Type 2 very high fasting will I still be in ketosis?

(Robert Hollinger) #1

I see lots of posts about people in ketosis having high fasting numbers but they are like 105-110 high. that’s not “high”. I haven’t found any topics for type 2 just starting out with ridiculous numbers.

Apparently my liver is working overtime overnight. no matter how low i’m able to get my numbers during the day (and still not that low in spite of low carbs), I have been trending over 200 in the morning. It eventually comes down as long as I don’t do anything stupid but still not in the range where I would expect ketosis to be a possibility. Is that a valid expectation? or can I actually get into ketosis even if BG is in the high hundreds or 2’s? I think I am trending lower and if history is any indication, if I stay low carb for a few more days I will probably start seeing fasting numbers in the mid hundreds.

Normally when I’m low carb I’m high protein and mid or low fat (I know I know).

Just curious if others have experienced this when starting out and how long I may have to wait to finally be in ketosis.?

(Dameon Welch-Abernathy) #2

At least what I found is that my “dawn phenomenon” blood glucose readings got significantly better after several weeks of intermittent fasting. Granted, mine were never quite that high…

Keep Calm and Keto On

(Robert Hollinger) #3

yeah that’s why I didn’t figure it being “dawn phenomenon” as much as maybe just way too my glycogen stored and it’s spilling out. just a wild guess on that one.

(Justin Jordan) #4

Mine would be over 200 in the mornings when I was eating carbs. I mean, it could be a LOT over if I was going hog wild. This was true even if daytime levels got down into the low hundreds. It takes several days for them to start to decline, and about two weeks to get down into anything in the range of okay.

This goes faster if I pull back calories a lot, and if I eat less protein. Yes, protein sans carbs and overall calories supposedly shouldn’t have an effect on blood sugar, but I can see it pretty clearly in the numbers, even if I switch around what I’m eating (to make sure I’m not somehow taking in carbs).

Likewise, I can get my blood sugar lower when I control those (or fast). Can’t say anything about how all this effects ketosis, as I’ve never tested.

(Robert Hollinger) #5

I was considering doing a fast to eliminate everything but I saw some posts that other than a fat fast, total fasting wasn’t recommended until you actually get into ketosis.

#6

The body will use glucose for fuel if it’s available. So if BG is high, chances are insulin is high (in IR folks) and there isn’t much lipolysis.

The GKI index indicates the allocation of energy.
https://www.headsuphealth.com/blog/features/tracking-glucose-ketone-index/

Fasting is a great way to get into ketosis quickly and bypass the keto flu. It forces the body to switch to lipolysis and fat adaptation occurs without going through the energy limbo that occurs when first starting a LC diet, which is the mechanism behind the keto flu.

(Justin Jordan) #7

I think that’s mostly because it’s easier to fast once you’re in ketosis. Dr.Fung starts his diabetic patients with a seven day fast if they’re willing and able, so I don’t know that it’s require. I’ve done a 72 hour fast when I for sure wasn’t in ketosis first, and it wasn’t a big deal.

That said, not a doctor, and your mileage may vary.

(Robert Hollinger) #8

7 days is difficult but I have done it before not for health reasons. and of course I broke the fast with a late night trip to Taco Bell. ahh to be young and stupid again.

(jilliangordona) #9

I would ease yourself into. You could do a week of 16/8 intermittent fasting, bump it up to 20/4 the next week and then try out your first 24-36 hour fast the next week.

It will give your insulin a chance to level out before a long fast. I know I had to ease into fasting even after being in ketosis!

(Andrew) #10

Fast. That’ll fix your liver.

Exercise in the am if you can. I can knock 60 pts off with a tough walk even. Around 130 the walk doesnt do much.

Day 3 I’m under 100. Day 4 under 90.

I can’t handle metformin. So fasting it is. Dr Fong says 14 days will fix your IR. I havent made that yet.

(Robert Hollinger) #11

I need to read more from Dr Fong.

(Ethan) #12

You’ll be fine. When I initially started keto, I had an a1c of 10.4. My fasting levels were also well into the 200s. After week 3, I was generally in this kind of a pattern:

5:00 am: 85
7:00 am: 105
8:30 am: 125-140
9:30 am: 110
10:30 am: 100

(Consensus is Politics) #13

I was diagnosed with Type 2 Diabetes 29Aug 2017. My BG was 594. The ER let me leave about 6 hours later once it was below 300.

For the following 6 weeks, my BG avg for every day was over 200. I decided the moronic diet of fruit and vegetables they had me on was killing me, not helping me. So I went carb cold turkey. Zero carb, as much as possible.

Very quickly my BG was under control. Within a couple of days it was avg 100. My morning BG would sometimes pop up to about 150 or so. But within a week or so it was going no higher than 120.

(Justin Jordan) #14

If you’re interested in Dr. Fung:

https://idmprogram.com/blog/