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Management Of Diabetic Ketoacidosis And Other Hyperglycemic Emergencies

Understand the management of patients with diabetic ketoacidosis and other hyperglycemic emergencies. ​ The acute onset of hyperglycemia with attendant metabolic derangements is a common presentation in all forms of diabetes mellitus. The most current data from the National Diabetes Surveillance Program of the Centers for Disease Control and Prevention estimate that during 2005-2006, at least 120,000 hospital discharges for diabetic ketoacidosis (DKA) occurred in the United States,(1) with an unknown number of discharges related to hyperosmolar hyperglycemic state (HHS). The clinical presentations of DKA and HHS can overlap, but they are usually separately characterized by the presence of ketoacidosis and the degree of hyperglycemia and hyperosmolarity, though HHS will occasionally have some mild degree of ketosis. DKA is defined by a plasma glucose level >250 mg/dL, arterial pH <7.3, the presence of serum ketones, a serum bicarbonate measure <18 mEq/L, and a high anion gap metabolic acidosis. The level of normal anion gap may vary slightly by individual institutional standards. The anion gap also needs to be corrected in the presence of hypoalbuminemia, a common condition in the Continue reading >>

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Popular Questions

  1. mandrex

    what is the best time of day to use ketostix, any advice

  2. DeniseTra

    don't use them. They tend to test dehydration mainly. If you are eating at the correct level, you will be in Ketosis.
    Ditto to Mrs REJ's recommendation on the Atkins site. I love it.

  3. jesskripp

    I use the ketosis strips on and off when I need a little boost of reasurance. I think the best time to test is in the morn. when you first wake up I noticed if I tested everday the results would vary. So maybe you should try testing once a week. They strips are kinda pricey but they last awhile. Hope this helps!
    "Life's a journey NOT a destination"

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