5/13/18 Sunday Supp: Glucose Testing In Ketosis

Today's episode features a question from Lynette who asks "Why aren’t my blood glucose numbers going down on keto?” Don't worry Lynette! Eric has an answer that should help...

The ideal time to test your blood glucose.

Don't get too hung up on the number!

The relationship between insulin and beta.

Ketosis fixes everything!

What does cortisol have to do with it?

Eric has talked a lot about how beneficial the keto lifestyle is for those who are diabetic or pre-diabetic. If you find yourself in a similar state, it might be time to get some beta!!

As always, if you have a question you would like the guys to answer on a Sunday Supp episode you can submit a question on lifeinketosispodcast.com, or reach us on Facebook at https://www.facebook.com/becomebiofit or even email the team at bioteam@biofitcoaching.com.

And if you're interested in finding out more about starting your own journey, you can check out Eric's coaching at www.biofitcoaching.com.

Transcript:

Chad: 00:05 We're getting a lot of questions regarding the proper way to live life in ketosis. We have you covered in our midweek mini-series called Sunday Supps every Sunday we have a quick supplemental episodes where we answer your questions on all things keto and so our question this week, Eric comes from Lynette and she asks, and there's a bit more to her question, but we're going to attack just one of one portion of our question because we don't have much time in these episodes, but she essentially asks why aren't my blood glucose numbers going down on keto? So before we answer that question can just help me understand, you know, or, or most people, most listeners help. What's, what's normal, what are happening with our blood glucose numbers when we go into Ketosis?

Eric: 00:46 Is she referring to like the fasting glucose in the morning on that question or she anytime during the. I don't think we have any context because most people are, are asking on their fasting glucose in the morning because that's when most people are checking. So I guess I'm probably pretty sure she's referring to that because I like to see people test their blood sugar two hours after they eat during the day. That gives me a little more indicator how they're doing. But I, she's purchased time at the fasting glucose in the morning because that's the questions I get all the time from everybody and all the biofitters that I have. It's they, they wake up, they're testing their blood sugar in the morning, their glucose. Okay. And so I know a lot that I coach and talk to and I'm really big into gluconeogenesis and you get me in the oxaloacetate and how everything works.

Eric: 01:45 It's, we get hung up on that number in the morning. Okay. So what happens? We're not testing your insulin. Okay. Because we don't test for that. Alright. We're testing blood sugar and it's just simple way to say hey, those that are pre-diabetic or type two diabetic are running high blood glucose, 120, 150. And they always say check it in the morning. Okay. But the morning can be very deceiving and I really try to get people away from being really concerned with that number all the time. But that's what we've been taught. And I have prediabetics. I have type two diabetics that have been always 1:20 to 1:40 in the morning and now they're under a hundred, but they're. They're lean green in the nineties. Okay. That's not bad. Okay. Because you have to remember, and I've said it before, is if you're in Ketosis, because she's saying she's in Ketosis. Okay. If you're showing Beta and you're testing your Beta and you're in ketosis point five, you know, whatever you put in one millimole, two millimole, then that's telling you don't have insulin. Okay? Your insulin is low. Her goal is to have low blood glucose so she can have low insulin because if she's prediabetic, she has insulin resistance.

Eric: 03:01 Okay? And that gets worse and worse. So the key is saying, let's lower the insulin. All right? And if she's in Ketosis, those two can exist together at the same time. They're not tagging it. So if you have insulin, high blood glucose to it, I'm. What I'm saying is if you don't have ketones then your insulin can be high, but if you have Beta and you're testing, then that means insulin is low. You can't have both. So I tell people you don't get so caught up on that number, you know, and eventually, it does get better. I've seen and coach the lot and in your number can be different just during the night. Remember it's cortisol that's usually ramping up in the morning. Okay. So that starting your day, what is cortisol? Cortisol is a glucocorticoid. Okay. It's main job besides Glucagon.

Eric: 03:58 It's job is to get glucose, sugar in the blood. Okay. So it's if you have a stressful day coming or even preconceived stress, cortisol is going to raise, is going to go to your liver, was going to say, hey, let's get some blood sugar out. Okay. There's days I'm 96 and there's days I'm 62 in the morning and usually, if I have a really stressful day ahead, our son, even if he had nightmares, you had a stressful sleep night, your cortisol will raise because that's the job is to keep some sugar in there. Okay. And so you really can't judge every morning the same. It's stress related, it's cortisol related and, and there's an issue with Glucagon to but I won't go into that, but usually the morning it's cortisol relating.

Chad: 04:46 Okay. Interesting. So this might be at whatever time of day she's testing that could be the issue. Um, and then just there is some fluctuation, but as long as we're showing some ketones we're really in good shape on our glucose.

Eric: 05:00 And with the blood sugars, if you test during the day after a meal, don't test right after a meal, two hours after a meal. And that's how I, I coach said give me a, a blood sugar test two hours after you eat because you're going to jam time every day to pretty close. And then after you eat, that takes usually two hours for your blood glucose to drop below 100 or so. But during the first part of it, it's going to raise. It depends on, you know, your carb load of course, but it's not going to go too much, but it always raised. Um, and it just like today, a quick example, I, I'm fasting, I'm ending my fast in two hours actually was a three day fast.

Eric: 05:37 All right? So I did a workout. I test my blood sugar right before. Okay. It was 62. All right. Within one minute I did a very hard, intense muscle fatiguing workout and I soon as I was done, I checked my glucose. I went from 62 to 96 and an I tested to get every 15 minutes. It took an hour to get back to 86. Okay. And, um, so you can see how the levers kicking out some glycogen has pushing some glucose, blood sugar, glucose out into the blood. Because I depleted a lot of glycogen in my muscles. It was a muscle fatigue in, in fact, I took my lactate, my blood lactate up to 10 point eight, so that's a hard push, so I depleted a lot of glycogen. So there was it. The brain cortisol came in glycogen, the from the liver kicked out to replace some of those, uh, my, my glycogen, my brain's probably fine with, with, with a Beta. Uh, so that's how the system works. I mean, it, it, it's amazing how it works in, it's always trying to take less energy to keep you going. I mean, it's always trying to preserve energy and that's when you're going to look on gluconeogenesis and how much it takes to make a glucose molecule. And we'll have a podcast on that someday. It's really, really interesting though.

Chad: 07:00 Yeah, that's interesting. Thanks so much, Lynette, for submitting your question. I hope we answered it. We had to, we had to make some assumptions about some of the details, but we hope we answered and thank you, Eric, for biohacking with us today and I want to thank you for joining us on this quest for optimal fitness. If you're ready to begin your own journey and live your life and Ketosis, be sure to check out biofitcoaching.com or biofit coaching on Facebook and until next time, stay keto.