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Diagnosis And Treatment Of Diabetic Ketoacidosis

85 Abstract Diabetic ketoacidosis (DKA) is the most frequent hyperglycaemic acute diabetic complication. Furthermore it carries a significant risk of death, which can be prevented by early and effective management. All physicians, irrespective of the discipline they are working in and whether in primary, secondary or tertiary care institutions, should be able to recognise DKA early and initiate management immediately. 86 Introduction Diabetic ketoacidosis (DKA) is a common complication of diabetes with an annual occurrence rate of 46 to 50 per 10 000 diabetic patients. The severity of this acute diabetic complication can be appreciated from the high death-to-case ratio of 5 to 10%.1 In Africa the mortality of DKA is unacceptably high with a reported death rate of 26 to 29% in studies from Kenya, Tanzania and Ghana.2 It is a complication of both type 1 and type 2 diabetes mellitus, although more commonly seen in type 1 diabetic patients. Of known diabetic patients presenting with DKA about one-quarter will be patients with type 2 diabetes. In patients presenting with a DKA as first manifestation of diabetes about 15% will be type 2.3 This correlates well with data from South Africa Continue reading >>

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Popular Questions

  1. Ramra

    I've managed to stay in Ketosis for a week now, and I even dropped a few pounds. But last night I went to my mom's, and ate quite a bit. It was all induction-friendly foods, such as turkey and salads. I weighed myself this morning and I'm up 6 lbs! I'm hoping this is just water weight, but I don't understand how this could happen as I only do light excerise and I'm nowhere near my TOM. It couldn't have been that much food!
    Is it possible to gain weight during ketosis?

  2. Sunshine73

    It is possible to gain weight in ketosis - calories still matter. However, I think I can confidently say that you did NOT eat enough last night to gain 6.5 pounds. Most likely it's water weight - which can be caused by a million different things - for me one of the biggest culprits is sodium. Just hang in there and ride out this fluctuation.

  3. Mikani

    It sounds to me as if something you ate had too many carbs, possibly hidden sugar, or you simply ate too many carbs from legal food. When you do this, your body will flood your tissues with glucose and water, and you magically gain a Ton of weight overnight. Don't fret too much, just drink your 64 ounces of pure water + an extra few glasses every day until the weight comes off, and you body will let go of that water over the next few days. You might see most of it suddenly come off in a "whoosh", or it may take two-four days, but it will come off. Just get in your water.

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