Low Blood Sugar On Keto (Hypoglycemia On Ketogenic Diet)
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- Опубліковано 29 вер 2024
- Get the Highest Quality Electrolyte euvexia.com . Low Blood Sugar On Keto (Hypoglycemia On Ketogenic Diet) The purpose of the ketogenic diet is to lower blood sugar, but sometimes the blood sugars on keto can get too low and become hypoglycemia.
Normally the liver and adrenal glands work together to maintain blood sugar between meals, but in the hypoglycemic person this mechanism does not work fully.
Keto reactive hypoglycemia is simply when a person has unstable blood sugar and reactive hypoglycemia to start with, and the withdrawal of carbohydrate is too quick for the body too adapt.
In a fully keto adapted and fat burning person, the fat and the ketones has replaced much of the energy previously derived from carbohydrate. In the early stages of a ketogenic diet when the carbs are reduced, the body may not yet have learned fat burning and so is left with out adequate fuel.
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Dr. Sten Ekberg sir what is the lower limit of glucose that we should maintain when we are keto process
Awesome content! What do you consider ‘medium carb’ and ‘high carb’. Like, how many carbs a day fits into these categories?
I had blood sugars of 2.7 in the night 6 months after being on a keto diet. Never had hypoglycaemia before. It’s only at night though… why?
Thank you for this. I'm not diabetic but I feel pretty sure I'm hypoglycemic. I was in the store just now & my heart started racing & I broke out in a cold sweat. I thought I was going to pass out. I struggled to get to my car. I was living on a very high carb processed food diet. I went cold turkey & I have been faithfully following keto & intermittent fasting & have lost 20# for about 6 weeks. I have had episodes like this even while eating processed foods if i didnt eat often enough. I was planning on fasting today & and tomorrow, but after watching your video, I see that's not a good idea. I need to find a dr who will listen to me. My dr is basically a pill pusher. Because my stats are all good, he just tells me to keep up the good work.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
when you get yourself healthier using keto , paleo or carnivore diet and some fasting, the weight does come down and stay down. once you get fat adapted you don't tend to suffer the effects of hypoglycemia anymore. great video dr sten
Exactly. Good to see you Spive21
This sounds like an answered prayer to me! Can't wait till I get there!
What u mean I'm on carnivore but I'm having nocturnal panic attacks because of hard hypoglycemia what can I do? I don't want to stop the diet but I don't want to die from hypoglycemia either
I was diagnosed hypoglycemic in 2000 weighing 175 pounds and 5’10”. August 2021 now 50Y/O I weighed 255 and started the keto diet. Clean and strict. Now 4 months later December 2021 I have lost 47 pounds. 2 days ago I started fainting. I have fainted 3 times in the last two days. 3 months ago. September. I had a physical. All was good but insulin was a touch high and blood pressure was a touch high. Yeah I know. I’m calling my dr. And getting my blood work rechecked. Just want to let people know if you don’t do this by the numbers stuff can happen. I’m learning more everyday. We’ll see what happens from here.
This may well explain my tachycardia on day 5 of my keto diet, the same day my ketone strips were showing a large jump in ketones. I assumed the keto diet was putting my body under too much stress and the tachy was being caused by cortisol.
Hi Sten, I have a question. I have been clean Keto for 5 months as all going well. My blood Glucose has been coming down incrementally - at the start it was regularly 110-130 fasting so pre diabetic / diabetic levels although I was never diagnosed. Fasting levels are now generally 90-100 so much better. Last night however I decided to check my glucose 1 hour after eating and it came back as 76. I am not sure if this is something I need to worry about or whether it is just my body taking time to return to normality. It seems that I am still getting an insulin spike after eating to deal with carbs that I am no longer eating? Does that sound feasible to you? My meal last night was 1.7g of carb and 14.9g total carbs for the day. I would appreciate your thoughts on this - Thank you 🙏
Dr ekberg, should we eat until satiated? I end up around 2,500 calories if I don’t restrict myself. Is that a problem? Keto + IF = gaining weight for me. Pls help!
So I have been on keto for 19 days now and I yesterday when I stood up I got super dizzy. So I went and look iron pills and checked my blood sugar and it’s at 70 is that bad or normal?
70 is on the low side but if you are fully fat adapted it could be okay. Getting dizzy when standing up sounds more like an adrenal issue. Look for my video on adrenal fatigue.
sounds like low BP more like
It's so hard to find info with someone with non diabetic hypoglycemia.
I have it
I have it too
I agree . Cannot do Keto as than my hypo is present
I've had it since I was a child. Most doctors I've ever seen think it doesn't exist. . . I eat keto/atkins style and it has made a tremendous difference in how my mind works, my digestion, my hunger hormones, weight gain, my energy levels, and overall mood. I have found for myself that its better to get a lot of non-starchy green vegetables in the diet [mostly for fiber, additional minerals/vitamins, and to slow down digestion] and monitor my hydration and electrolytes like a hawk in addition to eating fat and protein with every meal. I DO NOT feel good if I fast, and will be off-kilter most of the day after skipping meals. I stick to three small meals a day and snack as needed.
I have it
I started out great on Keto and a few weeks later started having episodes of Hypoglycemia. I followed your advice and added a little more carbs. Feeling great and optimistic that my health will improve. Thanks for this video. Was worried then you calmed me down.
Hey Pepe - I know this is an old comment, but did adding back in some carbs help you out longer term?
@mattg7977 long term you cut the caebs completely. Adding carbs or tapering slowly is a short term up to 2 months thing so you can taper slower and not have rebound hypotension of feelings of carb withdrawal as well. Gl!
Keto did the same to me I could hardly walk and it got to 40 several times
Same thing happen to me week 2
Not sure what are you on about guys. For last 30 days my only carbs came from cucumbers and olives. Rest was butter, meat and eggs. I will be surprised if I get 20 carbs per day. Based on what you say I should be dead from hypoglycemia already
I know this video is old, but it switched on the light for me. Explains so much.
I was going so well transitioning to keto, then went full keto and began to feel terrible. Hypoglycaemia makes sense along with low BP. 🇦🇺
Me too! Did you add in a few more carbs to transition more slowly?
@@JulesBeehive I actually discovered I was not eating enough saturated fat. Had to up the butter and fat on meat. All came right.
@@deirdrewalsh1134 ah, thank you. I may try that too 🙂
@@deirdrewalsh1134really?
Watched this after feeling super weak. Been doing keto for a few weeks, it’s possible that since I’m getting better at avoiding carbs I’ve hit this point
Low energy
Many metabolic changes need to take place in your body in order for you to switch from using fat for fuel instead of glucose. And while this process unfolds, it's common to experience periods of fatigue, weakness, and brain fog as your body reserves energy for the aforementioned metabolic processes
Don't forget to take electrolytes. They also help keep your energy levels more even.
@@_____J______ thank you for your comment. 10 weeks on carnavore yet had to add a small amount of fruit back in and summer squash. Still feeling weak and having cramping issues.I take electrolytes and Redmonds salt. 😬
Excellent presentation as always Dr Ekberg. I think it would be very beneficial to provide video specifically on the strategy to become fat-adapted. We hear all the time how keto will result in becoming fat-adapted, but it would be great to understand the specific strategy.
@Oren Black Agreed! Thank you.
How did it go?
I think I need to do a gallbladder liver flush etc etc ..
@@MoneyStrategiesSOULutions How did it go with?
Eat more protein on your keto diet and it will help. Because Protein reduces to glucose at the end of the day. It has other things obviously, but this is a much better method than carbohydrates imo. In summary don't go so hard on Keto, build up your ability. So start with more protein and not straight to a 75% fat. It won't end well.
Thank you, this was very useful. It explains what is happening to me exactly. I will add back some good carbs and drop them slowly. I went to drinking alcohol every day to strick keto. Bad idea. I thought I developed diabetes.
Great information! Thank you! I needed this information but I still struggle with hypoglycemia. I was raised on real food my entire life. I'm 62 and weigh 125 lbs. Never more than 130 in my life. I want to continue to eat this way (Keto) but my blood sugar drops so low, get the shakes, sweat profusely, can't stand up. I throw some carb down and I come out of it. What's up? Feels like I'm forced to eat food that I don't want. Any ideas?
I want to know this too!
I'm a nurse and I should have seen the signs. I've been on keto for 6 months and I'm faithful to the regime. I've lost over 50 pounds. I've been doing Intermittent fasting. I was feeling a bit woozy last night. It occurred to me to take my blood glucose level. It was 52. The number freaked me out a bit. I asked myself "What would you do if you were your patient"? I knew I needed carbs but I didn't want to slam sugar.( the nursing protocol is orange juice or this sugar goo in a packet). I ate some lentils with tomato sauce. Good enough. My BGL was 87 in a few hours. I'll be more careful in the future.
I agree with you Dr Ekberg., I do okay on lower carbs like 65 gram total carbs, I do not do well on a ketogenic diet. My HBA1c is now at 5.4% from 7.6.% Three years ago. I have lost 85 lb,yes I hope to 20 more lb, but more to lower my blood sugar and improve my sleep apnea.
Hello James. Do you have OSA ? What is your sleep apnea situation right now. I have severe OSA and try to fix it with Keto +If
I had a protein shake and cheese around 1pm. I was not hungry at all. Around 6:30pm I started getting shaky. Even tho I didn’t feel hungry or have an appetite I forced myself to eat a little bit of keto waffles and felt better afterwards. I don’t know how to eat so often because I’m literally not hungry or have no appetite. I’m so confused 😩
Our body’s response to hunger will change on keto. Your stomach will no longer growl and you will never experience getting hangry or feeling deprived and starved. Lethargy, getting exhausted a bit easily, some muscle pains are signs of hunger while on keto. Listen to your body.
Yeah but how about people who been on keto for more than 2 years and they are starting to develop symptoms of hypogacemia??? Ex for me it got worse to a point that now my A1c is 4.6... my morning blood sugar is between 60 and 67 it use to be 75 and 90
Doctor, I really loved this video. I am type 2 diabetic and I have been slowly going keto for the last year. I still have sweet potato once awhile. The other day I was working out with my trainer and I noticed I was really shaky and had to drink a random grapefruit juice my husband had on his side of the fridge. I have never felt myself crash so hard. Could you possibly do a video or give any advice on how to avoid hypoglycemia and the dreaded crash. You touched on it a bit in this ☝️ should I be glucose monitoring. My last bloodwork panel showed my type 2 was finally stabilized but my cholesterol was still high. Could this be a factor for my crash? Thanks for the advice!
My Hba1c was ideal at 4.8 , but I had bad arthritis pain , tried a low carb no carb mostly meat . My pain was gone ! I was using stevia in my coffee everyday and found out it causes hypoglycemia if youre doing a diet like that . Dang it ! Just cant win ☹️
Could you also do a video on reactive hypoglycemia? When intermittent fasting 16-8 I'm often experiencing lowered blood glucose after eating in the afternoon, and it makes me feel fatigued and sluggish after eating. Have I become too insulin sensitive? Am I eating food that causes the insulin to spike without increasing blood glucose at all? I have never been overweight or insulin resistant, I have just been eating gradually more and more low carb over the years as a preventative measure. Lately I have also started intermittent fasting and eating two meals a day. I typically eat lunch around 2-3 in the afternoon and dinner around 7-8 in the evening. Now I'm considering extending my fast to a 20-4 pattern and eating nothing before dinner, just to avoid that feeling of low energy level after lunch....
Update: I was still hanging on to a few of the old carbs when I had this problem. Now I have been completely keto for the last 6 months or so, and I have gradually had less problems with reactive hypoglycemia during this time. I guess it just takes a while to get properly adapted...
If hypoglycemic after eating, insulin is high. The only explanation is insulin is high all the time, when you say it goes low without eating. That is hyperinsulinemia if not insulin resistance. This video is what you explined 🤗
Yes, the quality of the carbs could be the problem. If it's processed bread, pasta, high glycemic index foods/fruits or smoothies, it's too much to be digested in a short period of time and pancreas releases too much insulin... makes us RH'ers too tired. Eat a lot of veggies, 7-10 cups spread over the 2 meals, eggs, low fat meats, healthy fats such as nuts, seeds and Avocados, low glycemic fruit like berries. I find when I do those things, and if I have whole wheat bread, minimize my bread carbs to one piece, I have a better time with it (up to 20 net carbs/ meal), it helps.
Go strait carnivore. Chicken and fish season salt and garlic. Thats it. Try it.
I'm on week 4 of extreme keto and am suffering with major hypoglycemia. I went straight from high carb to almost no carbs in a few days. I don't want to eat more carbs but I suspect my adrenaline system is broken from massive overuse. I'm 42 and spent about 28 of those years in a state of high anxiety and depression. Keto has helped me so much, I want to stick with it but may need to re introduce a few things I previously cut out like dairy, tomatoes and peppers.
Yes Alex Morgan, it sounds like you shocked your system. Like you said it is easier on your body if you slowly transition especially if you ate a very high carb diet.
I've noticed far more energy since then without changing anything. It just took me a while to adjust. I still get sluggish around lunchtime in work but that might be related to being bored and stressed as I do not suffer from it when I'm at home on weekends at all! I've finally weighed myself and have lost a lot of weight so perhaps losing too much in less than 1 month contributed to feeling so weak on occasion.
I was 225 lbs and am now 205 lbs and that difference took place over just 4 weeks!
@@almor2445 did you have to reintroduce carbs into your diet to feel better? Are you still on Keto?
@@almor2445 good for you.
Hello Dr. Ekberg, thank you so much for all this infos!
I have adrenal fatigue... so I think it would be safer to start moderate/low carb, about 50g carbs from veggies and some starch and to lower very very slow and give the body the time to learn burning fat for fuel, and then slowly go keto
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
What about while breastfeeding and/or pregnant? I was keto (mostly carnivore) before my first pregnancy (for around 6 months) and had no issues with hypoglycemia, even after abruptly cutting out carbs, but I added carbs back in when morning sickness struck, and I was averse to fat and protein. Since that pregnancy, I've tried countless times to get back on keto (through two more pregnancies and breastfeeding each baby without stop), but each time I get down to around 20g carbs (even after slowly easing out of carbs), I end up with severe hypoglycemia (with vomiting, extremely blurry vision, extreme weakness, almost passing out, etc.). Is it possible for breastfeeding to make 20g simply too low? Or is it more likely that I'm still not easing out of carbs slowly enough? I really want to be keto for my health, but I feel like I'm failing when I can't seem to stick to 20g carbs or fewer.
So now I understand what is happening to me! I never had my blood sugar tank before I went on keto, and I've been at a loss as to what to do about it. Thank you so much, Dr. Sten! I didn't know what to do, and it is ever so easy to lose weight on keto, since it takes all of my cravings away, so I didn't want to go off of keto. But you explained it so well to me. I will eat more low glycemic cooked carbs and hope by eating more carbs this blood sugar tanking (after I eat a meal) will go away. I sure do appreciate your taking the time to make this video. Thanks very much.
Hey there, I know this is an old comment but could I ask how you progressEd after this? Did adding in some low glycemic foods help? I've been experiencing this hypoglycemia recently and looking to make some changes as suggested.
@mattg7977 It works! I also had similar problem on my 4th month of keto. I did a lot of endurance training and that was wrong while on keto! Felt like having a heart attack. Went to ER and got all checks. My heart tested with ecg and result was perfect heart health! I got hypoglycemia , I got vitamins and medicines also add carbs to my keto (banana, raw oat and papaya also some root veggies). I am feeling good again now. Still continue Keto and will adjust accordingly when feeling not right!
Thank you for this!!! Exactly what I needed to know. I started keto last March and 1week into it a all of a sudden got instantly dizzy and hyperglycemia and had bad panic attacks and ended up in the hospital! I was out on anti anxiety meds on and off the last year and the last one ( mirtazapine ) I just got off of and I’ve been having hormonal issues and mainly sweaty feet on and off along with hungry every two hours or so the past few weeks. 🤦🏻♀️ Hope to be able to figure out what I need to do to reestablish hormonal / gut balance. How long does it usually take to rebalance your system if you’ve had such a crash like this? Any tips?? Thanks
Hey there - did you have any improvement with the hypoglycemia? If so, what worked for you and did it take awhile?
@@mattg7977 hi Matt 👋🏼 yes, I’m finally really stabilizing. My story is a bit complex because after my keto crash I also got covid which added more stress to my already stressed out body but I’m happy to say much better now 🙏🏼😌 when I tried the keto diet i basically went carnivore with it. I think because i went extreme with the diet along with yeeeears of being a high carb eater and junk food eater prior it was just too much for my system. 🤪 and then when i got covid and that just made things complicated for me. Of course everyone’s needs and journeys are different but that was mine and super grateful I’m much better 🙏🏼😌 i believe everything is figureoutable. 🙂 not sure what your story is but i hope you feel better soon!!
@@mattg7977 a few things I did that I feel helped me heal were lowering stress where I could. Being out in nature, grounding, meditation were a few helpful tools i used, pacing myself especially with exercise ( so slowly increasing and starting with things like gentle walks, stretching or qigong) and eating more Whole Foods like fruits, veggies, rice, potatoes, meats and natural fats like avocado. And of course patience. 🙂
Thank you so much Dr. Awesome explanation. I was in strict paleo diet for tha past 52 months. But now I am in carnivore diet.But sometimes I feel hypoglycemia. At that time what's the remedy? Please explain in your next video. Thanks 👍
Sir my wife went on keto diet nearly 4 months .she did it to prevent cancer growth. One month back she under gone sever hypoglycemic shock now she is some what stable .But tumor start increasing .is it right to start keto diet again.what measures I have to take to prevent hypoglycemic shock again?
Yeah, thats my case. On keto for 3 weeks now and experienced ketosis twice so far, each time for around 10h. But mostly feeling like crap and barely can function normally. Yeah, but I have liver issues so maybe that is why. If I do just a small amount of carbs - everything goes back to normal. But still trying not to going back to carbs - ketosis is mind blowing.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
@@JAnn319 in the end, it took me a year to get fat adapted.
This is the first time anyone has said “do not do keto to lose weight”. I thought that was the whole point. That’s all everyone ever talks about. I’ve been doing Low carb (not Keto) intermittent fasting and I have gotten off of all the diabetic medication and improved my cholesterol levels. I still want to lose 35 pounds but my blood sugar keeps going too low at night and I’m forced to eat something to keep it up which is ruining my intermittent fasting efforts. I’m going to increase my protein and carbs. Any other suggestions?
Exactly the same for me it's really annoying
How low? And how did you feel when it was that low? My sugar was 59 after a 3 day fast and I felt great. Did some research and apparently it's not abnormal for levels to be well below the 70 threshold that were told. Actually heard that back in 1950 and 60s the lower ideal level was actually below 70 they changed it to match the modern diet/heath epidemic
@@2_be_determined into the 50s. Scary. I don’t remember how I felt
Me too here. Feeling tired in the morning if my blood sugar was too low at night.
Maybe fasting is not for everyone? Self-research is on-going.
I was the same. I survived by taking metformin.
Every now and then mostly in the morning if I bend over to pick up something when I get back up I feel dizzy. I been on the keto diet for 9 months and I loss close to 80 lb.s I'm at a desired weight but what can I eat in the morning that will keep my blood sugar stabilized?
After 4 days of Keto,my blood sugars dropped to 0,49 G/L!! I didn't feel too bad yet,but as you said better to go slowly...
I have been doing low carb, then keto for five months, and suddenly, I am having hypoglycemia - nothing has changed in five months (except I lost alot of weight). I wonder what's going on? 10 years ago, I used to have hypoglycemia, and I got rid of it by following the paleo diet. It worked for weight loss and "cured" my hypoglycemia. It was great to be free of that, and not have to carry snacks everywhere. However, I did alot of recreational eating since the pandemic, gained weight, ate poorly - went back to low carb, then keto, lost weight and it was great, but now, for the first time in years, I have that hypoglycemia back! I would sure like to know why.
Hi Shirley, did you figure it out? I am curious to know what caused your hypoglycemia and if you found a solution.
@@DaryaRyanPhotography ditto
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
So...my situation is that I once had low blood sugar, and many episodes indicating such (shakiness, weakness, brain fog, etc.), but NOW I have been struggling with elevated blood pressure (was high, but only reaches elevated last two weeks), and it's the worst feeling I have ever felt. I often feel like I could check out of here at any time, yet here I am. Haha. I have been fasting and such and doing Keto, but my research led me to discover that low blood sugar could actually cause HPB, which I thought was weird to switch from one to the other. Now I'm confused about what would be safe for me to do at this point. What should someone in my case do ?
Thank you so much Dr! I had an hypoglycemia right now on my 3rd keto day. Previously eating sugar cakes for 4 years. I will step in gradually ... Keep motivation on 💪🔥
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Another top notch episode, especially as a Type 1 Diabetic. I started Keto about 4 weeks ago and great results so far. Insulin down from 75 to 20, ketone level always between 3.5 and 4.0, 36 hour fast was great, and lost 11 pounds and 2 inches from stomach. Your videos are informative and inspirational! Thanks so much!
Do you measure insulin levels at home? is a there a meater I can get for this?
@DaryaRyanPhotography no there isn't.. not yet. They are type 1 diabetic so the insulin they reduced is their INJECTED insulin, not blood insulin levels. 🙏
two years into keto and i still have hypoglycemic reactions and migraines. I take electrolytes and extra salt everyday. what could be the cause??
get your liver tested.
@@Xbot4Life what is the test called? or what parameters to test for? Thanks. :)
I know some one who is about 50 or more pounds over weight and because her Dr. tell her the test look good. She thinks that is ok. She has back pain .......But the blood test say no problem.So keep eating the sugar.So I shut my trap.
Perfect. I am hypoglycemic. Whenever I go really low carb I immediately start having problems. I was always confused and couldn't figure out what was wrong.
Thank you so much.
do you get fast heart rate when you hypo?
@@Xbot4Life yes I do especially at night it seems to hit me worse then I panic and makes it worse
@@Wisethinker527 yeh lol thats how it is. Anxiety plays a part in it. Try increasing your protein by a lot. Seriously 4 eggs for breakfast and get protein shakes (low carb) in your diet. Hopefully help your liver produce glucose
@@Xbot4Life oh brilliant thanks for your advice. I think I'm not eating enough fat and protein that's the problem. But to be honest even when I do eat fat and protein I still get the lows in blood sugar
@@Wisethinker527 1 of two reasons.
1. Liver not producing glucose, do you have fatty liver? get tested. try my protein thing first
2. You have high insulin, eat lots of low GI foods for your carbs and plenty eggs and high quality whey powder. That should reduce insulin in a few days but do it for at least a week.
buy Choline and Milk Thistle.
Im assuming you have non-diabetic hypoglycaemia.
if youre diabetic then listen to Jason Fung on YT
Either way, it can be fixed, its just finding what the cause is
Good day Doc! Im into Intermittent Fasting "TMAD" Twice Meal A Day 16:8 Method for several months. Im TYPE 2 Dietetic for 22 years and on medication prescribed by my doctor. GLIBEN before Breakfast and METFORMIN after, GLIBEN again before Dinner and METFORMIN after.
I'd like to ask if there is an adjustment for my medication schedule since its probably Lunchtime already when I eat food?
watching from Philippines...
What about those of us who end up with hypoglycemia after 5 years of keto ?
Man, this is EXACTLY what I needed to learn! Thank you so much, Dr. E!!!
Hi, (I have a question about weight and blood sugar levels) I started doing the keto diet while weighing 74 kg as a supporting person for someone else also on the diet... in the first 5 months I lost 12 KGs, and am worried that I'm now under weight. I'm trying to eat a bunch, and use resistance training to try to build muscle. I feel great most of the time. But there are times where I have low blood sugar, between 3 and 4.9 mmol/l. I then eat or drink a bit of sugar and take about an hour or two to get to a functioning level. I don't want to take sugar though. Amy ideas?
Love your videos, you are so clear, a great teacher! I was diagnosed with type 2 in September A1c 17!! Went on low carb and meds. Made excellent progress. A1c in Jan 6.3. Came off all meds in early December. Bloods in 5s - 7s IF 16:8 going well. Today had low carb lunch as usual, this evening BG 3.9. What is happening? why so low when used to low carb and not on meds? Can I trust what I'm doing? Blood went up after I ate. Would love your opinion, thanks
I started keto but here I am 2 months later getting dizzy spells, tingling in my arms, I passed out once, and extreme fatigue and anxiety. I wonder if this could by Hypoglycemia?
I do have Hypoglycemia on Keto diet (from 55 to as low as 41mg/dl).
You recommended add some carb back to my diet, however m, the problem is if I do that, the post-meal glucose spike will exceed 300mg/dl (from my CGM).
My endocrinologist has no idea at all. What should I do?
Hello i need to know last year i done proper keto for a few months and i experienced no fainting whatsoever, this year this month or two i’ve had 4 random experiences of near collapsing, my doctor said it may be low blood sugar, can u please tell me then is it a possibility that did i develop hypoglycaemia ? Another thing i should mention is that this year on low carb diet i have cut down my daily calories more than when i dieted last year, so could this be another reason for these faint experiences?
Thank you
@drekberg what's the lowest glucose number before ketones won't be in use for fat burning?
5th week in keto lifestyle.
I make great ketones averaging 2.5, but blood glucose is 67-75... waking up at night because hypoglycemia
Thanks
I tried using a continuous glucose monitor (CGM) and I found I went hypoglycaemic at night. Didn’t have any ill effects but would be interesting if dr Ekburg could do a video on this.
Id like more info on slowly transitioning from high carb to low. I didn't have much trouble the first time i did keto, but its been 6 years and im starting over and im feeling ligh headed and thinking I need a slower start.
I started keto because my non diabetic hypoglycemia was happening more and more.
Just got a CGM. My 1st reading was 45. 🤦🏻♀️. I can’t get it above 56. Evidently my adrenals aren’t working.
Hello Dr. Ekberg,
Thank you for the wonderful nutritional education. I am 52 and eating a keto diet/IF and just started measuring my blood glucose and ketone levels, ketones were .09 - 1.5 and 81-86 glucose in the mornings. I decided to do a prolonged fast ( I have done a 10 day about a year ago, and a 5 day a few months ago without a problem, but no meter) At 34 hours into fast (morning) readings were 67 glucose, 2.0 ketones; 48 hours into the fast at 10:00 p.m. my glucose reading was 52, with a ketone of 4.8. My question is - is this okay? I realize this is low blood sugar, but since my ketones went up - providing an alternate fuel source - I am hoping this is not dangerous. Feeling tired, but that is usual for me on day 2 of a fast. My mom had hypoglycemia so, just a little worried, but would like to continue with fast if I can safely. Any help would be greatly appreciated.
Michelle
how do you measure your ketones and glucose? what tools are you using?
I get the exact same as you. my glucose was 3.8mmol/l (68.4mg/dl), ketones 1.8 It seems that when my ketone are very high, my glucose drops. A few weeks ago my Ketones were above 8 but I dont know how far above because the Keto Mojo only goes up to 8.0. I didn't think to check my glucose at the time.
If your blood glucose gets low, the right thing is to eat. Follow Dr Boz. She makes a lot of sense
What testing you doing your office? How is this test done? I really need to show to my doctor. I’m a type one diabetic struggling to gain weight so please what testing do you do in your office? I think you mentioned in the video, it’s a test that tells you what is stressing the body organs, I don’t know your exact verbiage but I think you know I’m talking about if you could please tell me how you do this test on your patience so I could show my doctor to help me better🙏please, tysm
What if you have a low blood sugar and you feel perfectly well? Is it possible that you go on ketons or doing gluconeogeneis?
Good thing I chanced upon your video bec just this morning that i was surprised to see my blood sugar dropped to 3.5mmol. Was in high carbs and went to clean keto right away. Been Doing this for 3 wks now and trimmed my weight fr 60kg to 51kg but felt dizzy as days go by. Now i know to add little carbs and perhaps do paleo diet instead.
I’m an all in kind of guy and what you are saying here is such a blessing! When I was told that I had become A T2D I went crazy! I came home and filled the dumpster with every carb in the house! May God forgive me for what I put my family through! My wife and kids suffered terribly! I have done great but they don’t share my discipline… videos like this give me the wisdom to be gracious and give it time. Thank you sir for all that you do to bless others…
I am going through this now in my second week of keto and it’s scary bc I get readings of 2.8-3.5 on my Freestyle .The app alarm wakes me up at night with low levels and I rush to the kitchen to grab some bread and I hate it bc this is what I am trying to avoid.😞
Riddle me this then Batman!
What foods are processed, depleted or unnatural; that can keep you still in ketosis?
No seriously.
There's nothing that falls under that category that is not full of carbs.
There is no food that exists that somebody can eat every day and survive off of that can keep them in ketosis that falls under these categories.
I mean there is food that has protein and there is food that has carbohydrates.
I really do want an answer to this.
If there is something else I'm not thinking of that is something I do want to know.
Just putting aside the fact of keeping healthy.
I don't even think the statement can be true.
That there are unnatural, depleted and processed foods in which one can eat and stay in ketosis.
Health Factor aside.
I just feel like the statement that you made sounds nice and is good to encourage healthy choices. But, I don't think it's fully a true statement.
Thank you for this video though. It has been very helpful.
I am through hypoglycemic and I'm trying to adjust my diet for health reasons.
Side note.
I have noticed some changes and I'm feeling better being more aware of my carb intake especially since it was more than I realized.
Great video, thank you thank you❤️❤️
Thank you rockknocker99
Yea but what about if your fasted glucose was 49 and ketones 6.0 ? Thay happened to me this morning and I felt horrible and I been on keto for a couple months already and this is like the third time it happened to me and it wasn’t in my head that’s why I tested it started throwing up even felt super tired , what should I do ? Eat a carb?
I’ve been doing carnivore
I found few times that after I’ve eaten my morning tea I’ve had a crash of some kind .
I don’t if it low blood sugar , but end up feeling terrible for a good part of the day .
This was happening after about a month on the diet
Hi Dr.Sten does low carb diet or keto diet can induce insulin resistance i came across video witch tells that those type of diets can induce type 1 diabetes.I m on low carb diet under 100g a day .Recently start having morning headaches even felt sweat flashes ,presuming my insulin very low does it safe in general? Thank you.
Never checked my blood glucose levels before, but I recently got a meter to check ketone levels and since it can check BG levels as well I thought I might as well check both. I freaked out when my BG reading was 73! As I understand it that is on the verge of hypoglycemia, and that wasn't even fast. I ate dinner about 5 hours previously though to be fair I haven't really had more than about 2g carbs all day. If that. I'm going to need to keep a close eye on it.
Thanks dr
You save my life
Thank you GS_ Sangha for sharing your story. That is great. I am so happy you have noticed a positive change. Keep it up!
Doc help me here, is my insulin becoming sensitive because because my glucose levels are swapping, getting low and high, what could be the issue is here, am T2
Do you know anything about keto and severe Hypoglycemia from Rue-en-y Weightloss surgery?
Only that after weight loss surgery you change a lot of factors so you have to use a lot more of trial and error. The same principles of fat adaptation and blood sugar stabilization still apply though.
I watched because I am insulin resistant type 2 diabetics, and working to lower blood sugar levels as well as cholesterol. Wondering what is a bad or dangerously low blood sugar number. I feel fine but my blood sugars are 49. What is unsafe?
Dose eating a big 2 meal on IF cause reactive hypoglycemia ? I eat like mostly fat but still like the amount of carbs is like 50g at one sitting. Because i get the symptoms before finishing the meal and the symptoms go in for like one hour
Once you are in ketosis, how low can your blood sugar go before you need to worrie?
I have hypoglcemia and I've been trying keto/fasting. Eating just high fat and protein with lots of vegetables. It's been absolute hell. When my blood sugar gets low my symptoms of anger, anxiety, depression increase dramatically, and when I eat a meal that dosen't have any carbs or sugar, I barely want to eat it, I'm constantly craving carbs and sugars. I really want to become Keto/fat adapted but I'm worried it's going to take much longer than i thought.
How things are now? Are you adapted now?
@@modestux49 Much better. Cravings for sugar even from fruit and carbs have completely subsided. Any time I eat carbs I feel very lethargic afterwards so I avoid them completely. I used to eat heavy amounts of fruit everyday, completely stopped doing that. Mostly just eat vegetables/meat/some dairy like high quality grass fed cheese.
To anyone reading this that had my same health issues, it does get better, but it takes time. It took me around 2-3 weeks to get into ketosis with just diet. With prolonged fasting, it took me around 1-2 days.
Getting into ketosis is key because you want to get fat adapted as soon as possible. Once that happens everything gets much easier. You will stay fat adapted as long as you stick to your diet. If I eat even a small amount of sweet potatoes, I will get kicked out of ketosis and feel like absolute crap.
Also, organ meats specifically grass fed bovine liver has been an absolute life saver.
I am strugling to get fat adapted about 1 year, but I beleve I will get there..
@@modestux49 Fastest way to do it is a prolonged fast, either water or dry.
@@JagerFrostTroll I did, 96 hour water fast, my meter shows ketones in blood, but I still feel bad
Dr. E., your example of hypoglycemia depicted in the video was a blood glucose of 15. Diagnostically, where does hypoglycemia start? I'm also aware that someone used to higher blood sugars can be symptomatic of hypoglycemia without actually being hypoglycemic - could you comment on that either here or in another video?
Is periodically in and out of ketosis bad? I had a reading of 68 on my glucose and my ketones was .3 and my ketone is usually around .7 or higher.
Thank you Misael David. I think that is what our ancestors did. If you have a lot of weight to lose or a lot of IR to reverse, you might get there faster by steady keto, but if you're getting results, I think it's good to switch it up a little. 😄
@@drekberg thank you! a little relief there hehe I was a little nervous when I found out my reading of 68 (hypoglycemia) I’m usually around 85 glucose and ketones to around .9 to 1.5
Why has Keto increased my blood sugar, will it stop should I stop? Please help!
Update ?
Any update?
Well I drink Apple Cider Vinegar in water before bed and my blood sugar is usually normal if I do it
I doing keto but my blodshuger is high around 8,4 to 10,1 mm mol , i am really stressed from trauma , is that the stress who makes it hi .
Dr. You may want to check the spelling in your thumbnail.great video
Thank you Cyndi for letting me know. We were in a hurry on this one.
My glucose was 41mgdl and I felt fine!
What is the nutrition response testing? I would like to know more about this. I am curious.
Through glucose testing and ketone testing, i've learned a lot about what foods to eat and how much proportion. These videos have been really helpful. Thank you!
Thanks, today was my 6th day of Keto, but tonight was about to lose consciousness, had checked blood pressure and blood sugar , blood pressure was normal but blood sugar was 62 mg/dl, so I ate sugar, had no choice
Go slower
buy glucose pills for emergency instead of sugar.
I'm strugling with strange sickness which makes tons of bruises and bone pain. I've been over 20 hospitals but no one can find why my vein keep breaking and why my bone hurts... and I tried keto and I get serious hypoglycemia... my blood pressure and heart rate are always low and I have smaller vein more the average people. I've been struggling with this for 3 years.
if you know anything or any good hospital or anything can help.
Sorry about what you're going through. I am sorry I don't have an answer for you, but just wanted to let your know to not give up and be strong - keep searching!
Great video and information. Your approach to disseminating knowledge is powerful to the extent that the audience will hardly miss whatever information is being put forward.
This might be me after almost one year of low carb I have severe chronic hypoglycemia symptoms that no doctor could ever explain to me. I need to sit all day and get exhausted after very short walks. I have heavy chronic disbyosis, dead teeth’s, knee pain, my liver might be so weak due to the toxins from the bacterias that the liver can’t regulate the sugar levels and I get stressed out due to too much cortisol, I have literally all the symptoms of hypoglycemia, just a few steps before going to the hospital. Ate two potatoes this evening and already feel better and have less cravings. I hope adding starches will ease my hypoglycemia long term and that I can one day solve my dental and digestion issues. Wish me luck. Would be so nice to have a doctor like him where I live.
Josh, you probably need to work on fixing disbyosis first before you can tackle hypoglycemia.
Oh thank goodness! This is exactly what I needed to hear today. Keto/carnivore for 2 months. Spent the weekend in hospital with hypertensive crisis and low blood sugar. This makes a whole lot of sense. Will go to GP now armed with better information. Thank you so much. Mx
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
After 2 weeks on keto, i always get super dizzy after i eat a meal why is that ? Pls help!
Does taking apple cider vinegar worsen hypoglycemia?
For me it helped tremendously
Kindly assist, what type of food are involved in keto diet?
Just had this exact thing happen to me almost a trip to the hospital!!
Can a person do keto as a diabetic whom takes insulin?
@drekberg
I am suffering from hypoglycemia since last year and whenever I went to doctor and my lab test came back normal they can't figure out what's going on with my body and I still suffered from hypoglycemia symptoms my glucose drops quickly most of the time whenever I have episode I feel like I'm going faint. I have sudden shortness of breath my heartbeat raise, I have dizziness, I can't concentrate and I feel like I have to force myself to eat even if I'm not hungry. I was diagnosed with Hypokalemia last year also. Are these symptoms correlating to each other? How can I reverse my hypoglycemia and prevent it from getting worse. I have a dexcom g7 on my arm to monitor my glucose from time to time.
Im no doctor but hypoglycemia is related to insulin resistance. Keto will help you with that, just dont switch the diet too fast because its no joke.
I was on clean keto diet with IF , on 4th month my body system crashed because after I passed 3rd month I started doing morning walk for 2 hrs and swim for 1-2 hrs. I made a mistake for not fueling enough before and after endurance workout! Also I forgot the rule of keto for not doing endurance exercise while long hrs dry fast! I was rushed to ER with heart palpitations, very weak body almost faint, whole body I felt like dying from heart attack. Doctor did ECG for my heart with excellent result! My heart health is perfect! They put needles and have two bottles of medicines/vitamins into my body! After 2 hrs treatments in the hospital. I am now recovering with vitamins, some digestion pills, introducing more carbs to my keto ( fruits like banana, papaya, raw oat and green vegetables). Still I am continuing my keto but if I am into my workout I prepare my body with fuels also post WO! I feel much better now.
Probably low on salt to
The fasting cause the crash. Sorry to hear
Can a stable person with low blood sugar, say 50 be an indicator of ketosis without monitoring the ketones
That is what I was wondering. My continous glucose meter says I am in the 50's and 60's I feel perfectly fine but I am starting to worry a bit. I ate 3 times today. Not jump over 85. I am wondering if my meter is a little off or something!
If you are in ketosis, that blood sugar level is fine. It is only low compared to a non-diabetic person who isn't in ketosis. The normal range for a healthy adult is 72mg/dl to 99mg/dL when fasting, i.e. after 12 hours of not eating, first thing in the morning before eating or drinking anything. 2 hours after eating, normal is up to 140mg/dl. Remember this is for people who aren't necessarily in ketosis or on a keto diet.
No, low blood sugar is not an indicator of ketosis. Low blood sugar can be loads of things, one potentially being ketosis but it is not correlated like that. If you know you are in ketosis with a test strip and have as you say 50mg/dl and feel fine, you can be confident it is your keto diet causing it (but not guaranteed). If you are that low and are eating junk food and high carb, it could be a cause to further investigate the reason. To be honest, though, the biggest concern is whether you are high blood sugar, not low, regardless of keto. You've also got to understand whether the keto diet you are on is a caloric deficit or excess. There are a lot of variables.
@@rtyrtyrtyus Do you agree with the video; is going slow with lowering carbs the best way to avoid hypoglycemia when trying to go keto? I wonder why some people start ok with keto, but months into it develop hypoglycemia?
I am wondering what is the lower limit of glucose that we should maintain while on ketosis. Anyone can shed some light on it please?
What is a holistic doctor? Is it an MD?
I eat eggs and butter and get hypoglycemia.
Me too
Six days on Keto Diet after exercise I noticed a ammonia smell in my nose so I thought to measured my blood glucose it was 61. Is this an expected level?
no!
Hi - This probably seems like a silly question to those in the know - but why do I need glucose in my blood when my body is now fuelled by ketones ?
The brain still runs at least 25% on glucose and your red blood cells can only use glucose.
@@drekberg for students, academics and others relying a lot on memory, learning and writing, does that mean we should hit higher grams of carbs (complex carbs) rather than strict keto?
My sugars are a roller coaster. Right now very very low but I feel fine. I did go to the hospital last weak and they made me drink apple juice. I'm not overweight. I went strict keto because I kept having high sugar on London no starch diet/Paleo. My fasting glucose would be 140's. Now they drop so low that I'm working to keep in 60's. Trying to find the balance is hard. But at 47 this morning I still felt great like nothing was wrong. I can't have potatoes or any starchy foods.
Did you find a plan that works for you? I am also thin, and get hypoglycemia in 4 hours after eating. Are you still Paleo or Keto?
@@DaryaRyanPhotography I do a keto diet most days. Plus I do intermittent fasting. The weekends are too much of a challenge so I tend to eat a Paleo diet or London No Starch diet. I haven't been checking my numbers too often because it just gives me anxiety. But I may check them this coming Tuesday morning because I had sugar on Sunday. It is currently Monday evening and I have had a Keto diet during the day and now entered into fasting for at least 16 hours. I have what I call my sugar symptoms. Excessive peeing and pins and needles. But basically I do keto +IF 5 days a week and Paleo on weekends with no fasting. I don't know if it's working for me. I still have symptoms but my weekend eating helps stabilize my weight.
I hate going keto, i always get very tired and stuff because of low blood sugar :(
Then you haven't gotten fat adapted. Go slower and be patient.
@@drekberg Thanks. I think i'm starting to get fat adapted now, because i started to crave more butter and fatty steaks :DDD
@@Soyadrengene ... How many days to get fat adapted?
Every time I do keto I feel great for exactly 2 weeks and then I get low blood sugar symptoms..tired weakness no focus or concentration..tried everything like electrolytes etc the only thing that relieves it is carbs..once I have them I feel better again..I just did 7 day water fast as well n felt great days 4-6 then day 7 the same thing again only felt worse..broke my fast with some fruit immediately felt better..at day 5 my ketones were 4.0 so I know I’m burning fat..it seems like once my body is glycogen depleted my blood sugars go down..have you ever seen this before Dr?
Are you trying to lose weight?
Dr. Sten Ekberg No it’s mainly for health reasons..I’m prob about 18% body fat so would like to get down to 15% but not to worried about that side of things..I have spondylitis so it was mainly to see the anti inflammatory effects.
I feel exactly the same, David. I've struggled with Hypoglycemia for the last 30 years and the older I get the trickier it is to balance my blood sugar. I did keto for two months, eating less than 25 grams of carbs daily, and I still get low blood sugar symptoms. I finally had to add some complex carbs and a bit of fruit which takes care of the issue promptly. I decided that keto is simply too severe of a diet for me. I'm 70 years young. I'm going back to a Vegetarian diet that I did relatively well on as long as I didn't overdo fruits and simple carbs.
@@tanyasydney2235 Hi Tanya, yes i agree keto is too extreme especially for me anyway. Some people thrive on it but not me its not a sustainable lifestyle unfortunately. Its a shame because the benefits are great if you eat clean. I've decided to move to a whole food plant based diet which i'm really enjoying at the moment and feel great on it. Best of luck.
Bro add more fat dr berg says