Dka Algorithm

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Diabetic Ketoacidosis In Type 1 And Type 2 Diabetes Mellitusclinical And Biochemical Differences

Background Diabetic ketoacidosis (DKA), once thought to typify type 1 diabetes mellitus, has been reported to affect individuals with type 2 diabetes mellitus. An analysis and overview of the different clinical and biochemical characteristics of DKA that might be predicted between patients with type 1 and type 2 diabetes is needed. Methods We reviewed 176 admissions of patients with moderate-to-severe DKA. Patients were classified as having type 1 or type 2 diabetes based on treatment history and/or autoantibody status. Groups were compared for differences in symptoms, precipitants, vital statistics, biochemical profiles at presentation, and response to therapy. Results Of 138 patients admitted for moderate-to-severe DKA, 30 had type 2 diabetes. A greater proportion of the type 2 diabetes group was Latino American or African American (P<.001). Thirty-five admissions (19.9%) were for newly diagnosed diabetes. A total of 85% of all admissions involved discontinuation of medication use, 69.2% in the type 2 group. Infections were present in 21.6% of the type 1 and 48.4% of the type 2 diabetes admissions. A total of 21% of patients with type 1 diabetes and 70% with type 2 diabetes had a Continue reading >>

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Popular Questions

  1. j

    Keto diet while nursing

    My SIL is doing the Ketogenic Diet (low carb/high fat) and is having great results. I was overweight before getting pregnant, and now have even more to lose. I'm thinking of trying the diet but am wondering how it will affect breastfeeding. I've heard it might not be good for baby if your body is in ketosis, but I'm having a hard time finding solid info either way. Anyone have any experience with this?

  2. Mareeena

    I'm doing something similar but a breastfeeding friendly variation... Basically Atkins 20 is not safe for breastfeeding but Atkins 40 is. I think it's important while nursing to eat balanced so I still eat the recommended servings of fruit a day and some whole grains. I try for lower sugar fruits like berries. For grains I do oats and then a small bowl of kashi go lean cereal (the cinnamon crunch kind is amazing)
    So basically I try and eat balanced for the sake of my milk and just reduce my net carbs while trying to eat as much protein and fiber as possible.
    As for your question is keto specifically safe? I don't personally think so.
    I'm not counting carbs and I'm eating a good amount of fat (meats, eggs, cheese)

    I've lost 7lbs the past 9 days and haven't exercised much during that time (baby is teething I'm tired)

  3. Mareeena

    Sorry when I said I'm not counting carbs I meant I'm not counting calories!!'

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