Dr. Sarah Hallberg on ketosis vs. ketoacidosis

Dr. Sarah Hallberg on ketosis vs. ketoacidosis

November 1, 2019 1 By William Morgan


We might wanna just differentiate between
nutritional ketosis and
diabetic ketoacidosis.
– Absolutely.
Diabetic ketoacidosis
historically has been a problem
more often in patients
with type 1 diabetes.
It’s actually really rare in
someone with type 2 diabetes,
but can happen.
Truly starting a ketogenic diet,
we do not have people go
into diabetic ketoacidosis,
it is very rare, from
carbohydrate restriction.
But combining carbohydrate restriction
and an SGLT2 inhibitor increases the risk,
and diabetic ketoacidosis
is absolutely different
from nutritional ketosis,
absolutely different.
In nutritional ketosis
we want those ketones,
but they are at an incredibly small degree
compared with the state
of diabetic ketoacidosis.
We’re talking well over
10 times different.
So that nutritional ketosis
state where our ketones
are elevated is desired.
Diabetic ketoacidosis, totally different.
Very, very high ketones
that can be dangerous.