Making Sense of Ketones with Diabetes

Good article, except for one glaring error where it states:

Possible DKA: in excess of 3.0mmol/L

That is absolutely incorrect, DKA range is minimum of 10.0mmol/L, and generally in excess of 20.0mmol/L.

The insulin all of us T1D’s inject does a lot of things, one of which is put the brakes on rising ketones and or DKA. In other words, if you’re worried about your ketone levels, increase your basal or take a bolus of our favourite drug.

For the record, I’m on a Keto diet and do have a Freestyle Libre Ketone meter. My 5AM ketone readings are typically 1.5-3.0mmol/L, and I’ve recorded ketones as high as 6.9 when doing extended (48 hour) fasts. Both fasting and exercise increase ketone levels, which makes sense as the body produces them as it metabolizes fat (Lipogenesis),