Unfounded? Really?
"Diabetic Ketoacidosis (DKA) is a condition in which the blood becomes highly acidic as a result of dehydration and excessive ketone (acid) production. When bodily fluids become acidic, some of the body’s systems stop functioning properly. It is a serious condition that will make you violently ill and it can kill you "
With Diabetic Ketoacidosis (DKA) your blood becomes highly acidic from dehydration and excessive ketone production; it can kill you
insulinnation.com
Now clearly there is a population issue here. I'm not saying, in anyway, that a healthy, exercising person will go on to develop ill health due to skipping breakfast and going for a run or a spot of Q&D. No. To be clear.
However, let's get real. Many people seek advice about diet, possibly from a position of ill health with possibly some food issues and the prevailing wind is from the direction of keto this, keto that. And from that there is a sub culture of ketone chasing. If healthy, personal choice etc....I have no judgement on that, do what you want. But there is a crossover, a very real one, that of testimony and anecdote. Some people clearly do well going some sort of keto version of something or other.
There is very little, if any, discussion of the dangers. And there are very real dangers.
My point is if someone is overly concerned about creating an acid bath at the cellular level due to lactate but is unaware perhaps that ketone bodies are themselves acidic, then is that not a point worth mentioning?
Is it a worry for healthy people? No. For diabetics, well....what do people think?
And here, probably, people will say that they've gained their health back via keto/low carb....and good for them. Do you hear of the people who don't? And then there is the full, proper ketogenic diet.
And yes, differentiate between type 1 and type 2. There are so many variables in a general discussion - but the variable being discussed here is acid. Ketones are acidic and when uncontrolled, in excess, can kill you.