There are so many ways that this topic can go, but I'm going to start with "sick days".
Ok, so when I have a sick day, it usually means that I have traces of ketones present. I have sick day management in place so I follow that. That consists of, me doing BSL tests every 2 hours and usually extra insulin as well. It is still possible to have "normal" BSL's and still have ketones. If that happens with me, I still keep going with the testing and extra insulin, but it means that I just have to have extra carbs to go with the extra insulin.
I am also on a high protein, low carb diet. I limit myself to between 60 to 80g a day. I am purely doing it in order to lose weight. Once I have gotten to my ideal weight, I will up the carbs to between 80 to 100g a day. If you are on lower amounts of carbs, like the Atkins diet, (which is 20g) it is relying on you developing ketones in order for the weight lose to occur rapidly. Which, I think is not only a really bad idea for non diabetics, but an even worse idea for us, as ketoacidosis is not fun and not to mention super dangerous. I would assume that you have spoken with your DE/Endo/dietician in regards to your low carb diet and so therefore I would also assume that that isn't your issue.
nirvana wrote:The only thing i'm not understanding is if my blood sugars are around the normal ranges, and my cells are needing this energy, when the fat is burned to create the energy, why aren't my blood sugars skyrocketing, or at least showing some kind of random highs? To me it seems like unless i had insulin in my system to counteract that influx of sugar via the fat being burnt, my bgl would go up, and if i had that insulin in my system i would be going low most likely and needing to intake sugar to fix that, resulting in my body not needing to burn the fat to make the energy as i would have just introduced it via my diet...
Then again, maybe it is. I would suggest talking to a dietician to work out what your energy needs are. Perhaps you need to adopt more low GI carbs into your diet in order to avoid the ketones, because, as I said, they're extremely dangerous
As for urine testing strips to blood, I think it really is a personal preference. I do know that the urine strips let you know what was happening 4 hours ago in your blood, and the blood testing strips advise on what was happening within the hour, so for me blood strips are the way to go. (I have had many admissions of DKA so I've done this lots...)
I hope you get it sorted soon