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Dka Diagnosis Criteria

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Diagnosis And Treatment Of Diabetic Ketoacidosis And The Hyperglycemic Hyperosmolar State

DIABETIC KETOACIDOSIS AND THE HYPERGLYCEMIC hyperosmolar state are the most serious complications of diabetic decompensation and remain associated with excess mortality. Insulin deficiency is the main underlying abnormality. Associated with elevated levels of counterregulatory hormones, insulin deficiency can trigger hepatic glucose production and reduced glucose uptake, resulting in hyperglycemia, and can also stimulate lipolysis and ketogenesis, resulting in ketoacidosis. Both hyperglycemia and hyperketonemia will induce osmotic diuresis, which leads to dehydration. Clinical diagnosis is based on the finding of dehydration along with high capillary glucose levels with or without ketones in the urine or plasma. The diagnosis is confirmed by the blood pH, serum bicarbonate level and serum osmolality. Treatment consists of adequate correction of the dehydration, hyperglycemia, ketoacidosis and electrolyte deficits. Diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state (HHS) appear as 2 extremes in the spectrum of diabetic decompensation.1 They remain the most serious acute metabolic complications of diabetes mellitus and are still associated with excess mortality. Bec Continue reading >>

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Popular Questions

  1. Scrunchii

    Ok, ok I know...don't fast while breastfeeding!
    Problem is, I breastfeed my kids a long time and I've been either preggo or breastfeeding for 6.5 years (I have two kids, 5 and 2). I spontaneously IF and eat in a 6-10 window depending on when I get hungry. I need to lose some weight because of some back pain and was wanting to do some short (1-2 days) fasts.
    So, has anyone here fasted while breastfeeding? What happened to your milk? What are the arguments against breastfeeding and fasting? Thank you for any info.

  2. Chellb

    I have no personal experience with fasting and breastfeeding, but I understand what you mean about the "Just wait until you're done breastfeeding" advice, since I too measured my breastfeeding time in years, not months. So, no real advice, just commiseration. For solid breastfeeding advice, Kellymom is always a good place to start: http://kellymom.com/nutrition/mothers-diet/fasting/
    35

    It looks like it's mostly about religious fasting. Oh, and I should mention that my kids are now Loonnngg past the bfing stage.

  3. Scrunchii

    Thanks for the link. I'll check it out.
    Since my baby is two years old now I was thinking about some fasting experiments.

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