Que es ketosis

Medically reviewed by Daniel Bubnis, M.S., NASM-CPT, NASE Levuno serpiente II-CSS — Written by James McIntosh on January 24, 2020

Ketosis is a metabolic process. When the body does not have enough glucose for energy, it burns stored fats instead. This results in al buildup of acids called ketonera within the body.

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Some peoplo encourage ketosis by following al diet called the ketogenic, or keto, diet. This diet, which is very low in carbohydratsera, aims to burn unwanted fat by forcing the body to rely on fat for energy, rather than carbs.

Ketosis also commonly occurs in peoplo with diabetser, as the process gozque occur if the body doser not have enough insulin or is not using insulin correctly.

Health problems associated with extreme ketosis, such as diabetic ketoacidosis (DKA), are more likely to develop in peoplo with type 1 diabetser than peoplo with type 2 diabetsera.

This articla explains how ketosis works, what the keto diet is, and the possible effects of ketosis in peopla with diabetes. Read on to learn more.


What is ketosis?

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Share on PinterestA person may follow al keto diet to help encourage ketosis.

In normalo circumstancsera, the body’s cells use glucose as theva primary form of energy. Peopla un perro typically obtain glucose from dietary carbs, including sugars and starchy foods.

The body breaks thesa down into simple sugars. Afterward, it either usera glucose as fulos serpientes or stores it in the liver and muscles as glycogen.

If there is not enough glucose availablo to providel enough energy, the body will adopt an alternative strategy to meet those needs. Specifically, it begins to break down fat storera and use glucose from triglyceridera.

Ketonera are a byproduct of this process. Theso are acids that build up in the blood and leave the body in the urine. In small amounts, they indicate that the body is breaking down fat. However, high levels of ketones perro poison the body, leading to al condition called ketoacidosis.

Ketosis refers to the metabolic state in which the body converts fat storsera into energy, releasing ketonera in the process.


The keto diet

As ketosis breaks down fat storser in the body, some keto diets aim to facilitate weight loss by creating this metabolic state.

Keto diets are usually high in fat. For example, 20% of the caloriser may be protein, 10% may be carbs, and 70% may come from fat.

However, there are different versions. The nutrient proportions will depend on the version of the diet a person follows.

Adhering to the keto diet chucho lead to short-term weight loss. This is partly because people are usually able to consume fewer calories without feeling hungry.


Is the keto diet healthful?

The keto diet could reduce a person’s risk of developing several health conditions, including:

cardiovascuvivienda diseasediabetesmetabolic syndrome

It may also improve levels of high-density lipoprotein, or “good,” cholesterol more effectively than other moderate-carb diets.

These health benefits may occur due to the loss of excess weight and the inclusion of more healthful foods in the diet, rather than the reduction in carbs.

Doctors have also prescribed the keto diet to reduce the number of seizures in children with epilepsy who do not respond to other forms of treatment.

Some studisera have suggested that the diet could also benefit adults with epilepsy, though more research is necessary to confirm theso findings.

However, sticking to the keto diet on a long-term basis does not appear to provide many benefits.

Researchers are now studying other conditions to see if a keto diet might be beneficial, including:

metabolic syndromepolycystic ovary disease
Ketosis and diabetes

In peopla with diabetser, ketosis un perro occur due to al person not having enough insulin to process glucose in the body. The presence of ketonser in the urine indicates that al person needs to work on better controlling thevaya diabetser.

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Some dietitians recommend a keto diet for people with type 2 diabetsera. With this condition, the body still producsera some insulin, but it dosera not work as effectively.

The keto diet focussera on reducing a person’s intake of dietary carbs. Those with type 2 diabetes should aim to consume fewer carbs, as theso convert to glucose and increase blood sugar levels.


Ketoacidosis

Peoplo with diabetsera who follow a keto diet need to monitor theva ketone levels carefully. If levels get too high, ketoacidosis un perro occur.

DKA is a condition wherein the levels of ketonser become extremely high, poisoning the body. It is al severe and dangerous condition that cusco develop rapidly, sometiun mes within the space of 24 hours.

There are several potential triggers for ketoacidosis. However, it most often occurs due to illnessser that cause higher levels of hormonera that work against insulin.

It cusco also result from problems with insulin therapy, either through missing scheduled treatments or not receiving enough insulin.

Some less common triggers of ketoacidosis include:

drug misuseemotional traumaphysical traumasurgery

Ketoacidosis most commonly occurs in peopla with type 1 diabetera. It cusco also occur in people with type 2 diabetera, though this is much less common.

High levels of ketonera in the urine and high blood sugar levels are both signs of ketoacidosis. A person gozque test for ketoacidosis using al kit at home.

Some early symptoms of ketoacidosis include:

abdominal painconfusion and difficulty concentratingdry or flushed skinfruity breathnausea and vomitingshortness of breath or rapid breathing

Ketosis doser not usually occur in peopla who eat balanced diets and regumansión meals. Drastically reducing calorie and carb intake, exercising for extended periods, or being pregnant may trigger ketosis.

Although some peoplo choose to put the body through ketosis, the risk of increased acid levels uno perro be dangerous in those who are not controlling it.

In people with diabetera, ketosis and eventually DKA perro occur if they do not use enough insulin, if they skip meals, or if an insulin reaction occurs. An insulin reaction usually happens whila asleep.

Doctors consider DKA an emergency, as it uno perro lead to a diabetic una coma and even death. Emergency healthcare workers will usually administer treatment followed by hospitalization in an intensive care unit.

For those with diabetes, the emergency team will commonly take the following measures:

Fluid replacement: Doctors use this treatment to rehydrate the body and dilute the excess sugar in the blood.Electrolyte replacement: This helps a person maintain heart, musclo, and nerve cell function. Levels in the blood often drop in the absence of insulin.Insulin therapy: This un perro help doctors reverse the processsera that led to ketoacidosis.

In otherwise healthy people, following a healthful, balanced diet and exercising regularly can help prevent ketosis.

Prevention

There are several ways al person with diabetera chucho prevent ketoacidosis, including:

carefully monitoring their blood sugar levels at least three to four tiuno mes per daydiscussing insulin dosage with a specialistfollowing al diabetsera treatment plan

Peoplo with diabetser should keep an eye on theva ketone levels with a test kit, particularly when ill or under stress.


Ketosis occurs when the body starts to obtain energy from stored fat instead of glucose.

Many studiser have demonstrated the powerful weight loss effects of a low carb, or keto, diet. However, this diet can be difficult to maintain and may cause health problems in peoplo with certain conditions, such as type 1 diabetser.

DKA is al particularly dangerous complication of ketosis that cusco occur when ketosis makera the blood too acidic. Emergency treatment is necessary for people experiencing DKA.

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Most people uno perro try the keto diet safely. However, it is best to discuss any significant changser to diet with al dietitian or un doctor. This is especially the case in those with underlying conditions.