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Diabetic Ketoacidosis And Hyperglycaemic Hyperosmolar State

The hallmark of diabetes is a raised plasma glucose resulting from an absolute or relative lack of insulin action. Untreated, this can lead to two distinct yet overlapping life-threatening emergencies. Near-complete lack of insulin will result in diabetic ketoacidosis, which is therefore more characteristic of type 1 diabetes, whereas partial insulin deficiency will suppress hepatic ketogenesis but not hepatic glucose output, resulting in hyperglycaemia and dehydration, and culminating in the hyperglycaemic hyperosmolar state. Hyperglycaemia is characteristic of diabetic ketoacidosis, particularly in the previously undiagnosed, but it is the acidosis and the associated electrolyte disorders that make this a life-threatening condition. Hyperglycaemia is the dominant feature of the hyperglycaemic hyperosmolar state, causing severe polyuria and fluid loss and leading to cellular dehydration. Progression from uncontrolled diabetes to a metabolic emergency may result from unrecognised diabetes, sometimes aggravated by glucose containing drinks, or metabolic stress due to infection or intercurrent illness and associated with increased levels of counter-regulatory hormones. Since diabetic Continue reading >>

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Popular Questions

  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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