What exactly is the distinction between ketosis and ketoacidosis? It’s a common query. Both terminologies are related to ketone formation, but the similarities end there. Ketosis is a normal metabolic process in which your body burns fat instead of glucose (carbs) for fuel, but ketoacidosis is a severe medical condition. To avoid confusion, we describe the specifics in this section.

What is Ketosis?

WebMD defines ketosis as “a normal process that occurs when your body does not have enough carbs to burn for energy.” Instead, it burns fat and produces ketones, which it may utilize as fuel.” To achieve nutritional ketosis, you must transition to a ketogenic diet, a very low-carbohydrate diet with moderate protein and higher fat. When you don’t have enough carbohydrates for energy, your body starts using ketones from fat as fuel instead of glucose.

Several health advantages are connected with nutritional ketosis and the low-carb diet, and scientists are still learning more. Weight loss, blood sugar management, all-day energy, improved mental concentration and clarity, reduced brain fog, less joint pain and inflammation, and healthier skin are just a few of the advantages.

Signs of Ketosis

Following the keto high-fat diet, you may notice many early indicators, or side effects, that suggest you are entering and maintaining a state of ketosis, including:

• Keto breath: a mild metallic or fruity breath caused by increased ketones. (some consider it bad breath)
• Weight loss: initially due to water weight loss (the keto diet is a diuretic)
• Increased blood ketone levels (blood ketone levels), which may be easily quantified. Ketosis starts at.5 mmol/L.
• Keto flu symptoms are short-term flu-like symptoms many experiences when their bodies acclimate to ketosis. Fatigue, headaches, stomach difficulties, and muscular cramps are among them.
• Reduced athletic performance: This is transient while your body retrains from using ketones instead of glucose (carbs/sugar) for energy.

When you acclimate to a keto diet, keto flu symptoms usually disappear, and all the significant advantages kick in.

Now that you understand ketosis let’s look at ketoacidosis to see if there’s any misunderstanding between the two.

What is Ketoacidosis?

Diabetic ketoacidosis (DKA), commonly known as ketoacidosis, is a potentially fatal illness associated with highly untreated type 1 diabetes and, in rare circumstances, type 2 diabetes. (1) DKA occurs when the body creates dangerously high quantities of ketones with high blood sugar levels, which can disrupt the normal functioning of internal organs such as the liver and kidneys.

The most common cause of ketoacidosis is poorly controlled type 1 diabetes (those who do not take insulin correctly), which is more common in younger individuals. Illnesses, stress, poor nutrition, and alcohol and drug abuse also trigger diabetes.

Anyone experiencing ketoacidosis must receive immediate care; however, if you do not have type 1 diabetes, it is practically impossible to develop ketoacidosis. The keto diet has been shown to impact ketone and glucose levels considerably. So, if you have type 1 diabetes and want to try keto, consult your doctor first to avoid catastrophic problems. (2)

Warning Signs of Ketoacidosis:

The following are frequent ketoacidosis warning signs: (3)

• A blood sugar level of more than 240 mg/dL (i.e., extra high blood glucose levels)
• High blood sugar symptoms include dry mouth, thirst, and frequent urination.
• Ketones larger than 5 mmol/L with glucose greater than 200 mg/d (this is only relevant when you have both high ketones and high glucose.)
• More than 2 hours of vomiting
• Upset stomach
• Acetone fumes on your breath (this is also a sign of normal ketosis in the early stages but will accompany some of these other symptoms in cases of ketoacidosis)
• Sleepiness/drowsiness/confusion
• Breathing difficulties or shallow breathing
• Passing out

If you have type 1 or 2 diabetes and encounter symptoms, get immediate medical assistance since you may suffer from ketoacidosis. Remember that this condition is more common in Type 1 diabetes patients and relatively infrequently in Type 2 diabetes instances.

The Bottom Line

What’s the difference between ketosis and ketoacidosis? Ketosis is not the same as diabetic ketoacidosis. Ketosis is a normal metabolic state, but ketoacidosis is a severe medical condition usually due to Type 1 diabetic complication. We hope this has cleared up some of your misunderstandings. If you are a type I or type 2 diabetic considering ketosis, consult with your doctor to discuss diabetes management and make sure you don’t have any significant risk factors that might lead to problems.

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