A Mom Tried Keto Diet For 30 Days. This Is What Happened When Things Went Wrong.


A mom tried keto diet for 30 days.
Things went wrong for her, just weeks after
starting it.
This is what happened, to her pancreas.
JC is a 32 year old woman, presenting to the
emergency room with progressively worsening
speech, vision, and strength.
She opens her mouth to speak to the admitting
nurse, but the words don’t make any sense.
4 months ago, JC became a new mom.
She decided that she would feed her daughter,
naturally.
JC was an elite athlete in her past life.
She always lived an active lifestyle, and
motherhood wasn’t going to change that.
During her pregnancy, she had gained 30 pounds.
Now that baby’s out, JC tried the Keto diet,
where she’d restrict all carbohydrates to
zero, while eating only proteins and fats.
Paired with an hour of exercise daily, JC
was determined, she was going to shed that
baby weight.
In the weeks following her daughter’s birth,
JC felt a numbness in her legs during her
morning runs.
This was without pain.
Without burning sensations.
One day at breakfast, JC’s husband noticed
her repeatedly pour water from one bottle
to another and back, while quietly growling
to herself.
When asked about this after eating, she had
no memory of breakfast.
As the weeks passed, JC felt a panic and anxiety
start to overcome her.
She started crying everyday.
She couldn’t sleep through the night.
Breaking her keto diet, and eating carbs would
make her feel better, but she resisted every
urge.
She realized something was wrong.
At the doctor’s office days later, JC was
diagnosed with postpartum depression.
These changes in her body are normal.
She just had a baby.
Shifts in hormones and increased sensitivity
to these changes, can affect anyone.
But the doctor had other concerns.
JC was feeding her daughter.
Human milk incorporates 50 grams of sugar
per day.
If she’s not eating those sugars because
of her keto diet, this COULD be a problem.
Proteins and fats can be converted to sugar
for use in milk, but that conversion doesn’t
happen quickly.
It doesn’t happen easily.
And it MIGHT not be enough to keep up with
JC’s lactation.
This can be problematic if it causes blood
sugar levels become too low.
And in JC, those levels are too low.
A blood test at that visit revealed severe
hypoglycemia.
Hypo meaning low.
Glyce from Ancient Greek referring to sugar.
And emia meaning presence in blood.
Low sugar presence in blood.
The brain uses sugar as its most immediate
energy source.
When sugar is suddenly low in the body, this
will cause mental status changes and mood
swings as the brain’s energy supply is disrupted.
And when combined with postpartum depression,
then this explains everything that’s happening
to JC.
She was sent home with medicines.
She was given advice to stop the strict keto
diet, so long as she was still feeding her
daughter.
It didn’t need to be a permanent stop, but
a necessary change for the time being.
JC was on her way.
She was feeling great with this flexible diet.
But only for a few weeks.
One morning, JC stepped on the scale.
She had gained another 20 pounds since she
relaxed her foods after that doctors visit.
She thought that the medicines were working
well on her mood, so that postpartum depression
must have been the only problem.
She saw no reason to continue the relaxed
diet, as she vowed again to shed that baby
weight .
She broke the doctor’s recommendation and
returned to her strict keto diet, while still
feeding her daughter.
It was time to wean baby off, anyways she
thought.
As the days went by, JC felt great.
But one morning, 2 weeks later, her vision
started to double.
She felt a tingling in her fingers.
She spoke words to her husband, but he couldn’t
understand them.
He thought she was joking, but realized something
was wrong, when she tried to put baby in the
refrigerator.
After breakfast, JC had no recollection of
anything.
The same episodes, would repeat every morning.
She would snap out of it after her breakfast
of greek yogurt and eggs.
Her husband shrugged it off as a joke because
it kept happening, every day.
But then JC’s anxiety came back.
The crying and the insomnia.
Over the next 4 days, JC’s vision starts
to go dark as her bouts of panic intensify.
She describes to her husband a mental fog
clouding her thoughts.
And as the night falls, anxiety shrouds her
as she knows the insomnia was waiting for
her.
One morning, JC got out of bed.
She laid on the floor, arms raised.
She was conscious but not responsive.
She was speaking, but incoherent.
She rolled over on her side, and began to
seize as 911 was called and she is brought
to the emergency room where we are now.
At examination, JC isn’t visibly ill.
She’s verbal, but she’s incoherent.
She’s responsive, but not oriented.
A blood test again reveals hypoglycemia, but
this time, less than half the lower limit
of normal.
The medical team administers a sugar water
mixture intravenously to JC, her consciousness
improves in minutes.
All other signs and exams return normal, as
she appears to be her normal self.
More tests are done on her, and it’s found
that nothing is wrong with her kidneys, liver
and heart.
Overall, it looks like nothing ever happened.
She’s admitted into the hospital because
even if she looks ok, something is clearly
amiss.
The next morning, the medical team on rounds
finds JC on the floor again, arms raised.
This time, unresponsive but conscious.
Incoherent, but still speaking, as she rolls
over and starts seizing again.
Doctors order another test for her blood sugar.
Severe hypoglycemia found again.
Another glucose IV was infused in to her.
JC is conscious, coherent and oriented again,
with no recollection at all of what just happened,
as this now gives the medical team some clues
as to what’s happening.
Most immediately, JC is showing neuroglycopenic
symptoms.
Neuro referring to the brain.
Glyco referring to glucose, another name for
sugar
And (suffix)-penia meaning a deficiency of.
A deficiency of sugar, in the brain.
The brain needs sugar to function.
But exactly, how much?
Well, at rest, the brain accounts for 60%
of all sugar consumption, even though it’s
less than 3% the mass of the whole body.
In normal function, the body has protections
in place to prevent hypoglycemia so that bad
things don’t happen to the brain.
This glucose homeostasis, is the equilibrium,
or balance of sugar in the body.
Most of the body’s sugar is stored in the
liver.
When blood sugar decreases, hormones tell
the liver to start breaking down those stores
and to release them so that levels are steady.
This is called glycogenolysis.
The liver also generates sugar from proteins
and fats, a process called gluconeogenesis.
Both of these increase blood sugar, so defects
here can cause a decrease in blood sugar.
Nothing here was wrong, because JC’s liver
function was found to be normal, but there’s
more.
The liver produces ketones, which are a secondary
energy source to sugar that can be used by
the brain.
But they’re not as efficient as glucose.
If someone has been on keto diet for long
enough, the liver’s sugar stores become
depleted, forcing ketogenesis, giving way
for the namesake of JC’s diet
But lactation can also increase the production
of ketones.
So, if she’s doing both the keto diet, and
feeding her daughter, then it means that JC
should have a high ketone presence in blood.
The medical team orders JC to fast for 72-hours.
Over these 3 days, they will monitor her blood
sugar and ketones.
(+proinsulin and C-peptide— students, what
are those for?)
Things seem to be going well just a couple
hours in to the fast.
But at 7 hours in, JC started slurring her
speech.
She was no longer oriented again as she lay
on the floor, her arms up.
On measurement of her blood glucose, the results
return— less than half the lower limit of
normal.
Ketones, which should be high, were virtually
absent, bringing us back to glucose homeostasis.
Upstream the process, from the liver, is the
pancreas.
This organ produces a hormone named insulin,
which is released when blood sugar is high.
Most commonly, this happens after one eats.
Insulin tells the body’s cells, to absorb
the sugar in the blood.
To take in as much of it as possible, until
the levels normalize.
If insulin is high for a long time, then blood
sugar will be low.
Results from JC’s fast show that her insulin
levels were 3 times the upper limit of normal,
meaning that something is causing her pancreas
to secrete too much insulin.
But what could it be?
Well, It’s probably not medicines because
nothing she’s been taking in the hospital
would do this.
It’s not her liver because it’s functioning
normally, downstream the process.
It’s not performing glycogenolysis or gluconeogenesis
as a result of the high insulin presence in
blood.
And it’s not her kidneys since they would
filter the blood, functioning as intended
in JC.
Meaning there could be an overgrowth or a
tumor in her pancreas, that’s releasing
insulin with no regard to the feedback mechanisms
in place.
This is called an insulinoma.
At this realization, the medical team orders
an abdominal MRI with contrast.
Images reveal a well-defined tumor, 11 millimeters
in diameter, in the body of JC’s pancreas.
Its appearance doesn’t look like pancreatic
cancer.
It could be a cancer from somewhere else in
her body that has spread to the pancreas,
or it could be a functional neuroendocrine
tumor, something releases hormones inappropriately.
The extreme hypoglycemia.
The regular pattern of neuroglycopenic symptoms.
The resolution of her mental status after
correction of her blood sugar.
[this is called Whipple’s Triad btw]
The medical team makes a clinical diagnosis
of insulinoma as JC was sent in for surgery.
Parts of her pancreas were removed along with
the tumor, as her depression medicines were
tapered and then discontinued.
The mornings were the toughest times for JC
because of the overnight fasting period where
blood sugars are low in everyone.
The unregulated release of insulin by a tumor,
made those levels even lower before breakfast.
The cause of the tumor, is unknown.
It wasn’t caused by her pregnancy.
But the timing of this, just happened to coincide
with the pregnancy
In the late term, insulin resistance builds
in the mother, which would make JC’s body
less responsive to insulin. Meaning that the symptoms would be masked.
But after the baby is delivered, the mother
becomes more responsive to insulin, which
for JC, resulted in pronounced symptoms.
This is described in several case reports
of insulinoma diagnosed during pregnancy.
And this is also touched upon in the documentary
Microbirth, which you can see on CuriosityStream,
who sponsored today’s video.
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In her first doctor’s visit, JC noted that
eating carbs solved her panic, anxiety and
insomnia, all of which are neuroglycopenic
symptoms, meaning she may not have had postpartum
depression from the start, but we can’t
say for sure.
The 20 pounds she gained in just a couple
of weeks after relaxing her diet the first
time is a normal function of aberrant insulin
secretion, as it stored that excess glucose,
as adipose tissue.
All of this was worsened because JC was simultaneously
feeding her daughter and following a strict
keto diet. In the medical world, hypoglycemia
is considered as more acutely dangerous than
hyperglycemia, because low sugar can take
someone out instantly.
As she recovered from the operation, her blood
sugar levels stayed within normal limits.
She was able to return home in good mood.
Back to her family.
Back to normal life.
And she was able to live the lifestyle, that
she originally wanted.
Thanks so much for watching.
Take care of yourself and be well.




Comments
  1. 👨‍⚕️👩‍⚕️Happy Medical Monday!
    Please check out CuriosityStream at curiositystream.com/chubbyemu!
    I’ll be donating part of the proceeds! Follow @chubbyemu to find out where!

  2. Can another MD or medical student comment on whether actual keto dieters need to worry? I'm on keto. Sounds like this only applies to this woman because she is nursing and going more extreme. I'm not "zero" carbs a day, and I consume whole and/or healthier fats, and balanced meals in general.

  3. How body sensitive people ends up hurting themselves, just balance your diet with leafy vegetables and green tea.. doing anything to strain your body even 6-10 months after pregnancy is just straight up dumb..

  4. jesus from what i know Keto is safe when done right (IE monitored by a medical professional, traditionally as seizure control) but man, she really just didn't listen to medical advice. How did her husband not realize something was wrong immediately? being incoherent is pretty clearly a sign of something not being right.

  5. If her insulin was low enough, hypoglycemia isn't a problem due to ketone production. With the tumor, it makes sense.

    Interesting case.

  6. so basically, doing keto allowed her to experience the symptoms of an invisible pancreas growth that she didn't know she had and wouldn't otherwise detect under a normal diet. I wonder how many years she would have lived with a pancreatic tumor growing while masked under a heavy carb diet. When i saw that she couldnt go through 3 days of fast, i knew she had something else wrong. People are able togo days without food with no ill effects but hunger.

  7. This is why I've told my partner I have a strict 'Take me to the hospital' policy if I'm incoherent or suffering clear memory loss. She was having trouble every morning~~! Could have been something nurological, could have been a stroke, we don't know. Take me to a doctor before irreparable damage happens pls.

  8. I'll be honest, I was kind of shocked reading the comments on this video. People are making fun of jc for putting her baby into the refrigerator. I mean, that's how I grew up, hiding from my mother while she had one of her episodes, running through the house looking for me while screaming that and I quote "need to get in the fucking fridge" Sometimes I didn't hide well enough and she found me, foaming from the mouth, looking like a rabid dog she dragged me by my legs and locked me into the refrigerator where she kept me for up to 3 hours on a bad day. I, nav thank you, Chubbyemu for this video. If not for this Videos comments, I may never would have found out that my mothers behavior was in fact not normal. I mean it. Thank you, Chubbyemu. I wholeheartedly thank you.

  9. He said she was on a keto diet and was feeding her baby naturally, and I was so confused…new moms can't do keto and breastfeed, so what "natural" formula was she using…oh, wait, she's doing keto WHILE BREASTFEEDING???? That's absolutely nuts.

  10. The amount of work it takes to dig up a story in such detail, hire actors to portray it, write a script, and post it online must be insane. And to think that click bait Youtubers with garbage content get the same reward, if not more, is infuriating.

  11. Research research research, if your under 250 pounds with no sugar issues; this diet isn’t for you. Also keto isn’t zero carbs, 20 grams a day and you have to recycle carbs every once in a while. You need to eat tons of green food and a multivitamin, and keep up with water/ salt. On top of it if your pregnant or breastfeeding, this diet isn’t for you. Wait a year after baby is born and six months after weening. She didn’t research at all. In the end it wasn’t even the diets fault, but the tumor.

  12. I have diabetes type 1 and type 1 can’t be cured (yet). I’m only 11 and I have to do 4 (or more) injections every day for the rest of my life and prick my finger to get blood. Hypoglycemia makes me feel like I’m about to pass out and I feel drowsy, I look pale, I also lose concentration. Thanks for reading this guys (yes this is true) oh and also I can pretty much fall into a coma at any second if I’m experiencing hypoglycaemia

  13. All the diets should be done with consultation of doctor.

    Its written in all diets not to do anything when you are feeding a kid.

  14. JC: puts baby in refrigerator

    Husband: why the heck did you do that for?

    JC: that kid seriously needs to chill out. . .

  15. To whoever’s reading this
    If you want to be healthy and feel like putting effort into your diet, try veganism for a few weeks. A vegan diet will be healthier than a keto if done right. I’ve done research but you can do your own if you doubt me.

  16. There are ways to do keto while pregnant first off you have to be in Keto for a long time and second you can easily feed the glucose you need while in keto for breast milk without breaking Keto.

  17. Important to note that most Keto diets do NOT restrict all carb intake to zero — they simply keep carb intake low enough to induce a state of ketosis. Anyone who knows what they're talking about when it comes to Keto will tell you that not eating any carbs is a terrible idea. Of course, doing something that changes body chemistry while breastfeeding is just irresponsible.

  18. It's been awhile since I've watched a chubbyemu video and reading the comments before watching the video was probably a mistake XD

  19. JC watched fake news on TV

    This how she panicked, got anxiety, went on a kerosene diet, and couldn't sleep.

    Husband: stop watching fake news

    Doctor: stop taking keto diets

    JC: . . . . Brrrrrruh

  20. Ugh! I've lost nearly 200 pounds. As much as it rankles; the secret is eat less and exercise more. Moderation is key– no extremes!

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