What a rough time you've had I'm glad they were able to get you healed up. C diff is no good.

We're here for you. Many of us have had hiccups recently and are getting back to the basics currently. It sounds like you know what you need to do in a few days I bet you'll be feeling great. Keep extra eye on electrolytes to make sure you don't have issues with that again.

Did your Dr say anything about the suspected ketoacidosis? Be sure to double check that, seems they were probably just seeing the ketones and use the wrong term, but you don't want that to happen again if it was an issue.

Well that's good. Your right twice in a month is way too much. 7.6 doesn't seem crazy but I'm no expert on that stuff, I think it has to be a lot higher for ketoacidosis. Good thing to monitor just in case.

You have my sympathy. I hope that your C. diff infection is gone!

My daughter is T1D and has Ketoacidosis several times. You would need higher blood sugars due to lack of insulin. If your pancreas still produces any insulin at all, you wouldn't be able to get Ketoacidosis. The presence of insulin would prevent it, even in the case of ketosis or dehydration.
My opinion based on everything I know about both ketosis and acidosis is that unless you actively supplement sodium from day 1 while getting into ketosis, you will get low magnesium and potassium levels, GUARANTEED. This also happens with Ketoacidosis because of the same mechanism of the body switching to ketones to stay alive in the absence of insulin to pull glucose into the cells. In acidosis, however, water isn't dumped because of glycogen being spent, it's dumped because of flushing out the acetate in an effort to balance PH and not become acidotic. A thirst like you've never known before is unrelenting because of the body begging for more fluids so that it can rid the acetate through urine. Meanwhile, blood glucose levels are high because there's no insulin and typically begin to rise even more due to the stress of the illness and our livers just love to dump glucose on us in times of stress. This part likely explains why yours wouldn't come down easily. So, I think just like they said above, dumb doctor simply saw ketones and autopilot come on to play the recording he learned in an outdated textbook 15 years ago.
Now, if your test comes back as T1D or 1.5 with full beta cell death, then acidosis could've been what happened. Or if you're T2D with a pancreas that has completely lost the ability to produce insulin, you could've become acidotic. I suppose if the pancreas produces tiny amounts still, it could still happen, but it would have to be barely sputtering anything out at all. But T2D is a problem where too much insulin is produced. High blood sugar alone won't cause acidosis, it's just a symptom. The problem is lack of insulin. If there were to be enough insulin to provide some glucose metabolism, the body wouldn't kick the ketones into high gear. The body is trying to prevent brain death since it does need at least some glucose. Without any insulin at all, it eats up fat faster than a room full of Keto dieters! Lol it's actually another awesome thing that is misunderstood. Ketones are what prevent brain death in this scenario. They are literal life savers.
And I am very surprised that you didn't get a definitive answer about acidosis or not since all they have to do know for sure us a simple PH test on your blood. To be honest, I don't think those doctors understood how it works. Neither have most of the emergency room and hospital doctors I've ever encountered with my daughter.
Being sick will cause your liver to dump glucose to boost your energy. And that can make blood sugar control difficult. Especially if you just take metformin or insulin at the same dosage on a schedule every day. Without being taught how to dose and give insulin on a need only basis, you end up feeding the insulin instead of injecting to cover food in a more natural way. That leaves you incapable of correcting when illness strikes.
My daughter was getting lectured by a ER doctor about carb counting and eating right and exercise the last DKA she had. This guy literally called it "sugar diabetes"! She had Ecoli and he thought BG was high because of mismanagement! I was about to kill a doctor that day! I literally had to snap at him that we know what we're doing and just hurry up and send her to ICU so we can be done in ER. He rolled his eyes at me and sent a dietitian to make a room visit the next day. I swear the number of stupid doctors is ridiculous!
We also had a dietitian tell us that low carb, not even at Keto levels, would make my daughter have DKA. Ummmmm, not as long as she keeps taking insulin! Lol yeah, we never went back. Even Keto levels would be fine for her. Actually, she would have the best chances at a long, healthy life if she would go that low. There's a kid about 10-12 years old that Jimmy Moore interviewed that maintains a 4-4.5 A1C as a T1D on Keto diet. According to the dietitian, he shouldn't be alive!
Anyway, I hope your tests come back negative because then you still have a chance of gaining control through diet only. Best of luck to you!

Some Hospitals really don't understand LCHF. I was lightheaded and they didn't know what to do with me. Glad ur home and learning more. Looking back I won't go to a hospital on a Saturday instead of waiting til seeing a Dr on a Monday who understands Ketosis nutrition. But you did the right thing going to hospital because of the other infection. Glad you are learning more. Your on a lifetime journey & this is only a speed bump. It will make you stronger. Sending good LC vibes.

ScrappyKat wrote: »

Sunny Bunny, yes that is exactly what is happening. I'm changing the timing of my Lantus now to the mornings before breakfast and see if that helps

If you were taking the Lantus at night before, you might wake up even higher in the morning if you stop taking it at night and switch to the morning. It's also important to be consistent on the time you take Lantus since you only get about 12-18 hours out of it.
Another option would be to eat most of your daily protein as early in the day as possible so that you are metabolizing as little protein as possible overnight. I would try to make dinner as low as possible on carbs and protein, and try not to eat dinner too close to bedtime. You want to give your body time to metabolize as much of that last meal as possible before going to bed.
Lots of hormonal things go on while we sleep and the liver provides glucose during this time also. This happens to everyone regardless of any metabolic issue. But the insulin resistance associated with T2D makes this a problem and you wake up with all that glucose still hanging around. One way you could get your liver to chill out a little is to give it something else to work on overnight so it's too busy to release glucose. While you're processing alcohol, your liver can't make glucose. So try a single glass of dry red wine at bedtime and you will receive less glucose during the night. Don't overdo it or you'll be making a potty run in the middle of the night. If you don't drink, you could try a shot of vinegar instead. I think you can even get vinegar pills.
I hope you get it ironed out. High blood sugars don't make you feel very good.

oh NO!! So sorry, Sunny Bunny! Praying she is smiling and on her way home soon!!! And that that you don't assault a Dr.

mjbrowne wrote: »

oh NO!! So sorry, Sunny Bunny! Praying she is smiling and on her way home soon!!! And that that you don't assault a Dr.

Thank you! Right now the morphine is her best friend!
A little interesting detail about this visit compared to every previous time she's had DKA. All the past times, her potassium would be dangerously low and it would take 3 days on IV potassium, which burns terribly, to get back into range. Since I've learned so much about electrolytes over the last 8 months, I told her to drink salted water while she was trying to get her blood sugar under control all day today and now, they said its really low but not that bad and she can just take pill supplements this time. She's very happy about that!
So far, I haven't met anyone that I want to murder either, so that's definitely good!