What Alcohol Can You Drink on the Keto Diet?

Ketosis occurs when you have ketones in your blood and/or urine but not enough to turn your blood acidic. It usually happens if you are eating a low-carbohydrate diet, if you’re fasting or if you’ve drunk too much alcohol. The difference is that DKA is an acute complication, meaning it has a severe and sudden onset. While very high blood sugar (above 250 mg/dL) is almost always a contributing factor to DKA, other conditions need to be present to have DKA, including ketones in your blood and/or urine. You can have high blood sugar without having ketones in your blood and/or urine. Diabetes-related ketoacidosis occurs when your body doesn’t have enough insulin (a hormone that’s either produced by your pancreas or injected).

alcohol ketosis dangerous

For starters, ketosis is a metabolic state, not a list of foods. This metabolic state is achieved primarily by restricting carbohydrates from the diet. People who drink large quantities of alcohol may not eat regularly. Not eating enough or vomiting can lead to periods of starvation. Alcoholic ketoacidosis can develop when you drink excessive amounts of alcohol for a long period of time.

My Experience with Alcohol and Ketosis

In fact, alcohol contains nearly double the number of calories of protein and carbs – providing roughly seven calories for each gram consumed. Ketones are then used by your cells as a source of energy, instead of glucose that we usually get when we eat carbs. I’ve been doing a lot of reading on this subject and then I did a few tests myself to see what effect liquor has on ketosis and weight loss. Start your free trial and get instant access to our movies, documentaries, and video courses on weight loss, sugar addiction, keto for beginners, and much more.

After blood sugar and insulin spike, they eventually come crashing down affecting your well being, which can result in brain fog or even some keto flu symptoms. I’ve seen highly active individuals and other athletes eat upwards of ~150 grams of carbohydrates and still be able to produce enough ketones to be considered in nutritional ketosis. Meaning, as long as you’re not refilling your liver glycogen, your body will still need to create ketones to provide fuel for the brain. If your blood glucose level is elevated, your doctor may also perform a hemoglobin A1C (HgA1C) test. This test will provide information about your sugar levels to help determine whether you have diabetes.


Beer is typically high in carbs, as it contains sugars from wheat that aren’t fermented into ethanol. Some keto-friendly drinks are flavored with small amounts of real fruit juice. You can also choose keto-friendly water enhancers https://ecosoberhouse.com/ in liquid or powder form. Yet, there are exceptions, including lemon and lime juices, which are low in carbs but full of flavor. You can add them to plain water or other beverages, such as hot or iced tea, to liven up the taste.

alcohol ketosis dangerous

If you are diagnosed with alcoholic ketoacidosis, your recovery will depend on a number of factors. Seeking help as soon as symptoms arise reduces your chances of serious complications. Treatment for alcohol addiction is also necessary to prevent a relapse of alcoholic ketoacidosis. One complication of alcoholic ketoacidosis is alcohol withdrawal.

Long-Term Impacts of Alcohol Ketoacidosis

The cravings for both his trigger foods and for alcohol are gone. There are many ways to prevent diabetic ketoacidosis and other diabetes complications. If you feel ill or stressed or you’ve had a recent illness or injury, check your blood sugar level often. You might also try a urine ketone test kit you can get at a drugstore.

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Lastly, getting drunk on alcohol can lead to poor decision-making, including when it comes to your diet. After a few too many, you may not care how many carbs are in your food or how many calories you should be eating. And because alcohol can pack a lot of calories alcoholic ketoacidosis smell on a single beverage, it can be easy to overdo it and slow your weight loss, or worse cause unintentional weight gain. Plus, unlike other macronutrients that provide various health and nutritional benefits, alcohol provides little to no nutritional value.

The keto diet can reduce alcohol cravings and may even help curb alcoholism

Hyperglycemia (high blood sugar) and diabetes-related ketoacidosis both happen when your body doesn’t have enough insulin or isn’t using the insulin it has properly. If you’re looking to indulge in an alcohol beverage while sticking to a keto diet, opt for lower carb drink options and avoid over-the-top cocktails. Without enough insulin, the body can’t use sugar to make the energy it needs.

  • When on a strict low-carb diet, many people require significantly less alcohol to become intoxicated.8 So be careful the first time you drink alcohol on low carb.
  • However, long-term use of the ketogenic diet has not been shown to be any more effective with weight loss than other diets with similar calorie counts.
  • Alcohol can also suppress fat burning and increase body fat by causing your body to store extra calories as fat tissue (25).
  • One helpful tool that you can use to better identify your triggers is a symptom-tracking journal or diary.

If DKA is caught early enough, people with diabetes can sometimes treat DKA from home with specific instructions from their healthcare provider. If you think you might be developing DKA, call your healthcare provider immediately. They’ll determine if you’ll be able to treat it from home or if you’ll need to go to the hospital. Diabetes-related ketoacidosis (DKA) is a serious and life-threatening, but treatable, complication that affects people with diabetes and those who have undiagnosed diabetes.