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Diabetic Ketoacidosis Pathophysiology Ppt

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Review The Incidence And Pathophysiology Of Dka

Diabetic Ketoacidosis in Children Keystone, July, 2008 Arleta Rewers MD, PhD Robert Slover MD Define the role of patient self-monitoring including blood ketones testing and the healthcare professional advice in preventing DKA Describe current approaches to the clinical diagnosis of DKA, including the role of ketone body levels List treatment options for DKA Definition Hyperglycemia BG > 200 mg/dl (11 mmol/l) (young or partially treated children, pregnant adolescents may present with “euglycemic ketoacidosisâ€) Venous pH <7.3 and/or bicarbonate <15 mmol/L mild DKA pH <7.3 bicarbonate <15 moderate pH <7.2 bicarbonate <10 severe pH <7.1 bicarbonate < 5 Glucosuria and ketonuria/ketonemia (β-HOB) Diabetic Ketoacidosis at Diagnosis of DM in Youth: The SEARCH for Diabetes in Youth Study Incidence of DKA at the time of diagnosis SEARCH is multicenter study In 2002 began population-based ascertainment of incident cases of DM in youth younger than 20 years Incidence: Overall - 25.5% (CI 23.9-27.1) Type 1 - 29.4 % ( CI 27.5-31.3%) Type 2 - 9.7% ( CI 7.1-12.2) Rewers A et al., Pediatrics, May 2008 DKA in children with established T1DM The risk of DKA varies from 1:10 to 1:100 /p-yr Continue reading >>

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Popular Questions

  1. Angela09

    Hi, I have had T2 for 10 1/2 years and am on Metformin, Pioglitazone, and Glibenclamide plus a Statin and an aspirin. I posted a few months ago that my blood sugar has come down a fair amount according to the test which they do at the doctors.
    First of all it came down by .7 (from 7.5) and at my last test it had come down another .5. The only thing I am doing differently is I am eating red grapes at lunchtime. I know some diabetics are on tighter controls and will have to ask if it is ok for them to eat grapes but if you can I can certainly say it works.
    My blood sugar had never come down before. If it comes down any further I am going to ask if I can stop taking the Pioglitazone (this is the one med which makes me have hypos, the others don't. So if I can stop taking it it will mean I can reduce my food intake. I certainly need to!). I just wanted to share this with you. It has to be red grapes as the green ones do not contain the chemical which lowers blood sugar.

  2. Sid Bonkers

    Hi Angela09 I'd always though that grapes always raised bg levels regardless of colour, but having said that i have not eaten grapes since being diagnosed, mainly because I lack self control with grapes, if I eat one i will eat the whole bunch before i know it :lol:
    I may see if I can buy a very small bunch of red grapes and give them a try.

  3. IanS

    I get through 2 bunches of grapes a week without any impact on my BG. I believe that the sugar in grapes (fructose) doesn't cause a problem anyway.
    IanS

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