The latest installment of DiabeticReal delves into the profound intersection of music and the complexities of health, as articulated by the host, Deborah E. She reflects on her recent endeavors in the studio and her live performances, drawing parallels between her artistry and the legendary Karen Carpenter, whose influence looms large in the realm of music. The episode takes a poignant turn as Deborah explores the tragic narrative surrounding Carpenter's life, particularly her struggles with anorexia and the implications of diabetic ketoacidosis (DKA).

“[I]t's also true that [Karen’s] heart stopped and as a result of all the dieting because of anorexia nervosa, there's also the aspect that was caused by the ketoacidosis.” 

Deborah, 06:53

Through a blend of personal anecdotes and factual discourse, Deborah elucidates the dangers of misperceptions regarding diabetes, emphasizing that DKA is not solely confined to type 1 diabetics, but can also affect type 2 individuals and even those undiagnosed. This nuanced discussion prompts the audience to reconsider the multifaceted nature of health issues, particularly in the context of dieting trends like keto, which can inadvertently lead to severe consequences for individuals with diabetes.

• The discussion highlights the critical importance of understanding diabetic ketoacidosis, which can occur in both type 1 and type 2 diabetics, as well as in non-diabetics.
• It is essential to acknowledge that anorexia nervosa, while a significant factor in Karen Carpenter's demise, does not exclusively account for her death, which was compounded by complications such as starvation ketoacidosis.
• The podcast emphasizes the risks associated with the ketogenic diet for type 1 diabetics, particularly the potential for inducing diabetic ketoacidosis due to insufficient carbohydrate intake.
• The episode reflects on the legacy of Karen Carpenter and the lasting impact of her music while discussing the broader implications of health and dietary choices.

In a deeply personal narrative, Deborah shares her own experiences with DKA, recounting a near-fatal episode that underscores the critical importance of understanding one's health condition. She highlights the precarious balance that diabetics must maintain when it comes to diet, particularly in light of popular diets that may not account for the unique physiological challenges faced by those with diabetes. The conversation transitions to a broader examination of societal attitudes towards dieting and body image, inviting listeners to reflect on the often-overlooked risks associated with extreme dietary practices. Ultimately, the episode serves as a reflective commentary on the necessity of informed health choices and the enduring legacy of artists like Karen Carpenter, who continue to resonate with audiences while also reminding us of the fragility of health in the pursuit of creative expression.

Chapters

• 01:55 Reflecting on Karen Carpenter
• 06:06 Understanding Diabetic Ketoacidosis
• 07:58 The Causes of Ketoacidosis
• 12:20 The Risks of the Keto Diet for Type 1 Diabetics
• 14:09 The Vulnerability of Type 1 Diabetes and DKA
• 16:41 Reflections on Survival and Health

Episode Resources

• Deborah’s TikTok LIVE [when LIVE click on "RedHead Profile Pic]
• Wayne Botlick’s excellent definitions of forms of ketoacidosis (including diabetic and starvation) [Quora]
• Karen Carpenter’s Blood Sugar level at time of death [Wikipedia]
• Ketoacidosis is not always due to diabetes [National Library of Medicine]
• Non-diabetic ketoacidosis: a case series and literature review [Oxford Postgraduate Medical Journal]
• Hyperglycemic Ketoacidosis in a Patient Without Diabetes [National Library of Medicine]
• Adult Diabetic Ketoacidosis [National Library of Medicine]
• Starvation Ketoacidosis due to the Ketogenic Diet [National Library of Medicine]
• Who does DKA affect? [Medical Website]
• Diabetic Ketoacidosis [Mayo Clinic]
• Can you explain [why] Karen Carpenter's blood sugar [was 1100 at death]? [Quora]

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Episode Credits

Perfectly Wonderful World [Episode Music]

• 🎵 Perfectly Wonderful World 🎵 sung by Deborah E (written by Denny Martin & Jaimee Paul; mastered in Seaside Records Studio by Michael Anderson is available:
• Perfectly Wonderful World on Apple
• Perfectly Wonderful World, via the album on Spotify
• Perfectly Wonderful World, via the album on Amazon

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