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Alcoholic Ketoacidosis Symptoms And Treatment

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Alcoholic Ketoacidosis

Alcoholic ketoacidosis is a common reason for admission of alcohol dependent persons in hospitals emergency rooms. The term refers to a metabolic acidosis syndrome caused by increased ketone levels in serum . Glucose concentration is usually normal or a little lower. In 1940, Drs Edward S. Dillon, W. Wallace, and Leon S. Smelo, first described alcoholic ketoacidosis as a distinct syndrome . They stated that "because of the many and complex factors, both physiologic and pathologic , which influence the acid-base balance of the body, a multitude of processes may bring about the state of acidosis as an end result." [1] In the 1971, David W. Jenkins and colleagues described cases of three nondiabetic patients with a history of chronic heavy alcohol misuse and recurrent episodes of ketoacidosis . This group also proposed a possible underlying mechanism for this metabolic disturbance, naming it alcoholic ketoacidosis. [2] Patients regularly report nausea , vomiting, and pain in abdomen which are the most commonly observed complaints. This syndrome is rapidly reversible and, if taken care of has a low mortality. Other patients present tachypnoea , tachycardia , and hypotension . [3] The Continue reading >>

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  1. thinketo

    Hi all,
    This is my first post so go easy on me. I discovered the podcast about a week and a half ago (thanks to Paul Thurrott on Windows Weekly) and have spent some time catching up. I have very much enjoyed getting educated.
    Me - I typically workout 3-4 times per week and run 3-4 times per week. These alternate days, i.e. only one workout per day whatever it may be. Strength training is 45-1 hour fairly high intensity using the 5x5 Stronglifts program - I have been doing this for a couple years with cycles - works great for me. I run 30 - 45 mins with varying intensities. In the summer I regularly have one long run (for me) per week of between 5-8 miles. I also bike frequently in the summer...as I am a bike nerd.
    I am 47 male - 5'6 with 34 inch waist. I have not been eating well over the bast 3 months and have gotten up to about 190. In the summer I can get to 170 ish and a 32" or so waist. FWIW - I have been on this evil cycle for along time - winter just isn't my season I guess.... Adding muscle, even at my age, has never been a problem for me but cutting fat has. In my twenties I was 150.... but not with near the frame I have now. I think 165 would be a great weight, but it really is not about the number and more my pants fit! I just want to be healthy.
    I am duly educating myself and want to give this a try in a week or so. I am slowly getting my kitchen ready and piling up recopies to keep me going. I am gluten sensitive so that comes into play but makes it easier.
    There seems to be some debate about going through the initiation and flu while exercising. On a podcast, I seem to remember the recommendation to avoid exercise during this time. I really don't want to do that, but want to get in to past the first 3-4 weeks.
    What advice do you have for me?
    Thanks in advance and sorry to be overly verbose.

    Edit - I also have "mostly" adopted a primal lifestyle aka Mark Sisson so I think that fits pretty well into keto. Just throwing that out there and am curious to know if anyone else is keto and Primal. To be honest - I fallen off the that past few months.... so there is room for improvement :-).

  2. Emacfarland

    I'm a runner and weight lifter and had a fairly easy time transitioning to keto at the beginning of 2015. Really make sure to utilize the advice of getting enough salt and electrolytes and fat, it will keep your energy level up. You might see either a dip in performance initially or an increase in energy and performance followed by a slump a couple months after going keto. I've heard both of these scenarios. Your endurance and performance levels will adjust the longer you're in ketosis. Also I know it might not sound like a concern at the moment but those of us who engage in high levels of activity while doing keto can become quite lean, even to a point of it affecting your health. This is less a concern for men than women, but as your body fat levels dip you might notice flagging energy, lower libido...it's a good idea to keep fat levels high enough and test how you do with more carbs. I got dangerously lean on keto while running and doing weights and had to go off to regain weight. I've been back on for just over three months and am correcting the mistakes I made before, and I feel great. Just don't short change your self on getting enough fat and overall calories

  3. rodan5150

    My experience was that the first week was tough for me in the gym, but I went anyway and pushed through it. I had already been going on a regular basis so it wasn't that bad overall, I just felt a little weak/drained. I made sure I got plenty of fluids and electrolytes, especially sodium and potassium. I supplement with 300mg of potassium citrate per day and then I salt the hell out of my food all day to try and hit my goals there.
    My advice is to test the water and see how you feel. If you feel like crap, cut it back some and then try again the next day. You're already used to working out, so your transition won't be a tough as someone who starts keto AND starts going to the gym at the same time in my opinion. I think you will enjoy the keto way of life, you sound like a perfect candidate for losing that nagging fat weight.

    edit: I wanted to add a "Good luck!" in there as well!

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