The intention of this post is to compare the two very different metabolic states “nutritional ketosis” and “diabetic ketoacidosis”, and try to clarify the main concept of DKA Diabetic Ketoacidosis in a very simple explanation.
Just to make sure we are talking about two different metabolic states, the main difference between them is:
- Benign dietary ketosis is a controlled, insulin regulated process which results in a mild release of fatty acids and ketone body production in response to low carbohydrate intake, and higher fat consumption.
- Ketoacidosis is a condition in which abnormal quantities of ketones are produced in an unregulated biochemical situation. In order to reach a state of ketoacidosis, the body has to be in a state of not producing enough insulin to regulate the flow of fatty acids and the creation of ketone bodies.
Diabetic ketoacidosis develops when your body is unable to produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as an alternate fuel. This process produces a buildup of toxic acids in the bloodstream, eventually leading to death if untreated.
So, I found Dr. Seheult on youtube with a very clear explanation about the treatment of diabetic ketoacidosis (DKA), Part 1 and Part 2: