Dka Ketone Levels

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Diabetic Ketoacidosis: Evaluation And Treatment

Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to 50 years of age, and 36 percent in persons younger than 30 years. The case fatality rate is 1 to 5 percent. About one-third of all cases are in persons without a history of diabetes mellitus. Common symptoms include polyuria with polydipsia (98 percent), weight loss (81 percent), fatigue (62 percent), dyspnea (57 percent), vomiting (46 percent), preceding febrile illness (40 percent), abdominal pain (32 percent), and polyphagia (23 percent). Measurement of A1C, blood urea nitrogen, creatinine, serum glucose, electrolytes, pH, and serum ketones; complete blood count; urinalysis; electrocardiography; and calculation of anion gap and osmolar gap can differentiate diabetic ketoacidosis from hyperosmolar hyperglycemic state, gastroente Continue reading >>

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Popular Questions

  1. Jilly986

    Does anyone have issues with kidney function and still successfully follow the LCHF regime? Although I am not being treated as such!, i.e. dialysis, I've been told my kidneys do not work at full capacity and have deteriorated significantly over the last couple of years. I am a little worried about what I have read about ketosis affecting the kidneys. Is it just a case of drinking lots of water? Should I take the issue up with my gp or renal consultant?

  2. paul-1976

    I've followed a ketogenic diet for around 2 years or so and I too have CKD and take Ramipril daily,My eGFR level has improved slightly on this diet,all I would add is don't go mad with eating protein and concentrate more on getting your calorific needs from fats and veggies etc.

  3. Jilly986

    Thank you for this advice. I have only been on the LCHF diet for 2 days so far. Already my blood sugars have stabilised so that's a good start. So far my diet has consisted of eggs, bacon, burgers, broth, cheese, double cream, nuts and berries. I dont feel at all hungry most of the time. Of course its too early to tell if there is any weight loss.
    So far I have not had any negative feedback re this diet although I saw my dietician yesterday and she wouldn't endorse it

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