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Diabetic Ketoacidosisworkup

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis is typically characterized by hyperglycemia over 250 mg/dL, a bicarbonate level less than 18 mEq/L, and a pH less than 7.30, with ketonemia and ketonuria. While definitions vary, mild DKA can be categorized by a pH level of 7.25-7.3 and a serum bicarbonate level between 15-18 mEq/L; moderate DKA can be categorized by a pH between 7.0-7.24 and a serum bicarbonate level of 10 to less than 15 mEq/L; and severe DKA has a pH less than 7.0 and bicarbonate less than 10 mEq/L. [ 17 ] In mild DKA, anion gap is greater than 10 and in moderate or severe DKA the anion gap is greater than 12. These figures differentiate DKA from HHS where blood glucose is greater than 600 mg/dL but pH is greater than 7.3 and serum bicarbonate greater than 15 mEq/L. Laboratory studies for diabetic ketoacidosis (DKA) should be scheduled as follows: Blood tests for glucose every 1-2 h until patient is stable, then every 4-6 h Serum electrolyte determinations every 1-2 h until patient is stable, then every 4-6 h Glaser NS, Marcin JP, Wootton-Gorges SL, et al. Correlation of clinical and biochemical findings wit Continue reading >>

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  1. Jaxsurf

    Post your tricks for inducing Ketosis QUICK!!!

    Having a tough time getting into keto, how do you all get into keto fast!?

  2. RonJ73

    From what I've been reading on it, it's almost like the higher the fat in the first day, the quicker you'll get into it. Some people suggested like 50-60 (or even more) percent of your calories coming from fat and as little carbs as possible. Like down to 15%.

  3. Skumster225

    Try to eat anywhere from 0-20 carbs the first 2 days and up your fat intake. You should be in ketosis by then..

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Ketoacidosis

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia Rapid weight loss in patients newly diagnosed with type 1 diabetes History of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons or history of mechanical failure of insulin infusion pump Altered consciousness (eg, mild disorientation, confusion); frank coma is uncommon but may occur when the condition is neglected or with severe dehydration/acidosis Signs and symptoms of DKA associated with possible intercurrent infection are as follows: Gl Continue reading >>

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  1. Redirish86

    So general curiosity here adhering to Keto 100% do any of you have a few Keto friendly drinks once a week? Like Diet Coke and rum or whiskey? Also how badly does this set you back or have you noticed it does?

  2. Izerian

    ketogenicforums.com
    15
    Alcohol
    This category is for discussing low carb options for Alcohol as well as science specific to alcohol metabolism by a fat adapted human.
    Good place to start. I'm on my phone else I'd elaborate more. My understanding is that zero carb alcoholic drinks are fine, if you're willing to put ketosis on pause while your body cleans out the alcohol from your blood.

    Like I said, that's my understanding.

  3. Minivanmachoman

    I used to do this and then moved to whiskey on the rocks, then to whiskey straight, then to no booze for various reasons since June 2016.
    Booze was a double edged sword for me. Good times, but I had a tendency to really eat a ton during and after. Diet cola also seems to produce an insulin response in me so I have been off that as well.
    Some people can have booze and be aok, others, like me, are hit or miss. Try it out and see what works for you! You probably already know this but take it slow on the booze, your tolerance will be way down.
    Good Luck!
    KCKO!

    Edit:grammar and spelling are hard.

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Click Here http://bit.ly/1o5ZWrF Treatment For Type 2 Diabetes In Adults - Treatments and Side Effects Type 2 Diabetes In Adults Make Sure To Check Out The Secret Presentation On The Link Above!! Millions of people worldwide have been diagnosed with type 2 diabetes each year. It mostly affects adults, especially obese individuals. In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin. There are a variety of treatments you can choose that depend on your needs and severity of your disease. The most common medication for type 2 diabetes is Metformin. Metformin is one of the most common, least expensive and most effective medications doctor prescribe for treating type 2 diabetes. It is a member of the class of diabetes medications called "biguanides", drugs that lower blood sugar levels by reducing the amount of glucose produced by the liver. It has the added benefit of increasing insulin sensitivity. Unlike most diabetes medications, it doesn't cause weight gain and may even cause weight loss in type 2 diabetics who are overweight or obese. Apart from this Type 2 diabetics condition, Doctors prescribe this medication for people who have fasting blood sugars that are above normal but aren't in the diabetic range (pre-diabetes). It has also been proposed for women with gestational diabetes, a condition where blood sugar levels are higher than normal during pregnancy. It's also frequently prescribed for treating a condition linked with insulin resistance, called metabolic syndrome. Metformin comes in tablet form, as a liquid and an extended-release (long-acting) tablet. The liquid is usually taken with meals once or twice a day. The regular tablet is usually taken with meals two or three times a day. The extended-release tablet is usually taken once daily in the evening with meal. Metformin appears to be safe for most people who have normal kidney, lung and liver function, but all medications have side-effects. While a large number of people taking this medication do not experience any side effects. The main side effects are cramps, nausea, vomiting, and an upset stomach. Some users may experience weight gain. Allergies to this drug are also possible, so if you experience any sort of allergic reaction, call your doctor immediately. Breathing problems and pain in chests are some of the rare serious side effects. Swellings like; lip swelling, face swelling, throat swelling and tongue swelling are also very serious side effects, and you must contact your Doctor immediately. In very rare instances, contraindications are possible in patients who suffer from any problem related to lactic acidosis. In short, this medication is commonly used and considered very safe for diabetic patients. Before starting with this medication, your doctor must know about your medical past. It is important to talk to him about the benefits and risks of taking this blood-sugar lowering medication. The patient must strictly follow his doctor's instructions. Even if you think that your dose needs to be modified, you must never change it without his knowledge. More Info About This Amazing Product Treatment For Type 2 Diabetes In Adults,, Click Link Below : http://bit.ly/1o5ZWrF Related Search Terms Of Treatment For Type 2 Diabetes In Adults: How Is Type 2 Diabetes Treated Diabetes 2 Management Treatments For Type Two Diabetes Type 2 Diabetes And Management Control And Treatment Of Type 2 Diabetes Diabetes Type 2 Symptoms Management Of Type II Diabetes Other Names For Type 2 Diabetes Make Sure To Click The Link Below : http://bit.ly/1o5ZWrF

Type 1 Diabetes In Adults: Diagnosis And Management.

Go to: 12.1. Ketone monitoring [2015] 12.1.1. Introduction Ketosis and ketonuria reflect a greater degree of insulin deficiency than hyperglycaemia alone. The presence of ketones indicates that insulin concentrations are too low not only to control blood glucose concentrations but also to prevent the breakdown of fat (lipolysis). Because ketones are acid substances, high ketone concentrations in the blood may create acidosis. Diabetic ketoacidosis (DKA) is a medical emergency and in its established state carries a 0.7–5% mortality in adults.459,476,784 High ketones in the blood are associated with high levels of fatty acids and together create insulin resistance. The patient with significant ketonaemia will require more insulin than usual to control the blood glucose. Traditionally, ketonaemia has been assessed by urine testing. This has been applied in three main settings: it is recommended as part of guidance for patient self-management of acute illness at home, when patients are advised to increase their usual corrective insulin doses in the presence of significant ketonuria; in the assessment of patients presenting to emergency services with hyperglycaemia, where presence of Continue reading >>

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Popular Questions

  1. Jeanwf

    Hi. Anyone out there suffer from feeling really, really hot doing Keto Diet. My face is as red as beetroot in the mornings and throughout the day I get several hot flushes. Any ideas?:explode:

  2. rachelrb85

    Could it be menopause?

  3. Jeanwf

    I have finished now with the menopause as I started when I was 46! Grrrrr. Could it be because I am burning fat?

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    Print Overview Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process ...

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