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Originally Posted by Rosebud
I know I'm repeating myself, but why would you get starvation ketosis at the beginning of his diet?
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I'm not sure; I'll try to decipher some of the Polish pages, and see if he explains this in more detail. As I said, maybe it has something to do with the protein restriction? As far as I know, he hasn't said that these cautions would apply to people beginning other LC diets.
If JK is to be believed, there are a fair number of "medically anomalous" things that can happen when people go on the Optimal Diet. Some, like this one, are temporary. Others (all of them neutral or beneficial, in his view) are long-lasting. As I mentioned in my first post, he says that it's common for fasting blood glucose in non-diabetics to actually increase above what it was prior to starting on the diet, into a range that's conventionally considered a sign of diabetes. In addition, some people develop astronomically high total cholesterol (though they have very good HDL/LDL ratios). Based on his 40 years of clinical experience, JK is very confident that these readings -- while somewhat alarming by mainstream standards -- are in the normal range for "optimally nourished" people.
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Starvation ketosis doesn't occur unless someone is literally starving, ie not eating anything at all for weeks.
And just for anyone new wandering through, it is simply not possible for a diabetic to have ketoacidosis as long as their blood sugars are normal.
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Starvation ketoacidosis appears to sometimes come on quickly, especially in children. In the case of the article I posted, with the baby who was required to fast before surgery, it was 36 hours. And
this site says that it typically takes 3-14 days to reach maximum severity, but that it can begin even after an overnight fast.
As for ketoacidosis not being possible with normal blood sugars, again, this doesn't fit with what Medline came up with; see the first two articles I've linked to in my last post. If you do a web search for "euglycemic ketoacidosis," or "normoglycemic ketoacidosis," you'll find additional cases. It may be rare, and something that only happens under fairly extreme metabolic conditions, but it's possible. As for how it fits with the Optimal Diet... well, that's the big mystery.