I didn’t see it that way, he prioritises hydration, It is very much hydration and BG, if the BG is right, there isn’t hgh ketones.
Just my take on it. If normal BG, you check every 5 hrs, if it’s high, correct and check frequently. 2 hourly checks and corrections if needed, would be the norm.
what hs is different with from what I have read, is that he doesn’t agree with dosing up high glucose and insulin with normal BG with low ketones. Most people on low carb have ketones anyway. you aren’t going to kick in sick day rules.
Just my take on it…Even if not on low carb, ketones are part of being sick and not eating. Normal ketones (including those from LC and lack of eating) aren’t a concern unless the BG is high, Then you treat the high BG and the ketones sort out. low ketones are a warning, they aren’t DKA… lack of hydration, high BG and low insulin leads to DKA
I’ve previously posted this link and chart to sick day rules, which seems to cover it well
https://c.ymcdn.com/sites/www.ispad.org/resource/resmgr/Docs/CPCG_2014_CHAP_13.pdf
