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hey guys today we’re gonna talk about

what to do if you have ketoacidosis okay

there’s a lot of confusion on what

ketoacidosis is versus ketosis are they

the same

sometimes people scare you and say like

don’t do ketosis because that’s

dangerous what they’re talking about is

ketoacidosis they have the same word ki

tell like ketoacidosis is very different

than ketosis so let me explain the three

different types of ketoacidosis you have

alcoholic ketoacidosis which we’re not

going to talk about in this presentation

you also have starvation ketoacidosis

which would occur let’s say if you’re

really starving not fasting but starving

okay you’re you have no food and your

body is eating up your own muscle and

fat and you’re very thin like maybe even

you have anorexia so we’re not gonna

even cover this because these two are

completely different we’re going to talk

about the diabetic ketoacidosis

condition okay mainly type one you can

get it with type two if you’re taking a

certain medication but it’s rare but

type one it’s more common okay so let’s

talk about that there’s there’s about

five five abnormal things about diabetic

ketoacidosis number one there’s

hyperglycemia there’s high levels of

blood sugar okay why because the type

one doesn’t have any insulin so let’s

say you forgot to take your insulin

sugar goes really really really high

okay so the other characteristic is low

insulin or at no insulin so we just have

very high blood sugar what’s gonna

happen is that’s gonna drive a lot of

electrolytes and fluid out of the body

because you’re peeing out glucose and

wherever the glucose goes the water goes

and the electrolytes go so you have low

blood volume okay low blood pressure you

can feel weak so this is another

characteristic right here you’re gonna

have major potassium loss okay

now you’re also going to get acidosis

and this is the danger of diabetic

ketoacidosis is the acidosis part

normally the blood is between 7.35 and

7.45 it’s slightly alkaline and a very

tight narrow band so you have if you

have a mild problem it’ll be between

seven point two five and seven point

three you can see it’s just slightly

less than this it’s not drastically

moderate problem be seven to seven point

two five and a severe acidosis would be

below seven it gets really dangerous so

this is really the danger of

ketoacidosis

okay now realize too that the potassium

is alkaline and that’s supposed to

buffer this condition but there’s loss

of potassium so we don’t have those

minerals including we don’t have

magnesium either so if you have this

condition you should go directly to the

hospital and they’re gonna give you an

IV and start putting back in fluids and

electrolytes and then they’ll gradually

put in potassium because if you don’t

want to add too much potassium too

suddenly if you’re completely in this

situation because it can affect the

heart but the point is that you need

electrolytes you need fluid now this

condition usually happens when you

forget to take your insulin because if

you don’t have insulin and then the

blood sugar goes high and things get out

of control if you have someone that

tells you you shouldn’t do keto because

you don’t want to risk ketoacidosis well

what should you do should you go back to

carbs well why would you do that you

have to high blood sugar why would you

want to add more carbohydrate to high

sugar that’s gonna make it worse

and people will say well because they

don’t understand they’ll say well

because if I had sugar I’m gonna

increase my insulin well no you’re not

not if you’re a type 1 diabetic you

don’t have any insulin you’re just gonna

add sugar to a body that has too much

sugar you’re gonna make things worse so

you don’t want to eat sugar if you have

ketoacidosis or even want if you want to

prevent it it’s really about insulin

because you really want to monitor your

insulin and take just amount to keep

your sugars in check okay and realize

the more sugar you have the more insulin

you’re gonna need

and you want to always make sure and

this is why I recommend a healthy

version of ketosis it’s called healthy

keto by consuming enough vegetables that

are mineral dense that are potassium

rich in magnesium so you have the

electrolytes that you need to prevent

this problem right here now some of the

symptoms of ketoacidosis are this thirst

frequent urination exhaustion can’t

breathe that well when you have acidosis

if I could traps the air confusion dry

mouth so if you’re doing healthy ketosis

by cutting out carbs you can see very

clearly that you’re not going to start

developing this condition because you’re

taking your electrolytes

you’re making sure that your blood

sugars are not too hot because you’re

not eating sugar now you’re bringing

your inste low but you’re not bringing

it down to zero you’re by still making

it it’s just like you don’t require as

much because you’re running on ketones

and so you don’t need as much insulin

and that’s a good thing we need some but

we don’t need excessive amounts now I

wanna shift gears over here to talk

about ketones ketones testing you can

check your ketones with your urine or

the blood all right so if you’re testing

things and I’m gonna be talking about

mili moles per liter and bhp which is

beta hydroxy butyrate this is a type of

ketone and this is the units right here

so if you’re measuring your urine normal

ketones would be 0.6 or less beginner’s

keto point roughly around 0.6 advanced

deeper keto that would be point six to

three you’re starving will be between

three and five risk of diabetic

ketoacidosis would be greater than five

then actual diabetic ketoacidosis is

above ten okay so I mean look at the

difference between like how many ketones

versus what most people end up is this

range right through in here okay maybe

even right up here too so if you’re in

this range and you feel fine

I wouldn’t even worry about it now if

you’re checking your blood it would be

normal would be like less than 0.6

beginning kitto 0.6 roughly advance

kitto 0.6 to 1.5 and then starving 1.5

and then risk of it would be 1 point 5

to 3 and then diabetic ketoacidosis is

greater than 3 so you can see that the

values do change when you’re checking in

the blood now the real big point about

this video is I wanted just to clarify

any confusions you had and also really

talk to those type 1 diabetics you don’t

want to not check your blood sugars

because you can actually not take enough

insulin and create a problem and these

are the symptoms right here but for

everyone else you know now you can

actually understand what your values are

and to make sure it doesn’t get out of

range but again you’re not gonna have to

worry about it unless you’re type 1 or

type 2 taking insulin and other

medications alright guys

talk to you later so if you’re enjoying

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