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Dka Criteria Uptodate

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Diabetic Ketoacidosis

in the clinic Diabetic Ketoacidosis Prevention Diagnosis Treatment Practice Improvement CME Questions page ITC1-2 page ITC1-5 page ITC1-9 page ITC1-14 page ITC1-16 Section Editors Christine Laine, MD, MPH Barbara J. Turner, MD, MSED Sankey Williams, MD Science Writer Jennifer F. Wilson The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including PIER (Physicians’ Information and Education Resource) and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP’s Medical Education and Publishing Division and with the assistance of science writers and physician writers. Editorial consultants from PIER and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult and other resources referenced in each issue of In the Clinic. CME Objective: To provide information about the prevention, diagnosis, and management of diabetic ketoacidosis. The information contained herein should never be used as a substitute for clinical judg Continue reading >>

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Popular Questions

  1. bundysn

    I have been doing the Keto diet for 2.5 weeks. The first week I lost 4 lbs in 6 days. Then gained a lb and lost .6 now I'm stalled out. Basically losing .2 every few days. I AM in ketosis. I know the metallic taste, the urine smell and I test my urine in the AM before I drink water and it is at the high end of the color spectrum. My macros are 75/20/5. My energy levels are through the roof!! So no complaints there. I feel amazing!! My skin, hair etc looks better but the weight isn't coming off, even though I'm in ketosis.... Can anyone help me with this? I drink massive amounts of water. It's my addiction. At least 200 oz a day.... Always have so that's nothing new. Thanks in advance!
    Female 33
    5'8
    149

  2. Kathy13118

    Is your doctor advising you about your diet? Being in ketosis, drinking so much water, not losing weight - and continuing with the diet - I would ask your doctor what he or she thinks is going on.

  3. TattooedRN

    Since you are already at a healthy weight for your height I suspect that's why you are not losing large amounts of weight. With that said, a couple of suggestions...
    Are you eating enough fat? It has been shown that higher fat in = higher fat out.
    Also remember you can lose inches without losing pounds, this is normal and happens to everyone. Stalls are normal, they are your body's way of shifting gears and figuring out what changes are happening.
    Again, 5'8 and 149 lbs is a perfectly healthy weight and I can't see it would be very healthy for you to lose much more. Just keep at it, and if you have weight to lose, it will come off, but the less weight you have to lose the slower it will be...if your in the last 5 lbs to lose, i reiterate, it can take some time for that since your body is more likely to hold onto it. Maybe try an Atkins fat fast if that's your goal?
    Good luck!

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