Can Dka Cause Lactic Acidosis?

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A Rare Case Of Persistent Lactic Acidosis In The Icu: Glycogenic Hepatopathy And Mauriac Syndrome

Copyright © 2016 Kirsten S. Deemer and George F. Alvarez. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Mauriac syndrome is a rare disorder that can present with the single feature of glycogenic hepatopathy in children and adults with poorly controlled diabetes mellitus. An often underrecognized finding of glycogenic hepatopathy is lactic acidosis and hyperlactatemia. Primary treatment of glycogenic hepatopathy is improved long-term blood glucose control. Resolution of symptoms and hepatomegaly will occur with improvement in hemoglobin A1C. We present here a case of a young adult female presenting to the intensive care unit with Mauriac syndrome. This case demonstrates exacerbation of lactic acidosis in a patient with glycogenic hepatopathy treated for diabetic ketoacidosis with high dose insulin and dextrose. 1. Introduction Lactic acidosis is a common finding in critically ill patients admitted to the intensive care unit (ICU) and it is associated with increased mortality [1, 2]. An anion gap and pH of l Continue reading >>

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Popular Questions

  1. NU_nutrition_TS

    Using Ketostix to determine whether or not you are in dietary ketosis is not the best method. Ketostix were principally designed for use by diabetics to determine if they were slipping into ketoacidosis, a potentially lethal consequence of uncontrolled diabetes.
    Ketostix will only detect ketones that are not being used by the body for energy and spill out into the urine for excretion (to prevent overload). Since you claim you are full of energy most of the time you will be using most of your ketones effectively and not excreting any excesses.
    Everyone, irrespective of diet and training status, will be mildly ketotic first thing in the morning on rising (try checking your urine when you get out of bed in the morning) and immediately after an intense exercise session.

  2. Ripped Barbarian

    If you're after a real powerhouse of vitamins, liver is the true gem in the rough.
    Vegetables are good tho, high mineral/vitamin to calorie ratio and all the lovely phytonutrients here and there.

  3. Duncan

    Per kilogram of mixed carrots, brocolli and cauliflower, I'm getting about 23g carbs so there's no excuse for not getting in the vitamins. Even on a really strict diet like the anabolic diet, you could have about 1.5kg vegetables each day and still stay within your carb allowance if you wanted. That's how I used to do it.
    Today I've got a kilo of mixed veg and half a kilo of mushrooms in a stew with my mince, which includes offal. Hard to imagine eating much more healthily, and my carb intake is rock-bottom.
    Noy being on the A/D anymore, I can eat plenty of fruit and greek style yogurt etc, but generally my carb intake doesn't go much above what it once did. I realise this thread refers to ketogenic diets as a pose to the A/D which is a CKD but the message is the same.
    My advise is to consider meat to be your food, and any other stuff can be regarded as the stuff you eat to make the real food taste incteresting. For me, that means lots of vegetables make mince meat a more enjoyable thing to eat but if you ask me to point at the ectual food, it comes from an animal.
    Cream, nuts, cheese, yogurt, eggs etc are ok, but if you're on a high fat low carb diet, red meat should be your staple. tasts good, nutritious and intrinsically anabolic due to the minerals present.

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