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    • 16 hours, 37 minutes ago
      KarenM6 likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 16 hours, 38 minutes ago
      KarenM6 likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 20 hours, 59 minutes ago
      Mick Martin likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 20 hours, 59 minutes ago
      Mick Martin likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 21 hours, 17 minutes ago
      Trina Blake likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I am curious. Do you routinely check the control glucose solution to be sure the meter is accurate?
    • 22 hours, 5 minutes ago
      Barbara Bubar likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 17 minutes ago
      Barbara Bubar likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I use a CGM and STILL check an average of 7 times per day with BG meter because despite the advertising claims, I have yet to find a CGM that is consistently accurate enough to rely on for various tasks including meal Bolus dose calculations. Currently using Dexcom G6 with tSlim Control IQ, along with Dario BG meter I trust more than Dexcom.
    • 22 hours, 26 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My infusion site stopped working well. Most of my problems going high are due to problems with infusion set. Another problem is my slow processing of my dinner. If I bolus too fast I go low, if I wait a bit I go high. It’s a nightmare
    • 22 hours, 26 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 22 hours, 27 minutes ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I answered 4 , I had steroid in my infusion yesterday.
    • 22 hours, 31 minutes ago
      Marthaeg likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 54 minutes ago
      Mike S likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 58 minutes ago
      KCR likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 22 hours, 59 minutes ago
      Jeff Marvel likes your comment at
      If you do NOT use a CGM, on average how many times per day do you check your blood glucose levels?
      I answered N/A, like most of us here(apparently) I have a CGM. But for the record, I haven't quite cut the cord on finger sticks. Routinely I do one first thing in the a.m., just to check that my f-s and CGM numbers reasonably match up. That time of day seems to be when they're most likely to have drifted apart--yay Dawn Phenomenon. Dexcom much better than Medtronic Guardian 3 on this but still a bit of a problem. And the first 24-36 hrs of a new sensor, especially if I haven't been able to do a "pre-soak," may get me up to 3-4 finger sticks depending on how erratic it's being. Might be a natural follow in this series to do a Q of the Day on how many fingersticks people do who ARE using a CGM.
    • 1 day ago
      ConnieT1D62 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I use a CGM and my BG went over 180 seven times. Not unusual for BG go to 200+ after eating, then comes down. Yesterday and today my average BG was 150.
    • 1 day, 17 hours ago
      KarenM6 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      I answered 4 , I had steroid in my infusion yesterday.
    • 1 day, 17 hours ago
      KarenM6 likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My infusion site stopped working well. Most of my problems going high are due to problems with infusion set. Another problem is my slow processing of my dinner. If I bolus too fast I go low, if I wait a bit I go high. It’s a nightmare
    • 1 day, 18 hours ago
      Lindsey Whitnell likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      My "high" alarm is 130. When I hit that I consider: when I ate; could I have screwed up the bolus; what am I doing or will be doing; when I'll eat next. Rarely go over 150-160, by reacting and preventing highs found I actually use less insulin than just correct when it peaks....could never do this without a CGM I'm comfortable with, although with pens and an unmoving basel more fun (can't make fast adjustments for food, stress, heat, or activity). So the past several days zero over 180, just a few over 150.
    • 1 day, 20 hours ago
      Janis Senungetuk likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 1 day, 20 hours ago
      Bruce Schnitzler likes your comment at
      In the past 24 hours, how many times has your blood glucose risen above 180 mg/dL (10.0 mmol/L)? (For this question, we are looking at separate periods of hyperglycemia, rather than consecutive glucose readings above 180 mg/dL.)
      Yesterday I walked 30 miles. At about 10 miles I went 200 something. I took 20g of carbs at about 120 to prevent going low and ended up at 200 even though I continued to walk. Took a correction and my bg dropped more than I wanted. It is a trick to manage bg during long endurance events. My endocrinologist suggested a profile for me which I was trying for the first time. I will be walking for 24 continuous hours hoping for about 70 miles. The event is outrun 24 at Chapin Forest in Kirtland Ohio.
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      I had the same thing happen. I usually go below about 3 times but yesterday not at all. Amazing!
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      With Tandem CIQ, I get <2% in hypo range, rare at night, and when I do it is usually my fault- over bolusing for food, or exercise. Love this system
    • 1 day, 22 hours ago
      Lawrence S. likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      It's been an unusual 24 hours for me and I haven't gone below 70 at all. (If I'd a been asked last week, totally different answer!) :p But, I'm doing really great today. So... Yay! :D
    • 2 days, 9 hours ago
      ConnieT1D62 likes your comment at
      The food we choose to eat as people with T1D is so personal, and each food impacts every person differently. What foods do you prefer to eat for your first meal of the day? Share what works for you in the comments!
      I follow my wife’s old adage, “Eat breakfast like a king, lunch like a queen, and dinner like a pauper.” And in a very king-like fashion and since I am retired, I do it most mornings in a very leisurely 3 or 4 fashion. The best breakfasts, by far, are those you have with delightful conversationalists with people of wide-ranging interests. I start with 2 or 3 cups of strong, dark-roast black coffee, nursed liked an expensive cocktail rather than gulped. Then come berries—raspberries, black berries, blue berries, and a complete box of strawberries, followed by protein potions of turkey peperoni slices or an egg or two. The cereal consumed is a mix of three-Uncle Sam’s mixed with Grape Nuts mixed with All Bran. Either milk or yogurt is used to top the cereal. I know not the calories, but the carbs I can count down to the first decimal point. And decidedly, the meal’s main attributes are the time spent and the conversations.
    • 2 days, 10 hours ago
      ConnieT1D62 likes your comment at
      In the past 24 hours, how many times has your blood glucose gone below 70 mg/dL (3.9 mmol/L)? For this question, we are looking at separate periods of hypoglycemia, rather than consecutive glucose readings below 70 mg/dL.)
      With Tandem CIQ, I get <2% in hypo range, rare at night, and when I do it is usually my fault- over bolusing for food, or exercise. Love this system
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    Have you ever experienced elevated ketones without high blood glucose levels?

    Home > LC Polls > Have you ever experienced elevated ketones without high blood glucose levels?
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    36 Comments

    1. Mick Martin

      Many years ago I used to be a bit of a fitness ‘freak’, and one of the sports that I used to participate in was boxing. I used to ‘starve’ myself purposely to keep my weight down so that I could meet the requirements for the weight category that I used to box in. This resulted in ketone production as my body would deliberately break down fat reserves in order to ‘feed’ me.

      1
      2 years ago Log in to Reply
    2. Abraham Remson

      I have never had a problem with ketones. I was even given ketone sticks to test. Even when my sugar was high for a few days. This was an indication that I had some kind of virus or some other infection

      2 years ago Log in to Reply
    3. Bonnie kenney

      I was on Jardiance…while on a pump…I am type 1. I started spilling ketones after taking it a few years. My Dr took me off immediately.

      2 years ago Log in to Reply
    4. Henry McNett

      Yes, it is called nutritional ketosis resulting from a low carbohydrate diet.

      3
      2 years ago Log in to Reply
      1. Christina Trudo

        isnt this what killed karen carpenter?

        2 years ago Log in to Reply
      2. KarenM6

        Hi Christina –
        No. What killed Karen Carpenter was Anorexia – which is, basically, not eating at all… no or too low of a caloric intake.
        A low carb diet does not preclude caloric intake from non-starchy vegetables or meat or fat.
        A low carb diet means the person is avoiding breads, fruits, starches and pastas also.
        I hope this information helps!

        2 years ago Log in to Reply
    5. Sharon Lillibridge

      i would not know….not something I am concerned with.

      2 years ago Log in to Reply
    6. Ernie Richmann

      I just don’t know.

      1
      2 years ago Log in to Reply
    7. Christina Trudo

      Not without any kind of high, but the one time I had ketones that landed me in the hospital my sugar was not super high, high 200s.

      2 years ago Log in to Reply
    8. Sahran Holiday

      My endocrinologist told me not to bother testing for ketones even from an occasional high blood glucose. Probably on my lab tests. No one ever said anything.

      2 years ago Log in to Reply
    9. Dave Barden

      Don think. Been a long while since I’ve checked for ketones. At what bs reading do people check for ketones.

      2 years ago Log in to Reply
      1. AnitaS

        I know many people have been told to test if sugar levels go above 250, but not sure if that is what the people who are answering in this survey do.

        2 years ago Log in to Reply
    10. Bob Durstenfeld

      I’ve never had high ketones, regardless of BG level.

      2 years ago Log in to Reply
    11. Tina Roberts

      I have no idea. I don’t test for them.

      2
      2 years ago Log in to Reply
    12. Chrisanda

      I’ve never tested for ketones. So far my doctor has not required it.

      2
      2 years ago Log in to Reply
    13. Natalie Daley

      My endo never asked me to test or provided me with an Rx for test strips.

      1
      2 years ago Log in to Reply
    14. Carol Meares

      I put no, but I don’t ever measure ketones so I don’t really know.

      2
      2 years ago Log in to Reply
    15. Francisco Varea

      I answered other. I have only tested for them a couple of times and found normal levels. The strips are usually expired whenever I try to test. It is sort of useless in my opinion, unless your glucose levels are really out of of control.

      1
      2 years ago Log in to Reply
    16. Kate Hayes

      This question is automatically and inherently biased, though, because we Type 1s are taught to not even check ketones unless glucose levels are above 250 mg/dL. So – One of the answer choices should be “I don’t know”.

      3
      2 years ago Log in to Reply
      1. Ceara Glasgow

        When I was first diagnosed I was told to check for keytones every so often. And when I tried a somewhat ketogenic diet I had to test my levels everyday to make sure I wasn’t making way to many keytones. I think the healthcare for type 1 diabetes is so… in progress that different professionals have different understandings of treatment.

        2 years ago Log in to Reply
    17. Cheryl Seibert

      My husband was in post-op after surgery and nursing care was thin. I wasn’t on the pump at the time and had BGs in the 150-170s for several hours. Waiting on training for wound care delayed my meal so I was very dehydrated after waiting all day at the hospital. That evening, I went into ketoacidosis even though my BGs were still in the 170s.

      1
      2 years ago Log in to Reply
    18. Ken Raiche

      Happens almost everyday due to the current diet that I’m on.

      1
      2 years ago Log in to Reply
      1. AnitaS

        Ooh, that doesn’t sound good. Maybe the diet needs to change in some way.

        2 years ago Log in to Reply
      2. Ceara Glasgow

        Whenever I go low carb I make keytones too, people always think keytones are bad but they aren’t they are also a sign that your body is burnin fat for fuel instead of carbs or sugar.

        1
        2 years ago Log in to Reply
    19. Eve Rabbiner

      Why would I even check for ketones unless my BG was high? Maybe it I was feeling dreadful, but so far that hasn’t happened.

      2
      2 years ago Log in to Reply
      1. Ceara Glasgow

        Some people produce keytones more easily than others. I think mostly due to diet, hydration,and activity. I did a somewhat ketogenic diet for awhile and produced a lot of keytones most of the time, my blood sugars were always on the lower side tho.

        2 years ago Log in to Reply
    20. M C

      Only once – it was after surgery – My body didn’t ‘like’ the anesthesia, so had to be kept overnight after a ‘day surgery’ as my heart rhythm became erratic…. I couldn’t eat due to extreme nausea, and thus ketones made an appearance (as explained by the doctor).

      1
      2 years ago Log in to Reply
    21. Steve Rumble

      Back in the test tape days I tested for ketones when my urine tested very high glucose. Haven’t tested for ketones since I first started using a blood glucose meter in the early 80s.

      1
      2 years ago Log in to Reply
    22. Patricia Dalrymple

      I said other because I’ve never felt sick enough to check for ketones and my Endo never says anything about it.

      2 years ago Log in to Reply
    23. Jneticdiabetic

      I put No, but I’ve also never checked unless my BG is high and I’m feeling unwell.

      1
      2 years ago Log in to Reply
      1. Bea Anderson

        N/a…in 15 yrs it has never come up. Never checked. Is treatment for high ketones different than treating high blood glucose? When high I try to quickly correct to low normal. Assumed that was all that was needed. That said I do use Keto diet at times.

        2 years ago Log in to Reply
    24. John Dowd

      I don’t really know what ketones are, so I put “other”

      2 years ago Log in to Reply
    25. AnitaS

      While in the hospital recovering from surgery, I had keto acidosis. My sugars were high the whole time I was in the hospital and I kept telling them I needed more but they just didn’t seem to listen. My sugars weren’t astronomically high, but even staying between 200 and 250 the whole week I was there was enough to put me over the edge into keto acidosis.

      2 years ago Log in to Reply
    26. Ceara Glasgow

      Yea I actually went into dka without having a high blood sugar. It was frustrating in the hospital a lot of the doctors and nurses didn’t understand that dka happens when you don’t have any insulin in your body regardless of blood glucose levels. I was luck my endocrinologist was on a shift at the hospital and was able to come in and lay down some education not just for me but also for the other medical staff.

      2 years ago Log in to Reply
    27. Kevin McCue

      The wording doesn’t allow answers like having never experienced ketones or measuring ketones even though having T1d for 3 decades

      2 years ago Log in to Reply
    28. Wanacure

      I was breathing out and urinating ketones when I first became T1D. Within a week my observant mom had me seeing an endocrinologist. That’s the only time. And I have checked for ketones over the years. I felt so much better after starting insulin. But I’m on a low carb diet now and may go ketogenic. Keto acidosis from high bg = very bad. But keto acidosis from ketogenic diet may not be so harmful & there may be some real advantages. I’m open to trying it.

      2 years ago Log in to Reply

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