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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. mrsmimby

    I wondered if anyone had any tips on breastfeeding my baby who has been diagnosed with epilepsy, please? In particular I want to know:
    If there are any foods/drinks I should avoid?
    If there is any particular diet I should adopt (I have been reading about ketognic diets, but have no idea if I adopt it will any benefits be passed on to my baby?
    Are there any supplements I should take or avoid? - e.g. evening primrose oil, other sources of omegas 3, 6 & 9, and B vitamins?
    If any research has been done about this topic?
    Thank you so much if you can help with any of this. It feels like such a small window of opportunity (the period for which you breastfeed) and I want to get it right and not waste any time in doing so.
    Thank you
    Mrs M

  2. Dutch mom

    Quote :

    (I have been reading about ketognic diets, but have no idea if I adopt it will any benefits be passed on to my baby? Hello Mrs M, welcome on CWE,
    I didn't breastfeed my babies so I can't give you advice about that.
    I have 3 kids, twins (boy & girl age 6) and my eldest son (age 10) who has a bad childhood E-syndrome called Lennox Gastaut syndrome. He is on the ketogenic diet for over 5 years which does control his seizures for 80-90%. He's med free since 4+ years now.
    But as you were refering to the ketogenic diet: this is not a diet you can do yourself, being a mom to a baby with E. It's a diet for kids with (a maligne type of) epilepsy and is worth a try when meds don't help.
    The KD can be done by young children and babies. If your baby is diagnosed with an intractable type of epilepsy or when he/she has one of certain childhood epilepsy syndromes, meds usually don't work. In these cases it's worth trying the ketogenic diet for him/her. There's a formula called Ketocal (or Ketocal Infant in a lower ratio for very young kids) made by Nutricia. The diet is only on prescription and with good guidance and monitoring by a ketogenic dietist and a neurologist.
    Never try the KD on your own! This can be dangerous for your child!
    More info on the KD on www.matthewsfriends.org

  3. Loudmouth

    DON'T take evening primrose oil, it is known to cause seizures, and according to my last OB consultant, does come through in small quantities in the breast milk. As for anything else, I would advise not eating or drinking anything with aspartame in, as that can also be present in your milk, (and quite a few people have found that eliminating sweeteners from thier diet lowers the amount of seizures) oh, and a daft one that is nothing to do with epilepsy, grapes will give a baby a runny tummy.

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