Please help!
I’m relatively new to the Keto way of living.
I eat 2/3 high fat very low carb meals with a bit of protein.
20 mins jogging a day.
When testing my blood ketones I always seem to get a high score e.g 5.5 But then straight after test my blood glucose and it’s always low e.g 4.2
Basically I’m wondering why my Keto score is so high?
Am I eating too much fat?
Not eating enough?
Is 5/6mmol actually ok?
Please help!
… this statement says it all. Ketones are almost always elevated much higher than they’ll be over the longer term when one first cuts out the carbs. (I’d experienced this marked increase for the first several months too.)
There’s much coverage on this phenomenon on the forum but here’s the short version:
Your body is producing more ketones than your muscles/organs can fully utilize as your mitochondria are switching gears from carb burning to fat burning. Unless you’re a Type 1 Diabetic, there’s no risk nor downside to this whatsoever.
Your body will eventually recalibrate itself and your serum ketone levels will taper off down to a lower (but entirely healthy) level.
Enjoy the ride!
Just to set your mind at ease, a serum β-hydroxybutyrate level of 5.5, while commonly associated more with fasting than with nutritional ketosis, is nowhere near high enough for ketoacidosis to be a concern. You don’t need to begin to worry until your level reaches 10, and patients with diabetic ketoacidosis generally register a level over 20, plus a highly elevated serum glucose. As long as your pancreas is producing insulin, and as long as you are not taking an SGLT2 inhibitor, you have nothing to worry about.
Mark
By the way, some people here would kill for a ketone level that high!! Enjoy it while it lasts! 
Welcome to the forums.
Cheers
Alec
