RyanToll

Can a patient really be said to be on a ketogenic diet if (s)he has a fasting blood glucose level of 100+ mg/dL? Even if the diet is low-carb, such a high blood sugar level seems to be sufficient evidence to discount ketosis. Surely the body is still burning for fuel at that point, thus negating the effects of the dietary plan. It would be interesting to separate out the participants by blood glucose level and see to what degree that predicts treatment efficacy. Further, it would be quite informative to see if disease progression slows or halts as patients eventually get their blood glucose under control.