Im new to this place and to KETO … I have pretty high BLOOD GLUCOSE ( 266 mg/dl ) …just used my KETONIX breathalyzer …reading was .28 which is still in the nutritional ketosis range . I do not take insulin …I do take METFORMIN at the daily MAX dosage = 2500 mg …which is 1000 morning and 1500 evening . My question is because Im an MI survivor and have a good amount of anxiety about my health …with the Higher KETONE level and the elevated BLOOD GLUCOSE level am I good or do I need to worry about DKA ? Im trying to do this safely and would like support …which is why I am here !!! Hope I can get the results Im looking for …stabilized Blood Sugars , and a weight loss in the 60 to 70 LB range and get that energy that so many have reported getting by following the woe. I appreciate any feedback … Thank You
Hello Im New Here .......I have a question!
Thank You … you are an M.D. ? This approach is my hope for not being prescribed insulin … my primary has given me just a couple months to get the Blood Sugars in to an acceptable and controlled range or he says there is no choice . Of course if I leave that would make a choice for him … but I really like my Doctor… its kind of sad he has to follow a certain protocol and I know he is doing what he believes is right , however it would be nice to have more physicians on board with this . Ive read so many positive stories about people turning their poor health around … so many issues improving . Im going full throttle on this … the diabetes is getting ahead of me and Im determined to fight it …Im only 51.
Have you seen any drop in your blood sugar levels since you’ve started keto, or is that level from before?
The problem with high blood glucose is that it damages the eyes, kidneys, feet and possibly brain. “No choice” just means don’t be really stupid. Good luck with bringing those levels down.
Lose weight via Keto.
You’ll be fine.
Metformin helps with weight loss.
Dr. Fung has a Diabetes book coming out. Buy it on release day.
Slightly …I just tested Blood Glucose …268 mg/dl …this lower than the readings I was getting over the past 2 to 3 weeks which were in the low 300’s . I have tested my Ketones as well and they are 31.5 as the KETONIX scale goes …this is one the low end of moderate Ketones or ( yellow) on the scale …but just barely above the NUTRITIONAL KETOSIS or green level on the scale…
Under 20g carbs, moderate protein, fat to satiety.
I will stop being nervous for you when you get under 150 . Looks like you’re going in the right direction. 
I have a bottle of " HIGH OCTANE MCT OIL" …but Im not taking it …being that Im in KETOSIS and am trying to move forward very cautiously …
If it’s just mct oil then it won’t knock you out of ketosis. Most MCTs convert almost immediately to ketones. It’s the keto equivalent of a glucose drink, pure instant energy.
–Jacob
You basically need out of control blood sugar which your not at that level at 266 and no insulin to bring it back to worry about DKA. The fact your on metformin and not insulin shows your not that far gone and even if that were the case you need ketone levels in the 20’s to get concerned. You’ll notice that sugar level dropping every week, check out the forums, most of us had terrible sugar levels and A1C’s that were WAY up there before starting keto. At 266 I beleive thats an A1C (assuming you average that) of around 12? Do some reading, it will ease your mind. If fixes much faster than you think it will. Welcome to the club.
O.K. … Blood Glucose 236 TODAY …Ketones measured through KETONIX BREATHALYZER = 30.5 . It may be starting to happen …seeing Card . tomorrow …hope he doesnt complain because Im not stopping nw !!!