Medical Disclaimer: This article is for informational purposes only. If you have diabetes and are considering keto, consult your GP or diabetes care team before starting.
One of the most common concerns about keto for people with diabetes is diabetic ketoacidosis (DKA). Understanding the critical difference between nutritional ketosis and DKA is essential.
DKA is a life-threatening emergency that occurs primarily in type 1 diabetes (and rarely in type 2). It involves very high blood glucose (often >250 mg/dL), high ketones (>3 mmol/L), and acidic blood pH.
Nutritional ketosis involves moderate ketone levels (0.5–3 mmol/L) alongside normal or low blood glucose. It is safe, controlled, and the opposite of DKA in terms of metabolic context.
DKA requires high blood glucose AND high ketones together. Nutritional ketosis in a well-controlled diet produces normal blood glucose with moderate ketones — a completely different and safe state.
Type 1 diabetes requires extremely close medical supervision. Insulin doses change significantly on keto and must be adjusted carefully under medical guidance.
Our keto salads and keto main dishes focus on non-starchy, low-glycaemic ingredients appropriate for blood sugar management.