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My Site - Chapter 15: Hyperglycemic Emergencies In Adults

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) should be suspected in ill patients with diabetes. If either DKA or HHS is diagnosed, precipitating factors must be sought and treated. DKA and HHS are medical emergencies that require treatment and monitoring for multiple metabolic abnormalities and vigilance for complications. A normal blood glucose does not rule out DKA in pregnancy. Ketoacidosis requires insulin administration (0.1 U/kg/h) for resolution; bicarbonate therapy should be considered only for extreme acidosis (pH7.0). Note to readers: Although the diagnosis and treatment of diabetic ketoacidosis (DKA) in adults and in children share general principles, there are significant differences in their application, largely related to the increased risk of life-threatening cerebral edema with DKA in children and adolescents. The specific issues related to treatment of DKA in children and adolescents are addressed in the Type 1 Diabetes in Children and Adolescents chapter, p. S153. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are diabetes emergencies with overlapping features. With insulin deficiency, hyperglycemia causes urinary Continue reading >>

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Popular Questions

  1. 2bflawless

    Anyone else in ketosis and burning up? Seriously, I don't have a fever and I feel great but I just can't get or stay cool. And ladies I am not in menopause. :lol: Just wondering if anyone has experienced this as well. Now it is hot here in Southern California but I am in AC and can not cool down...drinking loads of water. Can't seem to find anything in my Atkins books referring to body temperature in ketosis.

  2. mattie o

    yes! the burn, i get that. it sucks, but you know somethings working!

  3. 2bflawless

    OK, so its not just me. :lol:

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