lifestyle has been been a life-changing event for me! I am definitely sticking with it. Enjoy your vids.👌

[@lnmemoryofjohnmordaunt7386]

Mal Davies snap!

[@Rcuccurullo93]

Mal Davies what do u do when u have low blood sugar? Is there something we can eat that will rise blood sugars, that’s also Keto friendly? any info would be greatly appreciated

[@niqueren4626]

My son is T1D, too. I have started him eating "keto" with me at least 5 days out the week. You're comment let's me know we're on the right track. ;)

[@aether2025]

@@Rcuccurullo93 they have to be extremely low to get noticed as my body is in permanent ketosis - but the first thing I do is some excersize then I check my sugars haven't gone up to much. If I feel the need for food I have a drink of kefir.. maybe if your going out and low sugars are a worry then I would carry some pecan or walnuts with me.

[@klaw3397]

Praise Jesus I'm very happy for you

[@jeffthomas6105]

Thank you from a Jeffrey that is NOT a serial killer. I’ve been doing Keto for about a year and a half and have maintained my weight loss of over 40 lbs for over a year. I considering Carnivore, but haven’t gotten there yet. Keep up the good work.

[@psalmone8953]

Any updates?

[@captainhennahead2323]

I needed this!! I’m 62 hours into my first 72 hour fast and my keto stick turned almost black! Lol. I was already in ketosis for 3 weeks before attempting fasting. I love it, I feel so good. This quelled the last fear I had. Thank you!!!

[@sheilawassenmiller7498]

I have been calling it nutritional ketosis for 14 months now. You would not believe how many medical doctors or nurses I have to educate on the difference between the two processes. Its unbelievable. My own doctor said she would not recommend low carb and informed me that she spoke to an Endocrinologist and he agreed with her. I am keeping her as my physician for now as she struggles with her weight. I have had some ketogenic experiences with her 2 times in the grocery store. Her basket is high carb and GMO foods. She commented on the amount of cartons of Happy Eggs in my basket and the high fat of wild caught salmon. Kerrygold butter and cold pressed extra virgin coconut oil. She was buying conventionally raised animal products. It amazes me how much knowledge is out there in the internet world, yet those who claim ketogenic is bad they don't practice care for themselves but want to guide me to health !?!?!

[@padmepadme]

I hear you!!! Doctors should be required to take courses in and prove competency in nutrition topics because food is medicine!!! Why does traditional medicine not recognize the critical importance of doctors having working knowledge of nutrition in their diagnoses and treatments of their patients? It boggles the mind.

[@rrjohn5]

Sheila Wassenmiller this is because medical schools are funded largely by big pharma, and as a result, nutritional education is heavily neglected. If people get healthy via diet, then drug companies lose $$.

[@Tmanaz480]

I'm looking for a new doctor and I hate to say it, but I don't want another fat one.

[@TAS1965]

I never take nutritional advice from an overweight doctor. Doctors should have to be healthy to give any nutritional advice.

[@Boomerette]

It's not so much the conventionally raised and GMO products that show how clueless she is about nutrition--it's her demonization of fats (even healthy fats) and embrace of starches & sugars. That was taught in college in the 1950s to those studying to become "registered dieticians," and nutrition wasn't even taught in med school as late as the '70s (maybe hardly even today)--most doctors--especially older ones--are still getting their (mis)info from those HomeEc-style dinosaur dieticians who followed the "Food Pyramid" designed by grain lobbyists. To demonstrate how much cutting-edge nutritional science has changed, for the past 3 years I've been a patient of my hospital system's weight mgmt. clinic, which is part of the Cardiology dept.! We are given the choice to start on (ugh) protein shakes, prefab meals, or a near-keto diet, later morphing into a still very-low-carb diet. Maintenance is Mediterranean, with emphasis on olive oil, olives, nuts, eggs, fatty fish; and what little dairy allowed is whole, not skim. Still low-carb veg and low-sugar fruits and very occasional whole grains...not stuff made from flour. I remember back in 1972 when I mentioned I was trying Atkins, my GYN's nurse said, "careful--that puts you into acidosis!"

[@kathleenhighley6945]

I've been on keto for a few months now. My blood sugar is back to normal as well as my blood pressure. I've lost 35 pounds, my back pain is less, I'm feeling great and sleeping better. Thank you Dr.Berry. I'm sharing your videos with everyone I can.

[@Ironclad6661]

Let's be honest Dr. Berry you're tone, emphatic voice backed by tons of experience kills every hypochondriac idea floating in most of your follower's heads within a few minutes. Thanks again for a great video and I loved the fable too! It's a shame that people get scared like this and the real shame is that the people that probably need it the most: Obese, lowered kidney function, fatty liver, pre-diabetes, etc... are the ones that would be the most scared by the mix up on the difference between nutritional keto and ketoacidosis. Again thank you!

[@francescaa8331]

"Keytones don't cause ketoacidosis." "Acidic blood is the danger of ketoacidosis." "Ketoacidosis shows up in type one diabetics, victims of tramua, people with infection." "Nutritional Keytosis is not Ketoacidosis." "Every one named Jeffrey is not a serial killer." Got it. Thank you.

[@maggiekelly4055]

It’s KETONES and KETOSIS.

[@aaronvapes8192]

im a type 2 released from the icu yesterday from this horrible shit

[@lauranilsen8988]

@@aaronvapes8192 what horrible crap? Ketoacidosis?

[@danpan001]

​@@aaronvapes8192because you forgot to take your insulin?

[@_K-W_]

I'm tired of this too. I remember like it was yesterday, I was about 6 months in keto & seeing so many results. A friend who was type 2, called me ALL the way out because she heard how dangerous keto is bc of ketoacidosis. I explained it to her, but she looked at me like I had 3 heads and kept telling me how I was "at risk". Dangerous to do for long term. Years later, my a1c has been under control at 4.1 and I feel better than i ever had. Unfortunately, my friend is still struggling with her diabetes, still on meds, and has even more health issues than before. THEY GOT HER! 😩

[@codys1167]

My mom is type 1, and she constantly tells me by doing the keto diet I’m gonna end up in keto acidosis. This diet has drastically jump started my metabolism! I’m losing 1-2 lbs a day! I’m not stopping this diet anytime soon.

[@dsclassic6568]

It's really a shame that she doesn't try it, tragic really.

[@Lindabraggketovore]

I just had this conversation with a friend of mine that was told eating meat causes this due to the protein. I told her that was not true and she needed to listen to this video. I just sent it to her husband for her to listen to. People believe what they hear and don’t do their own research. I’m so happy you, Dr. Berry and other doctors are putting this information out there. Thank you.

[@grannykiminalaska]

I am a diabetic, T2. My BS is over 200 ( but working it's way down) . I am in ketosis, good ketosis. Good work on the videos.

[@bradr539]

Update? ..please..I just got all the symptoms of t2 Sunday, went straight to fasting,three days later 75% reduction in symptoms.

[@psalmone8953]

@@bradr539update?

[@catherinemorris908]

Oh my gosh, I was one of those people who thought ketosis and ketoacidosis were related. Thankyou so much for the clarification. As a type 2 diabetic, I am going to try the keto diet!

[@hanellefourieblair7268]

I went to the pharmacy to ask if they have a dual glucometer that also measures blood ketones. The first question was obviously why I wanted it, so I explained. The pharmacist was shocked and horrified that anybody would be putting themselves in ketosis voluntarily, and asked me if it is safe to do so, saying she thought it was very scary. Sigh. Thanks for this video, now I can explain it better next time. :)

[@TheAlinaCretu]

Hanelle Fourie Blair there is www.freestylelibre.com.uk

[@heathhanz842]

An actual pharmacist who's been to doctorate school doesn't know the difference? We need to reevaluate what schools are emphasizing! Or maybe... who they let become a doctor!

[@williamvanscottnelson2605]

Keto mojo is what I use.

[@coachcicely908]

@@williamvanscottnelson2605 me too. Love the keto mojo. I use other tests also, but this one tests both glucose and ketones, then you can sync it to the app on your phone and it will tell your level of ketosis. Then you can go to their website and see what that level means. Love it, love it, love it.👍😎❤️

[@julieoelker1865]

My mother died suddenly from DKA in 2017. She was diabetic for 32 years, was in the hospital with pneumonia, and fell into a coma, passing away one day later. RIP Mom.

[@Butterflies-are-free]

I’m so sorry for your loss 😢

[@silvy6758]

I am sorry for your loss

[@ablesandoval4904]

@@julieoelker1865 🙏🙏🙏

[@emjackdad]

I told my wife about starting Keto, and she brought it up to a veterinarian who works at her office. My wife called me and had the vet talk to me. She proceeded to tell me how Keto lifestyle could mess with the brain, Ketoacidosis, etc. I wish I had seen this video so I could forward it to her at the time. Love your videos Doc! I'm from NC. You sound like my people!

[@AedanBlackheart]

Humans and animals are different lmao duh

[@lucyswannsunsafespace7313]

I would NEVER have some sudo-"expert" speak with my husband to refute something he was doing for his health. Sharing videos is one thing, but to use someone who knows little more than you to "explain" it is kind of disrespectful.

[@Mulin944]

Thank you so much for this information. I finally had reached Nutritional Ketosis of 8.0 but then started reading negative comments about Ketosis that could lead to Ketoacidosis and I immediately stopped Keto because I thought it was unsafe 😔

[@Daydreamer-o1m]

Me too

[@user-vr9nl6gm9t]

So did you start again?

[@ericpurcell2523]

I'm a Type one Diabetic, and I've been told for over a decade that the Keto diet would be dangerous for me. I am so happy I stumbled across this video, because I was about to write a whole report for my sports nutrition class about how Ketogenic diets can lead to Keto-acidosis in Type One Diabetics. Thank you for the info!! I definitely need to change the direction of my presentation topic now hahaha

[@magicdaveable]

Great Video Doc! My Dad explained ketoacidosis to me when I was a youngster. We never really discussed ketosis back in those days(late 1950's) but in the early 1960's was when he adopted a ketogenic diet. He didn't call it that but it was a very high fat moderate protein low carb diet. I do 1 meal and 1 small "snack" per day. Each meal/snack are separated by 12 hours. I feel pretty healthy except for the accumulation of mechanical damage over my 69 years.

[@tinknal6449]

I know this is an old post but can you expand on you and your father? How long have you been keto, did your father remain keto his whole life, and how did it work out? TIA.

[@tanyas6643]

I’m one of the folks that’s pretty regularly testing high in ketones. Initially I was worried, since conventional medical literature and my nursing training told me that I was going to be seriously ill. All of my other tests and lab work revealed pretty good values, which had my physicians “confused.” Not until I saw an old family physician (purely by coincidence, while accompanying my grandmother... who’s over 100 and as they say “healthy as a horse”) did I finally talk to someone who understood. (He also did a battery of tests, to be sure.) His “diagnosis”: I’m totally fine. My family has always eaten healthy... and my body was “programmed “ early in my life, to be a ketone producer and fat burner.

[@Butterflies-are-free]

Thank you so much for this video….can you please do another one, a follow up, regarding what is happening when people’s ketones sky-rocket? My ketones hit 40 on the breath analyzer which is at the beginning of the danger zone and it got me so scared that I went looking for carbs and started drinking a ton of water to flush them out. This video has calmed my nerves a wee bit, but I’d like to hear more on this subject please 🙏

[@geminidizorder1]

I needed this video after my doctor just used scare tactics about ketoacidosis and said NOT to do keto diet. In 4 days my BG levels went from 279 to 174 in her office to day. 4 days!!!!

[@m4rtyrodriguez]

My nurse told me that she would not recommend the keto diet due to the carb restriction . she had me all worried about keto acidosis saying “I know it’s not the same thing but it can put you into a coma” So thank you for this video as it cleared up many doubts I was beginning to have.

[@Boomerette]

My cardiologist says it's total b.s that your body "needs carbs;" turns out that even protein is converted to glucose.

[@robinhood4640]

Thankyou very much for explaining this very clearly. I work with a bloke called Jeffrey and i was extremely concerned about this.

[@harrykehoe6888]

Hi, I'd like to add a note that I recently had an A&E visit due to ketoacidosis. I'm a 26 year old non-diabetic. Normal blood sugar and acidic blood with high ketone reading. I was dieting, not by a keto diet, but simply eating as little as possible. I also had a bottle of wine the night before I was admitted. I was told a mix of the alcohol and starvation was probably the cause. The doctor also noted that I had white blood cells thus an infection but didn't have reason to investigate that further as I had no other signs of infection. Thanks for your informative video.

[@himee56]

I like the idea of saying ‘nutritional ketosis’. It sounds purposeful and not like a disease or sickness. Plus it makes me sound smarter! Lol. Thank you for this video!

[@niqueren4626]

I remember when my son was diagnosed Type 1. It was the scariest experience in my life! I've seen the differences first hand.

[@jovoorheescollinsmphbsnbch6245]

Ketoacidosis does not just affect T1 diabetes, it affects T2 also and the incidence rate is increasing. I've had many patients be in DKA and receive the initial diagnosis of T2 while admitted to the floor. Indeed it is infuriating to hear licensed providers try to scare people by using these terms incorrectly. But we know that if patients fix their health problems then that provider won't get that q3 month revenue for compulsory office visits and labs 🙄. It's disturbing that revenue is more important than accurate patient care and teaching.

[@DianneElizabeth64]

My urine is showing trace ketones. I immediately got scared because it has squamous epithelial cells. I don’t know how to respond to the dr when she brings it up

[@frugalprepper]

Thanks for explaining. I have heard people say this, but I knew there was a difference. I used to work at a hospital and saw and heard about people that were in for Ketoacidosis in our Critical Care Unit from talking with nurses. I knew that really high blood sugars are part of it. So I knew it was two different conditions, but didn't' know why.

[@cassief165]

I am diabetic type one. I went into DKA 6 times in 2018 and was admitted to the ER. I have to check my ketones daily so that I can see the signs of when they start to go up and I can know ahead of time when I am headed for DKA. When I call my DR. Tell him my sugar and my ketone levels so I have been advised not to go on the keto diet. Otherwise I'd be in the hospital all the time wondering if I am in Ketosis or DKA. I am on an insulin pump so it's not that I am not taking insulin regularly. If I don't have enough carbs, I go to low and then I have to eat extra to get it back up.( which in turn causes highs) So it's better to have some carbs and protein and keep my sugars at a happy medium. I am an unusual case though, because I have gastropareis, so when I am nausea or throwing up, I end up on the brat diet until my stomach can tolerate a normal diet. I'm not saying that the keto diet causes DKA but it can confuse you (without further test) whether the ketones are coming from the diet or true DKA.

[@az.az466]

Hi, Cassie I thought you might be able to help me with my question. My 10 yr old son got diagnosed with type 1 diabetes 4 months ago. We check his ketones level usually daily and sometimes we find out he has trace or even large amounts of ketones in his urine but the suprising part is that this is happening on a normal or low blood sugar. His dr even doesn't know why is that. Can you go to DKA with low or normal blood sugar???? He is not sick ( cold or flu) and the carb intake is different every day. Sometimes 50 60 gram of carb and sometimes 100 grams of carbs. Pls help. Thank you

[@Monicasdestiny]

I’m so glad you make these videos. Thank you.

[@TheRagingUnprofessional]

Wow, so helpful Dr. Berry! I had a legitimate fear that if I didn't eat enough on keto, I would slip into ketoacidosis. Since being on keto my appetite has been cut in half, and I was scared that if I didn't eat, this would happen! LOL now I'm interested in trying IF w/Keto! Thanks again. 🙏

[@kernow1273]

It was good to read your post. I was thinking the same👍

[@freddycooks]

Much needed video.. I started keto and intermittent fasting 5 days ago and my Ketone level at day 5 was 8.0. After researching, I immediately became alarmed by everything I found by "reputable" sources. Except I am not diabetic my insulin level is in the normal. That's when I realized, something wasn't adding up!

[@crystalquick4817]

Unfortunately, I know the way you can get ketoacidosis without being a Diabetic. My my daughter was hospitalized when she was 13 for non Diabetic Ketoacidosis due to Anorexia. That was the first time she needed a feeding tube, but sadly, not the last. She is 18 now, and still struggles. I put on a lot of weight from stress and making meals to make her gain weight... She is 18 and now it is time I take care of myself for once, and get my health back in order, which is why I am starting Keto, with the goal of Carnivore.

[@hatfieldhatfield]

I love learning new things from you. Thanks Doc!

[@Mereshort]

T1DM here. This is so helpful. Thank you.

[@tracyhagler2146]

KenDBerryMD I’m loving you and your wife’s videos! They are very educational and helpful. I do have one question about the ketosis vs ketoacidosis, and wish you would do a video on it. The other day I stumbled across the “ketoacidosis confusion” while shopping on amazon for a Ketone breath anylyzer. Several products have a scale that is supposed to tell when your body is in ketosis and when it’s too high it would turn red. The instructions state that “Red” means you are in ketoacidosis. They actually use the word “ketoacidosis” in their instructions. What do you think about companies selling products that actually include this in their instructions right on Amazon. I’m sure this is very confusing for so many people! Thanks so much! Looking forward to you tackling this topic. I’m sure this might be where a lot of people are drawing this conclusion from.

[@sueware8377]

Dr Berry..I was actually told this when I was diagnosed with T2D...thanks for clearing this up and letting us know it is a falacy.

[@hahna77]

My dad was type 2 diabetic when he was hospitalized and almost died with keto acidosis.

[@rachelw5403]

Thank you for providing real science based information.

[@geekdomo]

I am a type 2 well controlled and fairly popular person on social media. When I post my success with IF+Keto, every. single. time. Some armchair doctor comes out of the woodwork trying to convince me I am going to die of ketoacidosis. This is the first time seeing your video. I have my own Jeff analogy. One I made up is: If I wear a polo shirt does that mean I have polio? They go, of course not. I am like well they sound the same, so must be polo shirts cause polio. I am glad I found your video because I will share it with the armchair docs that pop up. Thanks Dr Berry

[@gramps5157]

Thanks for this video. Believe or not I had to look for this video because 10 minutes before this I watched a video where a guy said a Carnivore Diet will cause Ketoacidosis.

[@mistiehernandez8772]

I’m RN who has cared for many inpatients with DKA. Your awesome at teaching! Your comparison Rocks! Jeffrey... 😂🤣

[@nomayo5893]

Listening to this in the future- I am not a diabetic and I had ketoacidosis from eating a very low carb diet for a couple of weeks. I am breastfeeding and found out there was a thing called lactation ketoacidosis so nursing mothers should take care. It’s not impossible

[@Alan-zy2kp]

Mmm thanks Doc 🙏🏼just tested and had 5.4 for ketones on nutritional ketosis with glucose at 83. I am doing Omad every second day and two meals on the other. Doc feeling quite amazing and well inside plus weight loss is 13 kilos in 5 weeks. Thanks for this reassuring clip. 🙏🏼

[@secretshaman189]

Thank-you SO MUCH Dr. Berry for clarifying this. I have heard the anti-keto rhetoric as well. Have been on keto for over 2 yrs. now, and all my blood tests have normalized.

[@rachellepincus9055]

Oh my goodness sakes Doc, you make me laugh. I LOVED your Jeffery story. Yes collecting an ABG does hurt. Good thing a keto diet won't lead us to need one.

[@padmepadme]

Yes, ABGs hurt especially if the tech. can get the ABG after numerous attempts!!!!

[@gaylem.3185]

Why am I just seeing this now. I'm type one and had ketoacidosis my flatlined within a coma woke up and couldn't walk my left side is still numb but I'm been doing keto diet for a few weeks now and I feel great and oh by the way that happened over 11 years ago but I wish I would have started keto sooner I just had too many doctors saying I couldn't do it but I decided on my own to give it a shot and my blood sugar is has stabilized in the low 100s for the first time in 11 years so I think I'm on the right path thank you Doctor Berry 🙏

[@stizan24]

I started intermittent fasting at 174lb a month ago. I fast from 10pm to 2 pm when I have lunch at work. I eat 2 meals, as much fat as I can get into me, like bacon and sardines with a cup of coffee inoculated with ghee and MTC oil for lunch. Salmon and collard greens for dinner followed imidiatly by either chai pudding or whipped cream with blueberries, or Greek yogurt. I will say that I love me some Greek yogurt and it saddens me that one serving is all I can have in a day because I could crush a container easy. What I like to do is zip up a quarter cup of blueberries and raspberries and mix it with a little bit of Greek yogurt and a cup of heavy cream, and use that as the liquid for my chai pudding. It is so silky and delishious. I digress, I fasted for 5 days a week for the first week, then every day for the lest 3. I threw 2, 24 hour fasts in there for good measure, and I’m still 174 lb. I don’t weigh myself very often, but I thought I would be down at least a couple pounds. What gives? Do I need to eat more? Should I start exorsizing again, because I sleep like shit and I don’t want to get up an hour early to get me sweat on. At least when I was just eating clean and doing fasted cardeo before work I slept like a champ. Now I’m waking up every hour.

[@lnmemoryofjohnmordaunt7386]

stizan24 you've answered your own question, yes start exercising again, and don't worry about what the scale says. Use a measuring tape instead. Another thing which is quite common is that you can stall at the same weight for weeks, then you suddenly start peeing like a racehorse and boom! 9 pounds gone. It happens because your fat cell get confused and fill up with water, and is called whoosh effect. How do you make a chai pudding? I'm liking the sound of that!

[@missmayflower]

A lot of people stall from eating dairy. Also, blueberries are really high carb. I’m assuming you mean chia pudding. Chia seeds have 12 grams of carbs per ounce. So it’s likely that you never got into ketosis, as your carbs for the day could be over 20. So you have a few things to eliminate, and need to have more salad. “As much fat as I can get” could mean your calories are way high. The goal is not to overdo fat, but make sure you get enough to satisfy.

[@stizan24]

So I should go back to eating copious amounts of spinach with lunch and my grilled meats or Crack slaw for dinner, with a.bowl of brocolli for dinner. Cut the dairy, and just a wee bit of chia pudding in the evening. And get my.lazy but up an hour and a half early, sip a black rifle coffee, and hit the weights. I was doing cardio before I started keto, and I was doing pretty good, but I don't want to get up at 6am

[@stizan24]

And I was on ketosis for a couple months before I started fasting. I lost 6 lb the first few weeks and then another 8 in the 3 months after. I started fasting because of the other health benefits associated with it.

[@harryviking6347]

I was shocked when an elderly woman told me that her doctor had warned her about KETO/low carb diets!! Doctors should be better educated or asked to STFU talking about things they have no idea about!!

[@amberlynne4856]

My doctor is not supportive of Keto at all. I just ignore his comments at this point. He just thinks everyone should get VSG done instead of trying to heal their bodies. It drives me crazy. I am doing great since I relaunched Keto.

[@chick-fil-agal2264]

Amber Lynne , my daughter Dr also is against it my daughter was borderline diabetic and they prepared her a diet which was awful carbs, so when I learned about the keto diet I started her well let's just say it's gone, she like see I told u it would help her, which was 3 months later for her next check-up, I just have her a joker grin and saying to myself if only she knew it was keto doing the work.

[@alexc1105]

Any Dr who is recomending VSG to someone who can leave their house without a crane should be struck off... and you know even if the Crane is necessary they really should be exploring other options. Ridiculous! A xx

[@tangomcphearson74]

Time for a new Doctor

[@goldivox]

Yes, ignorance seems to be contagious! Watching your YT vids and reading your book have been highlights of my days, of late!!

[@emmanjuno5543]

When your PH is too low, your done, you're gone to heaven 😂😂😂😂😂😂😂😂😎 killed me!!!!!!

[@fonnExX]

you sign out for heaven 😂😂😂

[@angelluisf7730]

There is no way to have ketoacidosis unless you area type 1 diabetic, or a type 2 in really bad condition. The moment your blood glucose raises also does insulin, which stops the ketones production (and blood glucose should go down too). As long as your body is able to produce some insulin, this will not happen.

[@peculiarperspective9028]

Thanks for this! Your videos are smart and easy to digest. I am educating myself on nutritional ketosis. I keep re-watching your "hotdogs and mustard" video so that I am not discouraged by the doctors who claim all the food NEEDS to be organic! Though I am managing to do a bit better than hotdogs!

[@karenquick8737]

I appreciate you trying to make the world clear on this subject. I never heard about Ketosis until we had a dairy cow get Ketosis after calving and milking heavy. We have a dairy farm. Her body would burn more fat than she was taking in. It can be fatal for cows, unless they are given an IV of sugar water (glucose). So with knowing this, my first thought, with people going Keto, I just knew it could be so harmful to their health. I have since come to realize that it's not the same with humans, but we still must be careful, especially if we're Type I Diabetes. Thank you so much!!

[@WisdomFromAshes]

My wife, type 2 diabetic on Jardiance medication, began to go into ketoacidosis after a few weeks on keto diet. She was testing off the chart high on test strips and thought that was a good thing. So she quit keto diet for now. We didn't realize the risk.

[@RosaLong74]

Thanks so much Dr. Berry! This message was a God send! Cleared up a lot of myths!

[@rac1170]

Love all your videos! Thank you.

[@irsaagaton2311]

i love that I found this Video. I am doing Keto Diet for 1.5 mos now and fasting for 23 hours daily. I tested my Urine Ketone is (im not sure what mmol) but the color indicates highest level. I got afraid i might get keto acidosis. Im drinking more water now to try to flush ketones out.

[@TheAlinaCretu]

I am a mum of a 13 year old diabetic since she was 2,5 years old 😣. For years i fighted doctors cause they wanted my daughter to eat " the amount of carbs necessary for her age". I didn't knew then about the keto diet but i had the instinct and guts to think on my own that if carbs got my daughter feeling sick and bad than more carbs are not going to do any better. Now she wares a freestyle senzor to monitor her blood sugar every 15 mins...prooves i was right. On the principle smaller intakes of carbs can produce smaller mistakes...my daughter eats the amount of carbs of a 4 year old "portion " as doctors said. Now because she is 13 and hormones play us tricks we have hgb 8.2 but we fight to get it to 7 so help me God. Yet...i am struggling for my daughters health every day...i do my best to learn to keep her safe. No diabetic complicatinons so far .

[@Benjamin-to2zq]

I had ketoacidosis twice. Nearly died once.. The one time was in combo with pneumonia and a pulmonary embolism Both times it was linked to the drug invokana. My 3 month average both times was under 9. I admit it was high. But not ketoacidosis high. I was type 2 diabetic.

[@pam5389]

Ben Lorenowicz thanks for posting this. My Dr wanted me to try this and other meds and I refused. Metformin and glimerperide caused me to have high lactic acidosis, so I am using novolin N insulin but I want off this also. I recently started taking fat soluble B1 doctors best from Amazon and it seems to be helping plus lowering my carbs substantially. I'm going to get full keto soon. Good luck,be well and thank you for reading.

[@mochime5379]

Thank you for this video. I'm a type 2 diabetic that goes into dka every three months (I also have malabsorption issues) I was scared to try keto, but I think I'll give it go. I sometimes think it's genetic because my grandma passed away from dka, but maybe we both just had bad diets. Thank you again for the courage to try. I have a continuous monitor with alarms. Wish me luck!

[@paulhostetler1039]

Yesterday I had an incident I would for you to comment on this. I have been on a carnivore diet for 8 months and my breath meter showed that I was in the red zone I think it represents 9 ppm I had some maple syrup on ice and some string cheese for a snack after my hamburger dinner. I'm not being treated for diabetes but have decided to wear a CGM for a couple of weeks to see what my glucose looks like. After eating that sweet treat my glucose went all the way up to 218 within about 20 minutes, but then I drank a lot of water and in about 45 minutes it dropped back down to 110 which is where my glucose is most of the time. I felt fine during the whole period and didn't have any unusual effects from it.

[@Lemonz1989]

As a T1D who was sent to the hospital with ketoacidosis by ambulance, before being diagnosed, I can attest that an ABG is paaaainful. Was black and blue almost up to my elbow after having multiple done over the next three days there. On a side note, severe ketoacidosis hurts a lot in an of itself. Felt like what I suspect a heart attack feels like, for hours, as well as severe abdominal pain and painful throat from all the stomach acid corroding the mucous membranes from the vomiting. Right before the ambulance arrived, I had started vomiting “coffee grounds” because I was probably bleeding somewhere in my throat.

[@sharonrosiakhurst7855]

I did not know the difference. Thank you.

[@SandoCSGO]

Congrats on 1million subs Ken, love the videos

[@cherylnelson3815]

It’s not just the public that doesn’t understand it. A great many doctors don’t either. My FORMER doctor told me if I didn’t stop eating keto style, I might get ketoacidosis. 😂. That’s when I changed doctors. I am not a diabetic. 😂

[@secretshaman189]

Doctors are not taught nutrition, thanks to Big Pharma.

[@jennymeade8786]

You are one of the few I trust. :)

[@lajoya60]

Smh.. It really annoys me when people bring that up and don't have a clue what they are even saying.

[@peterboros01]

Thanks for clearing this up !!! - a good Jeffrey -

[@COMamaBear]

My son was diagnosed with type 1 diabetes last year at age 4. He was sick off and on for 5 days before diagnosis, and by that point was so weak he didn't even want to walk. After spending 2 days and nights in the peds ICU doing blood sugar checks hourly and hooked up to an insulin IV, it's completely laughable to think that this is in any way similar to eating a ketogenic diet. When I'm fasted and in ketosis, my blood sugar is anywhere between 65-90, while his was over 450!

[@kmtm93]

Love the Jeffery analogy! Thanks for addressing my number one pet peeve regarding keto. One question though: what is “starvation ketosis”? I’ve heard people talk about ketosis as a dangerous complication of eating disorders and I wonder if they’re talking about yet another “Jeffery”...

[@RBzee112]

'starvation' ketosis is probably what happens with 5 (or more) day water fasting.

[@loricoffey1962]

P.S. Thank you Dr. Berry in advance for any response to this question. I want to educate my Dr. too!

[@jajdude]

Sounds like they have about as much in common as salmon and salmonella.

[@user-vr9nl6gm9t]

😂😂😂

[@MrGhering]

I had a serious health issue, that I didn’t know I had. I’m a type 1, and I became very ill with vomiting. When sick my glucose levels always increase. I was pumping insulin constantly for 24 hrs. My brother stopped in to check on me, as my wife called him concerned. He found me semi conscious called 911. My glucose number was 1,492! I should be dead. It caused me to have a heart attack, didn’t even know it. They found a bleeding ulcer and I had a quadruple by-pass surgery. I feel like a million bucks now, but, damn. Must not have been my time. PTL

[@moniquejackson7741]

As Keto goes mainstream and starts to make certain people look for other kinds of work, I'm sure there are people out there invested in circulating this confusion and misunderstanding. We have to keep pushing back and take personal responsibility for being able to explain this clearly and articulately.

[@skewerz]

this happened to me today. My endocrinologist warned me about the carnivore diet (I informed them that I was going to start the carnivore diet) and I had to watch out for ketoacidosis...saying I needed at least 30gram of carbs a day...which kinda defeats the purpose.

[@fitnessbysuzie]

Thank you for this. I actually AM a type one diabetic, but I also follow a fasting lifestyle. I definitely know there's a big difference between ketosis and ketoacidosis, but I don't really know how to sort it all out in my head, lol. So it's not really the ketones themselves, they are just a sign of either of those states.

[@my-yt-inputs2580]

I have a personal experience with this myself with my new doctor. This was told to me back in Dec 2018. I am a type 2. Diagnosed in 2012. Haven't been doing as well as I should. Really got down to things toward the end of last year trying to get my A1C down. Last # was 7.2. Not overweight. 6ft, 170 lbs. Anyway I was doing Keto approx 2 months prior. During my doc visit I told him I was doing Keto and he immediately started warning me about the higher risk not Ketoacidosis. Told me matter of fact he had recently been to a conference where they discussed this. So after my visit I decided to research more on Ketoacidosis and it's cause. The one thing I notice, which may be incorrect, was the risk is higher if you have elevated Ketones and then experience much higher levels of blood glucose. So why I keyed on that was after my blood work at my doctors office I went and had a celebration meal. Almost 2 hours later my blood glucose was still over 200. So that made me wonder if I was actually at risk or at least closer to Ketoacidosis?

[@karolnowak6423]

Technically yes, practically no. Ketoacidosis requires no insulin which causes glucose and ketone levels to rise and not be transported to cells.. As a T2 diabetic, you have an insulin resistance which means your insulin is much less efficient when it comes to effective transport of glucose (hence elevation in glucose level), but your cells still are being supplied with glucose and ketones. You do get ketoacidosis if you do not have insulin for some time, which is not the case

[@kismetandkarma6428]

Not an expert. I'm just tackling this with possibly flawed logic. As soon as you have a high intake of carbs, you kick your body out of ketosis, so it will stop producing ketones. In other words, the body would not continue to have both elevated glucose and insulin in the blood for long.

[@my-yt-inputs2580]

@@kismetandkarma6428 Yes and that is why Ketoacidosis is really only a concern for Type 1 diabetics. Not Type 2s. This is where many doctors and nutritionists simply do not understand how the body really functions and are stuck on the old way of thinking...which was wrong to begin with.

[@jgriffin282]

My husband was diagnosed as a type 2 diabetic. I week after starting on his meds he developed Ketoacidosis and spent 40 hours in ER getting his blood regulated. I know they gave him an insulin drip among other things. I thought it was very strange that. Type 2 would get it.

[@Faith.is.Awake.notwoke]

Hi Doc. I'm a type 2 diabetic and I've experienced Ketosis twice in my life. I monitored it with urine strips, I felt good, had more energy, and dropped 10 lbs in 2 days. What followed was me going into DKA each time and almost dying. I still fear this will happen to me again and I won't survive the next time! 😢

[@muhammadhuzaifa7306]

You will survive. Dont think negative. Just take good diet and exercise regularly.

[@YelizDogan-t8o]

I started keto 2 times and failed in both cases. Every time I am in ketosis, my heart rate goes up. My blood results are top, no Electrolyte defficiencies. Can someone please give an advice, as I so want to start keto again because of my migraine, I suffer a lot.

[@Able60]

I'm a 79 year old male, 5-9 and 155 lbs, I was sent to the ER with AFIB. I was kept in for observation although normal heart readings had returned after recheck a Dr. said, "It looks like you've cured yourself". All my lab work was in the normal range except vitamin D, which was high. I have popped the D since 2020. My keytone level was 5.0 and labeled abnormal. I have done the 8-16 intermittent fast for 7 years, but I have no idea what that means for my health.

[@nicolesullivan1619]

Thank you so much for this video. I was so confused about the ketosis I am going through by changing my nutrition and what diabetics experience. This has really cleared things up.

[@ggallen1321]

The obgyn told me i was diabetic after my delivery. Without specifying if type 1 or 2 I guess the Doctor didn't like me! He never wanted to prescribe insulin during my whole entire pregnancy. Even though i had GD and was doing really bad. All i had left after delivery was a bottle of glyburide. He told me to take 1 fasting or in case my glucose levels were too high. And not to eat anything that rised my glucose levels higher than 120 so i tried but i had to stop taking them because i was passing out too often. I fell into a coma because of DKA. (On my Birthday) My glucose levels fasting were around 140- 166 all that week. So i had to do IF and wait until my sugar levels were okay to eat a little bit. The insulin was not checked at all because the Doctor always told me that i didn't need it! The day of my Birthday I ate a small plate of spaghetti. And my heart started pounding. My glucose levels were too high. Around 200's which is high for me. Because i was told to stay under 120 So I took the pill, as i was told, the glucose levels went down lower than 40's. And I passed out. And woke up hours later.

[@harsh-bm4wx]

very very simple, clear and precise... well done doc

[@Lumens1]

Why do we need to brush our teeth but other mammals do not? Is it due to the carbs in our diet?

[@tazboy1934]

Many mammal have birds or other animal that clean there teeth...

[@KekeeBlack]

Plaque isn’t even necessarily bad on a natural diet. Some cultures that eat their natural diet have residues all over their teeth yet no cavities. It’s probably the lack of vitamins and minerals in our food that make it necessary

[@sardot4960]

Other mammals dont have a dentist who gives them a free toothbrush. 🤪

[@Joao-ur7ey]

We definitely need to floss. Most of us have crooked teeth in some degree so there's always a couple of food left between the teeth. But a high sugar/grain diet is on of the principal causes of misalignment and bad teeth. Eskimos in the past who have ate a almost fully carnivore diet had perfect teeth in comparison to north americans and europeans, per example.

[@OPERA12MI]

Thanks!

[@mosley_actual1924]

I was diagnosed with DT2 and went into DKA 24 hours later and had to be rushed to ER. Not a fun time. Had lost 60lbs inyentionally prior to it and just started feeling chronically tired and thirsty and went down hill from there.

[@danielbutch]

Thanks!

[@serenityfreedom3096]

Thanks, my nursing school discussion was very helped by this...shared it.

[@izbavynasotlukavago]

I have a monitor. So when I fast my ketone number will be 8 and higher. Glucose low 70s. Nothing to worry about then?

[@katiebeals1960]

I’m looking forward to becoming your patient. In anticipation of this I started Keto about 10 days ago so I’ll have a head start!😂

[@SPatrickF1970]

Thank you for this video. I have a cousin who is a "nutritionist" and says this diet isn't safe. I had actually looked up Ketoacidosis because my brother is Type 1 and I have been told I"m Pre-diabetic. I have been working on the keto diet for a few months myself. I didn't know what Ketoacidosis was and in ready on it, it made the Keto diet seem dangerous without even mentioning it. Thanks for clearing this up.

[@Trelt]

As a Jeffrey, this struck a little too close to home! I try my best not to eat people!

[@theShamrockShepherdWagon]

If someone has never had a diabetic diagnosis, or even close to one...and they're testing 9+ ketones while doing carnivore, is that a concern? I feel great, btw and have lost weight. I take good vitamins and supps. (I don't eat any sugar now, except the miniscule amt in cured bacon, etc - never been a sweet craver anyway)

[@miamendez2878]

Just got yelled at by my waitress (apparently a nurse of some sort) while traveling that keto is the worst diet and almost killed her brother due to ketoacidosis. Immediately thought of all the YT videos that I came across during my keto research debunking this!! She didn't want to hear any explanation . So aggravating!

[@imcartermatic]

I started a carnivore diet.. and after a week my ketones are showing a ten on the ketomojo scale. Not sure if this is healthy or not. I have been strict on the diet outside of the single serve Guac cups from Costco every other day

[@LemonThyme1933]

Mine were 50 today. This video didn't help clarify the difference for me. Never been diagnosed as a diabetic. My glucose was 0. I have no clue how to interpret. My eFGR dropped to 80, so I am not certain that this is safe.

[@imcartermatic]

@@LemonThyme1933 i swapped to a healthier version of keto. my levels have since become very normal for a ketosis based diet. I do not believe pure meat is the healthy way to go.. but im no doctor. ill stick to eating some veggies every now and then. lol

[@LemonThyme1933]

@@imcartermatic Thanks! I've seen others now with ketones as high as 80, so I don't think this is a healthy diet.