How Do You Prevent Ketoacidosis?

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A Novel Approach To Preventing Diabetic Ketoacidosis In A Patient Treated With An Insulin Pump

A 56-year-old man with brittle type 1 diabetes and unaware of the effects of hypoglycemia was started on a continuous subcutaneous insulin infusion (CSII) in April 2000. After 12 months, he achieved excellent glycemic control, and his HbA1c values averaged 6.5%. During this time, however, the patient required admission to the hospital on four separate occasions for diabetic ketoacidosis despite frequent self-monitored blood glucose (SMBG) (six to eight times per day) and frequent catheter insertion site changes. The patient insisted that he administered subcutaneous injections, as directed, when there was any question of pump dysfunction. Medical teams noted that the patient developed diabetic ketoacidosis very rapidly on several occasions. During one admission, he reported an SMBG value of 99 mg/dl at 10:00 a.m. Within 95 min, the patient was brought to the emergency room with a glucose level of 510 mg/dl and an anion gap of 35 mmol/l. Because of the frequent episodes of diabetic ketoacidosis, the patient’s insulin therapy was switched from CSII to multiple daily insulin injections. However, the patient preferred CSII therapy for the quality-of-life benefits provided by the insu Continue reading >>

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  1. Greg Lopes

    Pay attention to your ketoacidosis level as well. Most people talk about stress, or food that causes these visits to the toilet, but diabetes is a condition that may happen suddenly and it gives many signals before coming full force. And yes, it's mostly related to your eating habits and stress. Nevertheless, even if you're calm on eating healthy your body may be suffering. You should by eliminating possible reasons for this to happen try to understand better the factors that contribute to it.

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