Ketones with Basal testing.

[Treysmom]

I was working on late evening and night basal testing. Trey has lg ketones. He had eggs and sausage as a supper at 7p.m. and I let him have as much s/f jello as he wanted. I'm assuming this is starvation ketones.

8 pm 111
9 pm 81
10 84
11 71 checked for ketones large..

I have not read as much on basal testing as I should have. I have NO real experience on ketones, these are the largest he has ever had. All help appreciated.. I discontinued the basal testing. Trey is on .10 basal from 9 pm till 6:30 am. He wakes up within range most mornings.

[Twinklet]

From what I understand, starvation ketones are not something to be overly concerned with. Here is an excerpt from a Diabetes Health (http://www.diabeteshealth.com/read/2006/10/01/4898.html)article:

"A common misunderstanding regarding the metabolic effects of low-carbohydrate diets concerns the formation of ketone bodies. The presence of ketones caused by fat burning is often confused with ketoacidosis resulting from uncontrolled diabetes, starvation or certain alcoholic conditions.

Dietary ketones are more common than most people realize. As well as being caused by low-carbohydrate eating, they will occur as a result of any weight-loss plan when fat is burned or even after an overnight fast.

Ketones and Evolution

Ketones are produced when fat is utilized to meet energy needs. This happens when the diet comprises less than approximately 50 grams of carbohydrates per day. Ketones are a source of energy for the heart muscle and a backup fuel source for the brain. It is because of our bodies’ ability to utilize stored fat in times of a limited food supply that the human species has survived. This ability to safely use ketones preserves lean body mass while providing fuel for the brain.

Ketoacidosis or Dietary Ketones

Diabetic ketoacidosis occurs when blood glucose levels are exceedingly high because insulin levels are too low. The inability of the body to handle such high levels of glucose leads to a large production of acid compounds that the body is unable to neutralize. Dehydration occurs as the body loses large amounts of water through the urine attempting to remove excess glucose. This combination of circumstances leads to a life-threatening acidosis.

To clear up the misconception and confusion common among many people (including the medical profession), one does not get acidosis simply by having ketones from controlling carbs. Note that one can be burning fat without excreting ketones in the urine. The excess ketones not used for energy are excreted."

[wilf]

I was working on late evening and night basal testing. Trey has lg ketones. He had eggs and sausage as a supper at 7p.m. and I let him have as much s/f jello as he wanted. I'm assuming this is starvation ketones.

8 pm 111
9 pm 81
10 84
11 71 checked for ketones large..

I have not read as much on basal testing as I should have. I have NO real experience on ketones, these are the largest he has ever had. All help appreciated.. I discontinued the basal testing. Trey is on .10 basal from 9 pm till 6:30 am. He wakes up within range most mornings.

You did not specify how high his ketones were. It's also not clear if the jello was normal or sugar-free.

But I would agree that given the BG values, these are likely starvation ketones (there's no carbs in sausages or eggs..). As the article which was posted indicates, these are not a big deal unless your child is ill and throwing up. But that's an issue for another thread.

To deal with ketones (any kind at any time) your child needs carbs, insulin to cover the carbs, and some water. The carbs covered by insulin get energy into the body's cells and stop the fat burning process.

[mph]

From what I understand, starvation ketones are not something to be overly concerned with. [/B]."[/COLOR]

Other than the weight loss that they cause. Especially for a young child. A one time deal is obviously not going to cause a huge weight loss, but undetected starvation ketones CAN add up to substantial weight loss by the time you detect them. We were there. Not good. Even though we were well above 50gr, just less than he needed, apparently.

Though the term "dietary" ketones sounds much better than "starvation"! Makes me feel less of a horrible mother for "starving" him. :o

Good article.

[Treysmom]

You did not specify how high his ketones were. It's also not clear if the jello was normal or sugar-free.

But I would agree that given the BG values, these are likely starvation ketones (there's no carbs in sausages or eggs..). As the article which was posted indicates, these are not a big deal unless your child is ill and throwing up. But that's an issue for another thread.

To deal with ketones (any kind at any time) your child needs carbs, insulin to cover the carbs, and some water. The carbs covered by insulin get energy into the body's cells and stop the fat burning process.


Sugar free jello

the ketones showed up as large on the stick.

[Treysmom]

Trey is not throwing up and I did give him something to eat with insulin and water at 11 p.m. I am amazed at how quickly starvation ketone can appear, we checked at 7 but this was with a urine stick.

I just tested blood ketones, just to be on the safe side they are showing up as 0.3. I believe this to be o.k. I will continue to monitor thru the night.

[wilf]

Trey is not throwing up and I did give him something to eat with insulin and water at 11 p.m. I am amazed at how quickly starvation ketone can appear, we checked at 7 but this was with a urine stick.

I just tested blood ketones, just to be on the safe side they are showing up as 0.3. I believe this to be o.k. I will continue to monitor thru the night.

Well, with a no carb meal the body just switches to fat burning to fuel itself. Once you were aware of them, you did all the right things. Hope you got an ok sleep.