Pros and Cons ketoacidosis

Ketosis Vs Ketoacidosis: Which One Is Good? Which One Is Bad?

“Is Ketosis the same as Ketoacidosis?” Since both names are quite close, this question is always asked before starting the Keto diet in order to make sure whether it’s a safe diet plan or not. 


Actually, this question is based on misunderstanding and mixing information since there is a big difference between Ketosis and Ketoacidosis. As a starting point, Ketosis and Ketoacidosis are totally different cases. 


Ketosis is a normal state which the body gets in as a result of deficiency of carbohydrates or fasting for a long period of time. 

On the other hand, Ketoacidosis is an unhealthy state the body gets into as a result of a very high level of ketones in the blood. Ketoacidosis can be a dangerous or life-threatening condition and may require medical care. 


Definition Of Ketones:


The required energy for the body to perform its daily tasks needs a source of fuel which can be one of both, either from glucose in the blood or ketones in the blood. 


When a person is following a low-carb diet, the level of insulin drops to a very low level. Insulin is the key that opens the way for fats to get into the cells. In this case, when insulin levels are low, the liver starts to produce Ketones. These Ketones works on breaking down the stored fats in the body to perform as the fuel for producing the body energy. 


What Happens To The Body When In Ketosis?


Ketosis state is the case when the amount of Ketone bodies accumulates in the blood. This accumulation happens after a long fasting period or when feeding on a low-carb diet.


Being in Ketosis state is a normal thing and can’t be considered to be a problem at all. Actually, some people try to reach Ketosis state on purpose. This is due to the health benefits which are reflected in the body in the case of ketosis state. 


In order to reach the Ketosis state, you need to decrease the carbohydrate intake to be less than 50 gm per day. Those people who tend to reduce the carbohydrates and increase the level of fat intake instead are following a low-carb diet which is called Ketogenic diet. 


The Ketone bodies produced are usually produced at an acceptable level which is normal and not harmful by any means. Just diabetic patients with type 1 diabetes are considered more exposed to a harmful level of Ketone production. This happens due to the extremely low amount of carbohydrates in the blood. 


If you are a diabetic patient, it’s preferred to keep an eye on the Ketone levels in the blood and make sure its less than 0.5 mmol/ L. 


What is Ketoacidosis? Is It Dangerous?


Patients with diabetes type1 have a higher risk of being Diabetic Ketoacidosis. Diabetes type1 means that the level of insulin in the blood is lower than normal levels.

As a complication of diabetes reducing the carbohydrate intake causes the body to break down the fats of the body into ketone bodies too rapidly. 


Ketone bodies are acidic molecules that may increase the acidity of the blood if its level dramatically increases. Blood acidity has a normal range if exceeded this may become a danger indication. High blood acidity levels should be instantly detected and took care of, as it’s really critical affecting the functions of the brain and organs in a life-threatening means.


Should I Get Conservative Towards Ketogenic Diet?

Not at all, Ketosis and Ketoacidosis are totally different states. The first one is beneficial while the latter is dangerous. 

In order to know the difference between each of them, you can use a Ketone meter to know whether your body is producing Ketones at a healthy level or not. 


Ketones can be measured by several means, such as:

  1. Ketone urine strips: This is the cheapest and easiest but doesn’t give the most accurate results.
  2. Breath Meter: This method is more accurate than urine sticks and affordable too.
  3. Blood Ketone Meter Home Kit: This method is the best according to the result accuracy but it’s very expensive. Also, you can get an affordable blood Ketone meter home kit to use it easily and quickly at home.


Who Should Worry About Diabetic Ketoacidosis?


Diabetic Patients of type1 are the ones who should get concerned about Diabetic Ketoacidosis since their insulin production is very low and their ketone levels are already high levels. 

While Diabetic patients of type2 should feel worried since their insulin levels are already higher. 

It’s very important to mention that if you are a diabetic patient whether of type1 or type2 and thinking about starting a Ketogenic diet, it’s recommended to consult your doctor about every step you are taking to avoid any complications. 


 What Are the Symptoms Of Diabetic Ketoacidosis?

  1. Frequent Urination
  2. Dehydration
  3. Dry Mouth

In case not treated rapidly more symptoms tend to appear, such as:

  1. Breathing Troubles
  2. Vomiting
  3. Nausea
  4. Confusion and Extreme Fatigue
  5. Severe abdominal pain 



Our goal here is not worrying or discouraging you against Keto. We are just stating the fact that Ketosis and Ketoacidosis are totally different. 


Being in Ketosis state is a healthy lifestyle, providing your body with lots of benefits like mental clearance, more energy for daily duties, losing weight without starving yourself, choosing healthy foods and avoiding unhealthy sources of carbohydrates which negatively affects your health. 

Following Keto is a way to avoid heart diseases, diabetes, and so many other diseases. 


On the other hand, Ketoacidosis is a critical health condition. Ketoacidosis is a dangerous state and it might be life-threatening in some cases. It should be treated carefully and rapidly if occurred. 


It’s important to know that Ketoacidosis is a rare thing and it’s not normal to happen. It just happens with a few cases of diabetes patients of type1. Diabetics of type1 also should not necessarily experience Ketoacidosis. We strongly recommend them to consult the doctor before and while following the Keto diet in order to avoid this unpleasant case.