What is the worst type of tone?
Negativity. Sarcasm. Keytones. Ketones, of course.
Yesterday I had another frustrating morning dealing with unexplained ketones. The last time was a few weeks ago on Memorial Day. Not the way I wanted to spend a day off work. Almost the same circumstances happened this morning.
I went to bed last night with a totally “normal” blood sugar – 126 on the meter, 141 on the CGM with a steady line. My habit when I wake up in the morning is to check my CGM before I get out of bed. I often don’t wake up to the alarms, so it is my routine to see how the night was and likely how the morning is going to go. The trend line had headed down to the 90s and lower 100s. Nothing unusual.
I tried to start my morning routine but I was thwarted by the same stomach pain and nausea as the last time. The worst of it lasted a little over an hour (again). When I got to a place I could check my blood sugar, it was completely normal (a perfect 100 even!) but just like last time I had moderate ketones.
Although it was the last thing I wanted to do, I ate a little something, grabbed a large glass of water, and took a little insulin. I answered a few emails, texted my boss, and apparently fell asleep on the couch.
When I woke up a few hours (!) later, I knew immediately that I was low. I got a juice box, a snack, more water, and sat down to test. I checked my phone once I had finished the juice box and a friend had texted to ask about the ketones. I almost replied that they were gone because I was low. How could I be low AND have ketones?
Apparently I can.
The ketones are obviously not at a dangerous (or even a head-to-the-hospital) level. I feel absolutely awful and contemplate the doctor for a few hours. The ketones eventually clear out without any medical treatment other than a little insulin and a lot of water. My stomach feels iffy for the rest of the day but is basically back to normal by the next morning. I had not been over 200 for at least 24 hours before this started, and have not been over 200 at 9 hours later. I am thoroughly confused.
I’ve searched the interwebs and the twitterverse.
The options seems to be:
- The ketones are a result of “fasting” during the night. I ate last night around 9:30 so it was about 12 hours without food. I’d be okay with fasting ketones if they weren’t accompanied by the stomach pain.
- Dehydration. See above. Water bottle next to the bed?
- A short-lived stomach bug with unfortunate timing and minimal extra symptoms. Last time, I was the only one I knew who was sick but this time my boss was out sick yesterday and another person in our office was out sick today.
- It’s just life with diabetes. I had a lot of stomach issues around the time I was diagnosed. I saw a GI doctor several times, went through a whole bunch of testing including a four quadrant CT scan, and the best he could come up with is a “diabetes stomach” (not referring to gastroparesis). As far as I know, that is not a recognized diagnosis.
Has anyone else experienced anything similar?
Does anyone have any ideas what could be going on?