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Respiratory Failure In Diabetic Ketoacidosis

Respiratory failure in diabetic ketoacidosis Number of Hits and Downloads for This Article Jul 25, 2015 (publication date) through Mar 31, 2018 Baishideng Publishing Group Inc, 7901 Stoneridge Drive, Suite 501, Pleasanton, CA 94588, USA Copyright The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved. World J Diabetes.Jul 25, 2015;6(8): 1009-1023 Published online Jul 25, 2015.doi: 10.4239/wjd.v6.i8.1009 Respiratory failure in diabetic ketoacidosis Nikifor K Konstantinov, Mark Rohrscheib, Emmanuel I Agaba, Richard I Dorin, Glen H Murata, Antonios H Tzamaloukas Nikifor K Konstantinov, University of New Mexico School of Medicine, Albuquerque, NM 87122, United States Mark Rohrscheib, Division of Nephrology, Department of Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87122, United States Emmanuel I Agaba, Division of Nephrology, Department of Medicine, University of Jos Medical School, Jos, Plateau State 930001, Nigeria Richard I Dorin, Section of Endocrinology, Medicine Service, Raymond G. Murphy Veterans Affairs Medical Center, Albuq-uerque, NM 78108, United States Glen H Murata, Section of Informatics, Medicine Service, Raymond Continue reading >>

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Popular Questions

  1. terebellum

    I guess this is just a general question...hoping to get a better idea?!?! Just diagnosed and started on rapid and long acting insulin. My MD and I are currently messaging using myChart every 3-5 days - I sent them my daily reading (4x/day) for the course of those 3-5 days and they make adjustments to my insulin. Obviously...if I have frequent lows I have to contact them sooner. But my blood sugars have been 180-260...granted when I was diagnosed my fasting blood glucose was 300 A1C 11.

  2. alan_s

    terebellum:
    I guess this is just a general question...hoping to get a better idea?!?! Just diagnosed and started on rapid and long acting insulin. My MD and I are currently messaging using myChart every 3-5 days - I sent them my daily reading (4x/day) for the course of those 3-5 days and they make adjustments to my insulin. Obviously...if I have frequent lows I have to contact them sooner. But my blood sugars have been 180-260...granted when I was diagnosed my fasting blood glucose was 300 A1C 11.
    How long is a piece of string? In my own case my A1c was only 8.2% at dx; I reduced that to 7.5% over the next three months by losing a lot of weight but did not start gaining real control until I started following Jennifer's Advice at that time. Over the next six months I went to 5.7%.
    You are in a different situation as you are beginning on insulin. Just as important as your insulin regimen, in fact inextricably related to it, is your diet. What dietary regimen are you following? How quickly you reach normal numbers depends on both aspects.
    I sent them my daily reading (4x/day) for the course of those 3-5 days and they make adjustments to my insulin. Obviously...if I have frequent lows I have to contact them sooner. But my blood sugars have been 180-260...granted when I was diagnosed my fasting blood glucose was 300 A1C 11.
    Those 4x tests are for your doctor. Do they tell you anything to help you directly? Please read the info which will appear if you click on Jennifer's Advice to see what I mean.

  3. abill

    It shouldn't take long with insulin.. As you would know now. Insulin resistance is the problem and even though you have more insulin in your system than a normal person, you still can't make enough. When insulin resistance is lowered, the pancreas can handle it again.
    It's considered best practice to put T2 on short term insulin for up to 3 months when very high. As you would have been told, that it is in conjunction with diet and exercise.
    Short-term intensive insulin therapy in type 2 diabetes mellitus: a systematic review and meta-analysis http://www.sciencedirect.com/science/article/pii/S2213858713700068
    "Studies have shown that, when implemented early in the course of type 2 diabetes mellitus, treatment with intensive insulin therapy for 2–3 weeks can induce a glycaemic remission, wherein patients are able to maintain normoglycaemia without any anti-diabetic medication. We thus did a systematic review and meta-analysis of interventional studies to assess the effect of short-term intensive insulin therapy on the pathophysiological defects underlying type 2 diabetes mellitus (pancreatic β-cell dysfunction and insulin resistance) and identify clinical predictors of remission."
    This is a diet they are using to reduce or not need insulin for T2 and can then be adjusted later, to suit carb tolerance
    http://au.atkins.com/new-atkins/the-program/phase-1-induction.html
    watch the last 15 minutes of the video

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