How To Prevent Ketoacidosis

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What Is The Origin/mechanism Of Abdominal Pain In Diabetic Ketoacidosis?

Other than all papers I could find citing the depth of the keto-acidosis (and not the height of the blood glucose levels) correlating with abdominal pain, nothing else to explain how these two are linked. Decades ago, I was taught that because of the keto-acidosis causing a shift of intracellular potassium (having been exchanged for H+ protons of which in keto-acidosis there were too many of in the extracellular fluid) to the extracellular, so also the blood compartment, resulting in hyperkalemia, paralyzing the stomach, which could become grossly dilated - that’s why we often put in a nasogastric drainage tube to prevent vomiting and aspiration - and thus cause “stomach pain”. This stomach pain in the majority of cases indeed went away after the keto-acidosis was treated and serum electrolyte levels normalized. In one patient it didn’t, she remained very, very metabolically acidotic, while blood glucose levels normalized, later we found her to have a massive and fatal intestinal infarction as the underlying reason for her keto-acidosis….. Continue reading >>

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  1. Viola Yee

    There are minor genetic differences between each individual tree, even though they all belong to the same species. It is wrong to think that because each tree looks the same to us, that they are the same. We have no trouble telling individual humans apart, and I think if we were trees we could also tell each one apart too.
    Each apple tree will produce a slightly different apple, for example. (Not counting the named clones which produce identical apples, like Granny Smith. These are genetically identical trees, not genetically individual trees.)
    It is these minor variations within each species that allow evolution to happen.
    Although that early-yellowing gene may not be important or valuable right now, conditions might change so that it does become important to survival. If it turns out that the early-yellowing trees have an advantage under certain climate conditions, then they and their offspring will prosper, while the other trees will not.

  2. Ralph Brew

    That is a leaf that the tree has sucked the nutrients out of ready for it to drop. A time comes in a leaf's life that it can no longer perform its job efficiently. So the tree pulls out the key nutrients to help new leaves and breaks down the chlorophyll. Then the leaf is yellow (or red) for a while before it falls.

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