Dka Pathophysiology Nursing

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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. ryuten

    How long can I stay in Ketosis

    Hey guys, I've done Keto in the past where I'd refeed on Saturdays, then back to Low Carb on Sundays until Friday, then refeed again Saturday.
    At the time I was doing strongman and I wanted to keep my strength/muscle mass.
    Right now I am doing Muay Thai and BJJ. I work out like 2-3 hrs a day. I just want to lose as much weight as possible and as quickly possible. I am not too worried about losing "too much weight" in a week because I know my conditioning will improve as I get skinnier.
    So, I am wondering how long can I go before I have to refeed? I know the brain needs glucose to function, so I am worried about going on for too long. So far I've been in Ketosis state since Tuesday morning when I woke up.

  2. Carus

    The brain can do just fine on the glucose your body harvests from dietary protein, that's not what carb ups are for. Carbs ups are a reset switch for important metabolic hormones like leptin and T3. Some people do well for weeks on end in ketosis; I'm certainly not one of those people. Plus, the added physiological benefits of a weekly carb up are more than worth it.

  3. Cowmustard

    if my understanding is correct, the more bf your carrying the longer you can go before your body starts catabolizing lean mass for carbs. I think some people have done SKD(straight keto diet) for months on end without much lm loss as long as they watch their activity and such.
    now you being a combative athlete does change the figure(I do the MT/BJJ route as well). I seem to preserve lm better when taking my BCAA supps, plenty of sleep, and getting about 2 tbs coconut oil a day.

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