What Do You Do If You Get Ketoacidosis? - Dr.Berg

[@fidelcatsro6948]

3 Different Types of Ketoacidosis 1. Alcoholic Ketoacidosis 2. Starvation Ketoacidosis 3. Diabetic Ketoacidosis 5 Abnormal Things about Diabetic Ketoacidosis 1. Hyperglycemia (high blood sugar) 2. Acidosis Normally, the blood is between 7.35 -7.45 (slightly alkaline) Mild: 7.25 - 7.30 Moderate: 7.00 - 7.25 Severe: less than 7.00 3. Low Blood Volume 4. Potassium Loss 5. Low Insulin Symptoms of Ketoacidosis • Thirst • Frequent Urination • Exhaustion • Breathing • Confusion • Dry Mouth Thank you Dr Berg!🐱👍🏿

[@mellyb7816]

Thank you for this video. I was a diabetes specialist nurse and I never really had much confidence to help support my type 1 patients who wished to try keto. I now work with a lovely colleague who has type 1 and is interested in keto and she is a big fan of your vids. 😁

[@mathewtedwards]

Melanie Benson do you now have a toolkit for those with Type 1 eating blood few carbs and trying to keep those ketones below 3mmol/l as it is a worrying effect - problem is dosing with insulin while not eating carbs is counterintuitive butvif you don’t then ketones rise it seems. Message me if you want to discuss without prejudice as I’m all ears.

[@ilovenoodles7483]

@@mathewtedwards Are you a diabetes educator or an endo nurse? Because I wanted to do keto and still give insulin for carbless protein but the Endo nurse just gave me a confusing instruction paper on how to do it. It's is confusing, like you said, on the dosing instructions because BG is in range, when it's mealtime and you are hungry, and you eat carblesss food, then how to dose? because since you are type 1 and you don't make any insulin, then the BG is likely to go up anyways. And it gets too confusing to just wait until the BG gets out of range, just so that you give insulin for BG.

[@twn5858]

Check out Dr Bernstein on youtube if you want to gain that confidence.

[@mathewtedwards]

I love noodles I am definitely not a diabetes nurse nor educator. I struggle with the paradigm of not needing carbs for energy (at least 85% of mind and body energy?) And so needing ketones and yet not wanting to many of them! I guess for people without type one diabetes it is easier but for me I kind of see it as similar to not wanting Much glucose in my blood but instead of having insolent to reduce it when I don’t want so many key tones in my blood I have limited tools at my disposal to reduce them - and that is my main concern given the dangers of key terms rising higher. People have said look up Bernstein and look up Jason Fung so I’m off to do that.

[@mellyb7816]

Thanks for replies guys. I have moved away from diabetes now and working in geriatrics 😊 my colleague who has type 1 keeps her background insulin running (she has an insulin pump) so her ketones don't go mad and she becomes symptomatic. She has the freestyle libre too so can keep a close eye on her blood glucose and ketones.

[@HibaHammami]

Dr. Berg your a life saver, thank you for everything all the information you give freely 🤗

[@howtomedicate]

👌

[@larsbaer3508]

Im in my 6th week, and lost already 15kg and lost over 3-inches of belly fat. Needed 2 weeks to get to omad , startet with 3mad. Keep it on !

[@davebeecher6579]

Lars Baer good luck

[@soulrobotics]

I am in third week and everybody ask me if i am a reincarnation of an old cow. I feel several symtoms. Cramps, so i took 1/4 teaspoon of potassium citrate. Now i m fine on that. I have moderate to sever fatty liver, confirmed. High triglicerids and colesterol and normal glucose. I ve lost 8 kg from 3 weeks ago. IF 20h. Question. I have 1 to 1.1 mmol/L of ketons.... Is that ok?

[@alons1000jerk]

I was 220 now I am 165. Thank you!

[@AedanBlackheart]

Stfu no one cares

[@dellamorton9102]

This happened to me while doing keto as a lifestyle but I happened to just come off a two day fast. The doctor said it was mild but implied it was keto because he found ketones in the blood! Lol but I was deficient in electrolytes from my two day fast. Also an infection can raise blood sugars also chronic stress. Two other causes I wanted to add.

[@lorilee7213]

Chronic Stress is what I have . Who doesn't the way the world is now .....lov

[@jackthefunshack8618]

Infection, chronic stress, pain, vomiting, and yes even SLEEP can raise my blood sugars (dawn phenomenon). I see it all happen via my CGM. No food or carbs needed. I suck!

[@Humanwonderer18]

Thank you for this information!! I was hoping YOU would have a video as I’ve just learned that my 8 yr old niece has just been going through some symptoms and to find out she is a type 1 diabetic. This information is great but it’s definitely a children’s department but I really have to tell you Dr. Berg that you are a wonderful teacher! And I love your ways the videos you share for us are life changing!!! I’ve learned so much from you over the years! Thank you so much!!! I need you back in my life again as I have been dealing with health issues myself to find I have heart disease ….from birth too it’s just now catching up on me with symptoms to find I have mitral valve regurgitation due to cleft mitral valve that needs repairing through surgery I’m scared as hell but it’ll save my life and I’ll come back to your ketogenic lifestyle as soon as I get disciplined again! So much to say…. But I’ll leave it here… THANK YOUUUUU 🙏🏼🤗

[@Humanwonderer18]

I lost a good 60 lbs on the ketogenic diet. I was doing well but I failed…and I’ve put it back on again😢

[@Drberg]

Please check out this video if you haven't already seen it! Thanks for your support! kzbin.info/www/bejne/rniak2qNo9-onbM

[@Humanwonderer18]

@@Drberg Thank you so much ! I did find that video and liked it after this one this morning your videos are appreciated thank you so much for what you do! You are awesome 🤩

[@CarlosBenjamin]

When I tried a keto diet I went into ketoacidosis. One of my type 2 diabetes meds pushes me beyond ketosis into ketoacidosis. I’m trying to get my doctor to pull that medication from my routine.

[@izwansabri3663]

Get on Gary Brecka's program. Doctors are taking profits

[@jackthefunshack8618]

Im just going to say it.... Keto is COMPLETELY INCOMPATIBLE with any SGLT-2. Do 1 or the other, but not both. Ask me how I know! I commented about my TWO DKA events (one regular dka, one EuDKA). Just minutes ago was discharged from hospital. If your dr won't take into account your desire to do Keto and work WITH you, you might need a new dr. Any Dr who prescribes SGLT-2 for a patient on Keto need to get into trouble for MAL PRACTICE!! They are hurting you, not helping.

[@CarlosBenjamin]

@ other than DKA I didn’t understand any of the acronyms.

[@jackthefunshack8618]

​@CarlosBenjamin I'm sorry about that... EuDKA is "Euglycemic Diabetic Ketoacidosis. It means that my sugars were normal and not high like a typical DKA. I almost died, the ER/ICU Dr's saved my life. The other term "SGLT-2" is a type of medicine that is WHY I ended up in hospital. I was taking Jardiance, another version is Invocana, Farxiga, maybe more.? If you are on ANY of those and attempting Keto, you are in danger of DKA/EuDKA!! This is the stuff Dr Berg was talking about type 2's and a "certain med" its the SGLT-2's you have to stop while doing keto. When doing keto you hopefully have a Dr that is not opposed to it (like my dr is, she would rather I take the meds & eat the "healthy" carbs like whole wheat bread, oats, brown rice, potatoes, etc. None of which is okay with my continuous glucose monitor (CGM for short). I eat low carb/low glycemic index veggies, as much meat protein and I ENJOY the fats in my diet. Blood sugars are normalizing. IF anyone experiences the "keto flu" you will want to monitor CLOSELY how many ketons show up on those test strips you pee on (or the blood or breath analyzers). Don't allow yourself to reach dangerous ketone levels! Stay in the 5-15 mg/dl range (follow instructions for your ketone tester). If you drift into the 40-80mg/dl area you could potentially avert ketoacidosis by eating a few more grams of carbs. If you feel CRAPPY you gotta pay more attention to that.

[@judylee1860]

My friend is dealing with diabetes and all the issue that come with that. I'm sharing this with her and suggested she shares it with her dietician, too, to see what they think. I hope she can be helped.

[@marinakessler]

I just had ketoacidosis. I am NOT DIABETIC, and I was doing healthy keto so not really starving, was eating once a day full of veggies, meat, cheese, nuts, your electrolyte powder. It happened when I arrived in Utah, 7500 ft High. Could it be triggered by altitude? I had fever and vomit as well. Ended up for 2 days in hospital! Need to understand why!

[@Am-mm6iz]

Are you still doing Keto?

[@fahimhamgham2793]

Can you please tell us what to do when this happens? What did the doctors advice to do in this case? I mean when you get ketoacidosis and you’re not diabetic. Thank you for your answer.

[@Raj-ul9my]

Yes….the problem is your body needs sugar and if your doing this diet you must buy a device to check your levels because if you deny your body with very low levels of insulin then you eventually get high levels of ketones which is bad. Cut down on the sugars and stuff but you need to have a proper diet in a sense that you need a little cus if you don’t then your body will start having withdrawal effects

[@jackthefunshack8618]

I also am in Utah, and waiting to be released from SLC hospital from my 2nd DKA event. I am also curious about that elevation question! I'm watching this video and more re DKA. Oh!! Just thought up a question for you, are you on any weight loss drugs?? Many of those are the same as the meds they give type II diabetic. They give them different names because 1 is for weight loss, the other for type 2's, even though basically they are the same thing. If you ARE on any meds, check to see if it's any version of SGLT-2 - because if it is you have a choice to make You can take a SGLT-2 OR do Keto, but NOT both! I posted a comment about my hospital visits, and that is how I learned to drop SGLT-2.

[@rosemarielugg549]

Dear Dr Berg, I understand that it is critical to keep blood ph in a certain range and that if ph gets too low calcium will be pulled from the bones. If that is correct, is it dangerous to take k2 as it will send the calcium back to the bones and then the blood will be too acidic and give cancer more of a chance to grow? Kindly please explain how all this really works. Thank you so much for all you do to help us. Rosemarie

[@migueljordan100]

Yes please respond to this question Dr. Berg. I too want to know

[@howartthou]

I think its important to blood test both your ketones and blood sugar at least daily especially when prolonged fasting. In my case I can reach in excess of 5.0 mmol/l ketones while my blood sugar is around 4 mmol/l. Hope this does not confuse anyone because I am using the old units, the new units are mg/dl. A rule of thumb is to multiply by 18 so for a glucose reading of 4 mmol that is about 72 mg/dl, which is low blood glucose. So low blood glucose and high ketones are good, you are burning fat as fuel. But high blood glucose and high ketones at the same time are bad and it means you have ketoacidosis.

[@kimlaw2425]

I have been diabetic for 30 years and sugar takes my sugar down. There is a weird connection with sugar it needs studied, the difference, in sugar and other carbs. I thought sugar was a carb. However it does not do the same thing and my hubby has been watching this for years also and he has watched this and can tell you what happens also. The only time my sugar is really down, is when I eat sugar or use my insulins!!

[@lenavoyles526]

Dr. Paul Mason mentions that one of the drugs commonly used for Type 2 diabetes needs to be discontinued before beginning keto to avoid the risk of ketoacidosis.

[@jackthefunshack8618]

And even 1 minute into this video Berg mentions a med that more regularly causes DKA for type II's (and we are NOT SUPPOSED to get DKA), but he didn't say what it was (probably because big pharma could try to punish him legally). Well I don't care if they come after me, so I'm just going to say it.. I went into EuDKA because of an SGLT-2 med (mine was called Jardiance, but Invocana and probably others are the same.) Either do Keto, OR do SGLT-2, but NEVER BOTH. Your Dr is USUALLY going to be against Keto, and in favor of you on very very expensive meds.

[@somai_1]

I was looking for this info. Glad I found the video.

[@clevitationcr1982]

Please review little millet, foxtail millet, kodo millet, browntop millet, barnyard millet. They are gaining great coverage for being great foods.

[@Rodzilagunz]

Would enjoy if you discussed Ketoacidosis in a type 2 Diabetic (on keto/carnivore diet) caused by dapafliglozin, i just recently experienced it and it was terrifying

[@Drberg]

Hello. We will add this to our video suggestion list. For now, please see here what we know about ketoacidosis: www.youtube.com/@DrEricBergDC/search?query=Ketoacidosis -Dr. Berg's Support Team

[@benpar8120]

Dr Berg. As you know we can't avoid sugar in our foods completely, and I understand that the liver produces glucose when it breaks down food. What's an "acceptable amount of sugar " Eg 1 carrot and 1 beetroot a day? As they have other benefits such as fibre, Vitamin A and Pottassium ... Thanks Thanks

[@Carvegirl]

Keto Ratio: Carbs 5%, Proteins 20%, Fat 75%. About 10-15g net carbs per day!

[@jackthefunshack8618]

Dr Berg... more studies need to be done! Ive been reading comments, and Im seeing that nondiabetic & type II's ARE getting hospitalized with DKA. WE want to know why? We did NOT enjoy our hospital stay and want to avoid that in the future.

[@emilyp7644]

I love that avocado key holder or picture on the wall. 😀

[@nanazorrinamartinez6486]

Emily P put your glasses on honey, it’s a fork💕💕😎

[@emilyp7644]

NanaZorrina Martinez omg lol yep 😂😂 I do need glasses

[@GloryCarrier22]

Could you clarify? I’m a type 2 diabetic and I had been, as far as I was aware, reversing my diabetes by a ketogenic lifestyle; I went to celebrate my nieces 18th birthday and drank a little more alcohol than I normally would (I hardly drink); I woke the next morning and it took me FIVE attempts to stand up, falling back down four times and I seemed to have crazy balance problems, like vertigo; I didn’t realise it was ketoacidosis for a few days and when I went to my GP surgery the doctor examined me, and then called an ambulance; I was taken to hospital and they infused me with insulin and gave potassium after through a drip; I recovered after 2 or 3 days and went home on the 4th day, but the doctor at the hospital said I’d have to be permanently on insulin as my pancreas wasn’t producing ANY. Does this make me a type 1 now? I take 26 units of insulin twice a day but haven’t been advised as to whether I should take it before meals and I’m gutted that after all my hard work with ketogenic diet and fasting I’m back taking insulin; Can you advise me at all?

[@EXTRALONELY]

Any updates?

[@DarkMoonDroid]

Yeah, this is _not_ what I'm experiencing. I'm experiencing: *extreme drowsiness* *weakness or lethargy* *brain fog* I think what is happening to me is a *_hypo_** glycemic* reaction. But I don't know why. I'm currently taking: *Potassium* - 99mg, twice a day *Magnesium* - 500mg, twice a day More *Salt* and (since 3 days ago) *Chromium picolinate* - 500mcg, twice a day I have a long-term chronic stress disorder so my stress response has been jerking my body around for over 55 years. I also have Cancer and must go thru the chemo/radiation thing asap. I originally started this diet to frustrate the Cancer, but I don't think I'm in the correct metabolic state for that to happen. My body is rekt.

[@stefanpanov1]

you need like 3500-4700mg of potassium you maybe taking excessive amounts of magnesium, sometimes when i take 500mg of magnesium the next day i feel drowsiness weakness and a mild headache to mention i workout so i need even more electrolytes than you and still when i overdo it i feel some ill wanted side effects, your most important electrolyte is sodium if you keep that in check you don't have to worry about the rest as much but you should still watch out with excessive supplementation and focus more on real foods as your sources of electrolytes sodium is good you should have an intake of 4000mg and upwards

[@milad711]

Hi Dr. Berg, I have recently started this diet. I am also checking my Ketone levels. They consistently are larger than normal. I do not feel dizzy or other symptoms that you mentioned. I mostly eat MCT oil, meat , fish, egg, yogurt, cheese, olive oil, nuts, cucumbers , avocado and lettuce . I just mentioned these to tell you that i do not take any significant amount of Carb. Should i be worried about Keto acidosis. I also take multi minerals to compensate for the possible loss of potassium. I was wondering if this is not a good state to be and i need to increase my Carb intake. Should i test the ph of my blood. I would be glad to know more about this.

[@twn5858]

You don't have to have hyperglycemia in order to go into ketoacidosis. I fasted for 2 days and figured hey I'm not eating anything I don't need to take insulin (both the long acting and the short acting) and I ended up going into ketoacidosis, but my blood sugar was still in normal range. Pretty damn scary actually. I didn't know what the hell was going on.

[@jackiegough]

Me too. I had it Easter weekend for the second time. I caught it early this time so I was only on a drip. Last time I was in intensive care for four days on dialysis and a normal ward four days. So many people don’t believe this happens

[@jawfitness]

@@jackiegough what do you recommend then? I’m not diagnosed with any type diabetes but have been experiencing many of the symptoms for months. Then when I got covid I still did my fast which looking back I should have laid off a bit , and woke up one night body tingling and numb all over and dizzy. I ate a mean bag of salad and started feeling better. But I still had numbness and frequent urination the following days. Not sure if it was covid related or diabetes but blood sugars were ok. I think I’m going to continue keto but will lay off the advanced fasting, especially during an illness before I Jack something up with my body smh

[@jackiegough]

@@jawfitness it’s a rare thing to happen. You’ll probably be fine on keto. Just being aware is the best thing. Ketoacidosis is different to ketosis. My main symptom of ketoacidosis was a stomach ache. I also had fast breathing and felt strange. A couple of weeks ago I was unwell and unintentionally fasted...I ended up in nutritional ketosis and lost 7lb in 5 days. I’d say watch as many of Dr Berg’s videos as you can to understand the difference between ketosis and ketoacidosis, also to learn about how ketosis works.

[@gl8715]

i’m going through this now - from fasting for 2 days and losing a ton of electrolytes. i’m so scared. The doctors sent me home and said i don’t have it - bc i’m not diabetic. But my ketones are crazy high - even tho my glucose is in normal range. i’m so scared

[@AedanBlackheart]

​@G L get a second opinion from another doctor. GO TO A NEW DR.

[@fadisalem5961]

You're a good man dr berg

[@andytaylor1588]

Thanks Dr. Berg! This has completely allayed my concerns over Ketoacidosis. I'm type 2, on insulin, NEVER listen to ignorant people, even if they are medical professionals and ALWAYS research any meds before filling the prescription. I also ALWAYS research what even ignorant people tell me, if it sounds semi-reasonable.

[@erikalabounty3263]

Thank you for trying to explain this complex topic. I have been doing vegan keto with IF and began having extremely sharp nausea that felt very painful, so I have backed off some, adding slightly more carbs. I am not super thin but not overweight. I am researching if strict keto with IF can cause ketoacidosis. My hunch right now is that it can. Could you touch on this mystery? Thank you!

[@sadafvahedna433]

This happened to me too

[@estherbarnett-krause3494]

I do keto as a t-1 diabetic and can happily say I don't need ridiculously high doses of insulin 😀

[@hunterdean4766]

Im a type 1 diabetic also and was wondering how to do keto without eating much carbs. It seems like if i just eat low carb foods its hard to keep my blood sugar from getting too low. Is it possible to do IF as a type 1 diabetic?

[@martykirby7311]

@@hunterdean4766 Work with your Doctor and lower your insulin

[@fidelcatsro6948]

@@hunterdean4766 yes its got to be a gradual thing...take vegetable carbs and bread and experiment yourself

[@estherbarnett-krause3494]

I'm doing keto under my doctors and my endocrinologists supervision and finding I only need two injections a day a little of a long acting and a little short acting but eating high fat really helps and in the beginning days having glucose tabs (celiac friendy of cause as Im Celiac) is of help for the lows but once you are fat adapted you shouldn't need them as much.

[@mathewtedwards]

Hi Esther Barnett-Krause , do you ever have problems with high ketones mine have been above 3 a few times in two months so I’m looking to nurses for advice but anecdotes from someone else’s experience would be helpful although I won’t take it as medical advice.

[@josiet199]

I’m not diabetic but I’ve been doing keto for a week and after using a keto strip it told me I have 8.0 mmol ketones. I’m happy to see I’m in ketosis but now I’m worried it’s too much 😅

[@tetra3000]

Superb advice Keto is the essential diet for all diabetics

[@bmacy1028]

Most "experts" i have listened to, state that checking the blood ketone levels. anything between 1.5-3 is excellent, anything between 3-5 is starvation.. which is it? i am constantly at 1.6-2.9 never above 2.9, and i am eating a healthy keto with two meals a day. never feel hungry. am i doing something wrong?

[@aresrin]

No, from what I understand, ketones only become dangerous if they get into the 10+ millimolar range, which is practically impossible unless you're diabetic or are fasting for a ridiculously long time. So as long as you have a functional pancreas and aren't literally starving, having too many ketones isn't something you need to worry about.

[@bmacy1028]

Thank you both for your replies, I wish the doc would also reply.

[@1GoldenBreeze]

If you're talking about the "experts" I'm thinking of, I'd go with what those doc's say. I recently did a 16-day water fast and my number maxed at 5.0 on day six and stayed there for the rest of the fast. I'm normally in a range of 0.8 - 1.9 when not doing an extended fast.

[@rogerschwarzinger7491]

What about if you were not a type 1 diabetic, could you still get Ketoacidosis if you eat a Ketogenic Diet, but don't include the vegetables to help stabilize the pH?

[@Youngs_beautiful_life]

Thanks. Dr Berg ! I have been on cycling in and out of keto diet for more than years . Last week, I got blood test and said that my fasting insulin was 1.8.( fasting 22 hours ) Is it from ketone body because of long fasting ? Or should I concern about ketoaidosis ? I am not diabetic but my parents are both type 2 diabetic. I definitely used to be pre diabetic before i start to keto . I am doing OMAD now . I have 16-18 % of body fat . I am 43 years old woman .

[@_9563_]

Dr. Berg I think you reversed the blood and urine readings maybe? Above 3 is not ketoacidosis ... More like above 10 as mentioned by your other videos as well

[@geetee50]

nice point im thinking the same thing, I thought 6mmol/L and above was the start of KA when reading a blood sample, I didn't realise urine was different.

[@lf8238]

Thank you, that briefly confused me as well. I wish Dr. Berg would view and properly edit his videos before he posts them. These inaccuracies happen alot!

[@goran1986m]

So we schouldn't try keto before testing for diabetes and insulin resistance ???

[@hazarawad4089]

Would you please give a presentation on keto during pregnancy....please

[@RipVanAllan1983]

Check out Keto Connect, Megha on there is pregnant and her and her husband have been doing keto over 2 years

[@rainyday7517]

Interesting thing I learned with gestational diabetes is that babies are in ketosis at birth. I followed moderate low carb and controlled my GD. Check you blood sugar after you eat and you'll see what spikes it.

[@allynmarin]

Hi Dr. Berg! I trust your knowledge of ketosis, and I was curious to know what you think about the Ketone-IQ product. I'm training for my first marathon, and I want to have as much energy as possible. I've heard that a lot of athletes love the endurance and focus they receive from this product.

[@Ginger2Rocker]

can u do more type one vids? cuz most of your vids r focused on type 2

[@rinamartinez6598]

So im a type 2 and I'm always testing my urine and I frequently land in the "moderate" range which falls in to the starving section...I feel fine, I am overweight and I only eat twice a day (intermittent fasting), lots of greens and fiber and about 11-13 grams of carbs per meal keto-ish. I have severe anxiety and my cortisol is always on but whenever I see those test strips get dark I stress more and my blood sugar spikes... thank you for letting me know its ok. I keep hydrated and usually by the next test it's back down to "light".

[@anusant]

Want help - have been doing IF and Keto. I wake up in the morning and after a few hours in my fasting period, feel very sleepy and really need to nap. Is this normal? What should I do? How do I feel energised and active?

[@MsCaterific]

Search Dr. Mindy Pelz on youtube, she explains the 5 or 7 different ways to IF on Keto. She also talks about women hormones and Keto and their needs. She's fantastic.

[@MsCaterific]

Oh and she actually replies to comments. All the best with health.

[@MizzPeech]

Anuradha Sant ... Dr Berg has just recently done a video on this subject.

[@anusant]

@@MizzPeech can u send me a link

[@MizzPeech]

Anuradha Sant ... I couldn’t copy the link, but Google “Dr Berg tired on Keto” and there’s about 5 videos. Maybe I’ve been watching them recently as they’re a few months and older.

[@ThatBrownBat777]

Are there exceptions after extreme workouts? I'll walk 8+ miles & the test result will be from 8-16. Wake up the next morning & the result will be back down to 0.5

[@danmannz]

Do alcoholic ketoacidosis

[@kingcounty6332]

Ye everytime i have beers pretty much pissin drinking all night i suggest long acting insulin around the time you start drinking

[@MrGURRITO]

What about pre-diabetic ? I do stress a lot 😅 and I am following keto to avoid diabetes.. I am experiencing some acidosis , is baking soda ok ?

[@portuguiprincess]

My brother had DKA twice as a Type II diabetic. Scary!!!

[@nszczesny6123]

What happened may I ask as I worry I have it

[@dbtest117]

Thank you for addressing this. Feels like you are addressing this due to my comments, thank you again. I have some further questions though. I met my doctor last Thursday and he mentioned euglycemic ketoacidosis. I’ve tried to get more info but it’s above my understanding as the language is for professionals and I’m not either native English speaker. Any chance we could get this explained in normal English. I have asked before if it is posible to get Ketoacidosis on low and normal blood sugar levels. As I’m pretty sure this is what I experienced on my inital carnivore diet that later lead me to keto and to this channel. Now I have a name for it but I don’t understand it and it was quite severe occasion, so I want to avoid having it again. I treat with my type 1 with insulin (pump) have some blood pressure medicines and adhd medication. No other treatment for my diabetes. Thank you.

[@taineesteps]

Do you know when doctors measure ketones with bloodS? Does your ketones go up, while in Ketosis? Doctors say having high ketones is really bad for you right? What if I do keto and my ketones go high and they will try put me on higher insulin / put me into hospital thinking I'm in danger, but I'm just in Ketosis.

[@eve7389]

Can you correct that because I am a 240 lb woman who recently did a 5 day water fast and I did my refeed properly and by day 3 back in to eating I was felling really out of wack .. muscle spasms, extreme fatigue., heart palpitations and I still had not introduced sugar back into my body I was eating keto friendly.. lost 15 lbs ( which was great) but I just didn’t feel well and I came to the ER they diagnosed me with keto acidosis! I asked if it was the diabetic one he said no my sugar levels were normal and that it was starvation keto acidosis. All other levels were normal but my phosphate was slightly low. Can you do a video on how this can happen. Because I have plenty of body fat to spare.. lol

[@alyssamc8485]

I’m interested in this too! I have about 80 pounds to lose and am terrified of keto acidosis. I’d love to actually do keto, but for now doing more of a “whole food & focus on protein” diet

[@fersolar4256]

Thanks a lot, I'm T1 and this was a great explanation

[@trakba]

* Sorry I missed. I didnt quite catch the part of what to do when you are doing healthy keto and get into ketoacidosis. Please. *

[@mathewtedwards]

trakba he has really good information but in this case he suggests giving yourself just enough insulin and health ketogenic lifestyle but what if you find ketones are over 3mmol/l? I’d like us all to tune into his FB live with Jaren at 11am EST (4pm GMT?) and pre-empt the session with a flood of questions not to make him uneasy but because he has such a clear response to such questions. I think the question should be, “Dr Betg, what can someone living with Type 1 Diabetes Mellitus do to first keep blood ketones below 3mol/l and second take emergency action to reduce them if they are above 3mmol/l?” Hope you’re in agreement and prepare for the next live this Friday.

[@trakba]

@@mathewtedwards yes. I will make sure to ask him that question.

[@kbalzbar9464]

Will THC food ruin my liver?

[@bryanc.5463]

I was in the hospital for three days because of diabetic ketoacidosis. I was then told I was a Type 2 diabetic

[@nszczesny6123]

How did this happen? Is it something you discovered while on keto diet or before? My sweat smells like chocolate so worries me I am undiagnosed diabetic?

[@Caine99223]

@@nszczesny6123 mmmm chocolate

[@clevitationcr1982]

Is it fine even if the cows are A1 but pasture-raised? Wouldn't it release BCM-7 in the body? What do you think is the impact of A1 cows meat, milk, butter, cottage-cheese in causing inflammation because it is A1 not A2.

[@maxibake9323]

Thank you muchly for sharing this information. Have a great week, & take care. ❤🙂🐶

[@clevitationcr1982]

Dr. Berg, does A1 butter trigger inflammatory responses? The A1 cows in India have only 25% A1 in them and remaining is A2. Same question for curd.

[@fidelcatsro6948]

i doubt so unless you took butter with sugar rice wheat pasta cereal crackers waffles cookies biscuits bread etc...

[@Handsoflight7766]

I just had it because I took Jardiance (pee medication) for diabetes. I had just started ketogenic diet again. I didn’t take any electrolytes so I asked for it. I vomited for 2 days and pain like you would not believe. I ended up in ICU for 4 days. By bg was at 21 only but my body had dzero insulin or potassium, phosphorus and bicarbonate. Been type 2 for 20 years. Can’t get testing for ketones here. Unfortunately

[@SP-ql9xz]

Kids alopecia areata video plzz...

[@wendyschreier7513]

This is totally confusing. 3.0 is Ketoacidosis? I am non-diabetic, my keto range is (blood) usually around 2.5-3.0. Keto mojo monitor says up to 5.0 can be fasting. Why the discrepancy?

[@spiritrider3348]

Do you have bags of energy? My highest recording was 1.2mmols but I have only been on keto 10wks!

[@wendyschreier7513]

Fairly good energy. It has been up and down since I started. I’m never hungry, that’s for sure. I’m not sure why I am so high, I’m following a pretty standard keto diet. I’m week 7, they have always been high, maybe my body is sensitive.

[@Paulgallenstein]

Wendy Schreier I have had Ketone levels of 4 to 5 after two or three day fast and I felt great. Like you I’m also confused by this Dr. Berger video. Maybe we should check our blood pH just to make sure. Any other thoughts you have I’d appreciate Thx

[@lf8238]

Dr. Berg misspoke here. I sure wished he properly edited his videos before he posts them. He's confusing people. This happens in many of his videos, unfortunately!

[@rblue977]

@@lf8238 hello he did not misspeak he clearly said BLOOD ketone not urine for the 3. If you all were actually paying attention you all would of understood that. 🤪

[@bruceb7222]

As a T1D, my body does not make any insulin. It’s the basal rate on my pump.

[@randys6220]

I never heard of a blood ketone level greater than 3 being claimed as a DKA range. You have another video posted where a blood level of "10" or above is listed for DKA. I just read my blood ketones and I am at 5.3. I've been over 4 for over 2 weeks in deep ketosis. I was at my highest level ever a few days ago at a even 6.0. I'm definitely not in DKA or I would no longer be living by now. If I am misinterpreting this information, presented please clarify.

[@jasonhurst8599]

Dr. Berg what are you supposed to do IF you are a T2 Diabetic and take insulin, but want/Need to burn fat; and insulin prevents fat from being burned?

[@clevitationcr1982]

When can LDL get oxidized in a low-carb(not Keto diet)? What are the quantity limitations of medium-GI carbs, fat in a meal to not cause inflammation and spike insulin? Like a sweet-potato cake(with sweetener as honey and rest all Keto ingredients) or millets with chicken/mutton meal.

[@af7h]

What should i eat if we have keto acidoses wherever what should we eat?

[@zmileyy]

I lost my mom recently due to alcoholic ketoacidosis 💔

[@orhanaydin793]

Does a type 1 diabetic make ketones on a daily basis because they have moments where they have low to no insulin? Does this mean that they don’t need a Keto-adaptation phase?

[@mannylozano8146]

Supposedly some people whom are NOT diabetic caused this. Which I think there is an underlying issue they are not aware about.

[@merymoor]

I've never experinced diabetic nor taken any meds for diabetes personally but as it is always a good way to clarify by experience I wonder what would it be like for people that are taking blood sugar meds like metformin if they want to take advanage of ketosis but continue with the medication along side, to avoid ketoacidosis? what should they do? Does a very slow approach to keto and introducing themselves into ketosis and gradually coming off the medication would be the way?

[@toddmachinery]

Dr. Berg, Great videos is there anyone who discusses in book Etc how to lose weight if you are a type 1 diabetic can you balance your ketones by keeping your blood sugar slightly elevated xcetera?

[@shekhar_sahu]

What will be TRACE amount of ketone in the urine?

[@SuperFriday]

Update: My comment was probably deleted, but, I woke up this morning with elevated urine ketones, trace between 15-30. I had a cup of oatmeal, and 2 hours later, I was negative ketones. I'm not sure if my body used them as energy since it had carbs, or if they were flushed.

[@AedanBlackheart]

Oatmeal has carbs bruh.. OAT Also you lose some in your urine.

[@marknieuwejaar1075]

Must not care if he's not replying to our emails...my wife's refusing insulin & a doctor & even the ER & her ketoacidosis is crazy out of control....

[@msms4659]

Could you please contrast this to HHNS?

[@peacicious8333]

Dr Berg, can we follow keto diet whenever our body gains weight? My doubt is that would there be any problem if we do it multiple times with some intervals? Can we use as a fat burning solution for many times whenever there is over weight?

[@clevitationcr1982]

Is it true that carcinogenic chemicals could also be formed on frying meat? Is frying meat at 180ºC in airfryer for 20 min until it turns dark brown/black fine? What about frying carbs like sweet potatoes/pumpkin?

[@lf7065]

Yes

[@howtomedicate]

I would recommend to call your GP, or go to a hospital!

[@mathewtedwards]

Thank you; genuinely I appreciate your concern. My GP has little understanding but I am reporting it to the Diabetes Nurse Soecialists and am nit too concerned because once I eat and inject the ketone levels come down again but .... there is a side effect in the likelihood of reducing my time in ketosis.

[@ilovenoodles7483]

@@mathewtedwards Definitely talk to the actual endocrinologist and diabetes educator.

[@IronMan-sc3xb]

Could we use 200 to 300 grams of coconut oil daily in keto diet??? Mean only saturated fat??? Cause olive oil is costly in india.. plz 🙏 🙏 🙏 🙏🙏 🙏

[@xenonim]

Muslim people will do fasting in holy month of Ramadhan starting on May. Any tips for Muslim people to used oppurnity to lose weight? Most muslim will start fasting on May 6 for 1 month from dawn and break fast at dusk everyday roughly 12 hour fasting.

[@soulrobotics]

xenonim2013 , you seem reasonable person and perhaps you can help me. I am a religion hater... And i can't helped. But not only with islam, but with all of them. And now there are new religions like diet religions. They keep people ignorant. The difference with mr. Berg, is that he seems to be humble and pass his researches,... I dream with a world in which everybody is slim, no religion and no countries... Now i am forced to be a fat christian and make war to your culture.. What a fucked life to live.

[@maddog3467]

Barely even a fast

[@recalcitrantjingo4869]

G`day Dr Berg I gotta get me a blue shirt like that I think I would look good in in a blue shirt like that not as good as you Dr Berg but still good !

[@jamesmoellenhoff4922]

I have done several extended water fasts and always measure blood glucose, blood ketones, and blood pressure. During my last fast, my blood ketones measured 5.5 one day and blood sugar was 80. I felt fine the entire time, but should I be concerned with a ketone level >5? My other days were from 2.5 to 4.3.

[@hoochtube]

Dr Berg, where can I get a marker board like this?

[@mundodelives456]

Nice

[@Drberg]

Glad you liked what I shared here. Thanks for watching!

[@Acadian.FrenchFry]

Dr. Berg, is there a way to monitor my insulin at home? I already check my blood sugar daily with my strips, but wonder is there a way to test my insulin myself. I'm type 2. PS I do not take any medications. I control it with diet and I am now actually pre-diabetic.

[@lf7065]

We're all waiting for this test to be available in home. Not on the market, yet. 😕

[@Acadian.FrenchFry]

@@lf7065 Thank you. Is there one in the makes at least? I'm guessing Big Pharma doesn't want people with diabetes to actually cure themselves.

[@lf7065]

@@Acadian.FrenchFry I don't know, but that would be great!

[@smurfmama2020]

My dog has DKA and no one will treat her here in NYC as they say it’s 8-9000 dollars for a 3 day hospital stay with insulin and a saline drip. Does anyone know what I can do? I didn’t even know she had diabetes, it just happened suddenly. Edit.. she died two weeks after diagnosis. I wish I knew what happened to make her pancreas not work properly.

[@Rambutan.]

Can anybody tell me what to do if you're developing ketoacidosis? I've only read that you should stop drinking the extra water that you want to with the excessive thirst, I'm so thirsty and I don't know what to do about it.

[@mysterygirl30011]

I know it's 3 years later but if still useful, I think the issue with too much water is loosing electrolytes/ minerals (one is going to be low on sodium from not eating carbs and loosinf potassium also). So an electrolyte drink for example a 3/4 tea spoon of sea salt or hymalian salt in a 30 ounces cup of water. Dairy like milk is apparently good also. To prevent it : Leafy green vegetables are a rich source of electrolytes. Many foods and drinks contain electrolytes, including: Leafy green vegetables: Spinach, kale, and collard greens are good sources of calcium and magnesium. Other vegetables: Avocado, sweet potato, and squash are rich in potassium.

[@vjn4510]

Hi. Dr. Berg. Appreciate the videos, which are having crystal clear explanations. I m a begginer to keto. My question; I hv digital meter that measures PH value of any liquid. Is the Urine PH same as Blood PH? Thank you. Appreciate a Reply.

[@pamshearer7407]

Good Morning , Dr. Berg - Thank you for sharing this very interesting information with everyone , Have wonderful day ! ♥ 🙏 Date 4/23/2019🙏

[@annettefowler4704]

THANK YOU DR BERG

[@Drberg]

You are very welcome!

[@michaelputnam3216]

Thanks man

[@mathewtedwards]

I do have Type 1 Diabetes Mellitus I have twice now had blood ketones above 4 mmol/l and am concerned even though my glucose was down at below 5mmol/l (90mg/dl) One time blood glucose was very low and ketones were 4.4 after fasting fir 24 hours! Any references or guidance notes would be appreciated.

[@AbdurrahmanHaidary87]

same happening to me, and there is a lack of detailed information about keto with type 1. I always have too many Qs and so little data out there and no answers. I often feel so much high when it's actually low or very low, then I have to eat some sugar and that's makes the high feeling worse

[@mathewtedwards]

Abdurrahman Haidary I’m going to search fir Type 1 on Keto forum... keep in touch and if there isn’t one perhaps we should start one?

[@Acadian.FrenchFry]

@@AbdurrahmanHaidary87 Have you guys researched Dr. Jason Fung? He is the one who is the specialist regarding fasting and diabetics. He has also been in a video with Dr. Berg. But he has seminars and lectures here on KZbin just do a search.

[@AbdurrahmanHaidary87]

@@Acadian.FrenchFry thank you very much!. I will search for him

[@mathewtedwards]

UzeHerName yes I’ve seen a couple but didn’t check him out regarding Type 1 so will do soon Thanks for the reminder.

[@RumiKhan]

I take metformin for pcos and I've been on Keto since July and have managed to lose 6kg. I've added IF and the longest I can fast is 27 hrs, I want to go upto a 36 hr fast, is this safe to do on metformin? Also what can I have during IF, eg. bulletproof Coffee? TIA

[@susanhorton9492]

what medication does it make type 2 have ketoacidosis?

[@John95760246]

I believe metformin.

[@johannaj2009]

Blood 6,5mmol / Breath Level 10... should I be worried?

[@soulrobotics]

How to test blood ph?

[@lf8238]

Lab test.

[@RealRetroGurl]

Could going Keto help with Psoriasis?

[@MizzPeech]

TheYankeei3 ... Psoriasis is an auto immune disease, so it would help. Google “Dr Berg auto immune” I’m sure he has a few videos on it.

[@Acadian.FrenchFry]

I think it could since keto helps with inflammation/auto immune disorders. But I am only guessing.

[@maxibake9323]

TheYankeei3, My Psoriasis has completely gone, been Keto & IF for 8 months, so I'm not sure which one off those 2 things healed it. Take care. ❤🙂🐶

[@fidelcatsro6948]

@@maxibake9323 what do you eat for keto? share some tips with us please

[@maxibake9323]

@@fidelcatsro6948 I'll try & make this a small answer Fidel. I ate homemade soups for lunch in the Winter, but am now eating big salads with a good protein & fat source in it for lunch, at around 2pm, then another side salad at dinner, with more protein again, & a mixture off cruciferous vegetables, my main dinners quite big, but if I'm not too stuffed I will eat a fat source, in the form off an Avocado pud, or something homemade that's been baked, or full fat yogurt & berries or Keto icecream. If I've not had enough fat all day, then I have a fat bomb. All off this is changeable though & not set in stone. My hubby does Omad & Keto, so sometimes I don't have any lunch at all. I bake alot, so make keto breads, rolls, crackers & pizzas. Hope that made sense. There are so many KZbinrs with recipes, it's been fun learning new recipes. Maybe you could check out some nice Fish ones Fidel, as I know you are partial to fish. Lol. Take care. ❤🙂🐶

[@purplerain2205]

Legend Dr !! 👍

[@idontwantachannelimjustcom7745]

What about when your blood goes alkaline? What's that called?

[@lf7065]

Alkalosis

[@marciadiebold8328]

what is a safe level of blood Ketones for a diabetic type II while doing keto/ intermittent fasting? my level is 2.7 after 2 weeks of this diet.

[@Drberg]

Here's a video that may help! kzbin.info/www/bejne/mHi4pKSXrb2Cm8U Dr. Berg's Support Team.

[@Caine99223]

Why not talk about alcoholic ketoacidosis? Many people struggle with this including me currently. I've been drinking tons and tons of water all week but it isn't getting any better so what else do I do? If you're wondering, this happened because I drank extremely heavily for probably a month. I was in the icu last week for something unrelated and they told me that my lactic acid level was 8.4. But of course, they didn't give me any medication to help with that.

[@Jc34759]

How are you now? I was drinking somewhat frequent for the last 3-4 weeks and I had low carbon dioxide results today. I had went in to get blood work for something completely different and was dumbfounded when this came up on my results.

[@AbdurrahmanHaidary87]

I'm a type 1 diabetic. what if I accidentally took a double shot of insulin, or miss calculate it? I have then to take sugar. is this condition can be harmful to the body that's already in ketosis and maybe have a little more ketones than a regular keto range? or can this situation kick me out of ketosis? please answer! or talk about in more details in a separate video thank you very much

[@kingcounty6332]

You will drop low i suggest having some milk about a cup and wait a lil

[@ilovenoodles7483]

If you miscalculating carbs or take too much insulin, - I guess it's one of those, if's/and's/but's situations that T1's always deal with, lol. If taking too much insulin on accident and then having to take sugar to make up for the insulin to prevent a low, if that only happens occasionally, then it probably shouldn't kick you out of ketosis right away, because the sugar that you made up for is going to match the insulin anyway. That is just my take on it. Definitely follow up with an endo and possibly check out Dr. Berstein as well. Edit: and then if you do get ketones, because of that particular situation, then just follow the T1D sick day protocol to avoid DKA. Not every ketosis leads to DKA though. A T1D in ketosis is like playing Russian roulette as in, for the T1, how much ketones can you get yourself into before it turns in *dangerous* ketones? It's an unknown life threatning gamble, just like Russian Roulette.

[@dbtest117]

Insulin reduce production of ketones. So does alkohol.

[@mf2652]

Correct your blood sugar then get back on your diet. It doesn't matter how trim you look if your in a coma

[@mysterical-]

Been on it for months, what if in the urine it's 4 mmol/l?

[@sattaralbagshi]

What to do if you have ketoacidosis ? call emergency . For Type 1 DM : Please check your Blood suger in regular basis . And for healthy viewer , this video is useless . Appreciate the efforts to make this video .

[@ilovenoodles7483]

If you are T1D, and have DKA, only a hospital can treat you. There is no at home treatment for that, however, you can treat large ketones at home before ketones build up too much acid and it gets to the dka point. To treat large ketones that haven't turned into dka just yet, drink water and check bg, give insulin and use the T1 diabetic sick day protocol. Depending on what your BG is or isn't and if you are vomiting or not, determines how often and how much insulin you need or not. So, yes, you are correct but I just wanted to add that extra info. The scary and less talked thing is that most people and even medical teams don't even know, is that it is actually possible to go into dka without high bg's. Dka has to do with how much acid is in the blood, not necessarily how high the BG is, but normally the most common factor is having BG high enough to cause ketones. As T1's we need to always be careful and educated.

[@mathewtedwards]

I love noodles thank you for this balanced comment - arms length stuff but very useful for people living with Type 1 Diabetes Mellitus!

[@twn5858]

@@ilovenoodles7483 That's not true at all! I treated myself when I went into ketoacidosis. I just ate something and took some insulin. You health care providers are something else.

[@ilovenoodles7483]

@@twn5858 How did you know that you were in fact in dka? My health care providers have always told me that DKA cannot be treated at home, because DKA is actually life-threatening and if it is actual dka you would need fluids only from an IV and other medicines and the need to be monitered by healthcare professionals. *Extreme hyperglycemia doesn't necessarily equate automatic dka* but it is the most common factor.

[@ilovenoodles7483]

@@mathewtedwards You are correct. Thank you. 💪💯