Is Ketoacidosis High Blood Sugar

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Euglycemic Diabetic Ketoacidosis, A Misleading Presentation Of Diabetic Ketoacidosis

Go to: Introduction Hyperglycemia and ketosis in diabetic ketoacidosis (DKA) are the result of insulin deficiency and an increase in the counterregulatory hormones glucagon, catecholamines, cortisol, and growth hormone. Three processes are mainly responsible for hyperglycemia: increased gluconeogenesis, accelerated glycogenolysis, and impaired glucose utilization by peripheral tissues. This might also be augmented by transient insulin resistance due to hormone imbalance, as well as elevated free fatty acids.[1] DKA is most commonly precipitated by infections. Other factors include discontinuation of or inadequate insulin therapy, pancreatitis, myocardial infarction, cerebrovascular accident, and illicit drug use. The diagnostic criteria of DKA, established by the American Diabetic Association, consists of a plasma glucose of >250 mg/dL, positive urinary or serum ketones, arterial pH of <7.3, serum bicarbonate <18 mEq/L, and a high anion gap. The key diagnostic feature of DKA is elevated circulating total blood ketone concentration. Hyperglycemia is also a key diagnostic criterion of DKA; however, a wide range of plasma glucose levels can be present on admission. Continue reading >>

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Popular Questions

  1. Liang-Hai Sie

    Diabetic ketoacidosis is a life threatening condition, due to lack of insulin serious acidosis, high blood sugars causing loss of fluid because of peeing a lot causing life threatening dehydration, low blood pressure, acute kidney failure etc. etc., while not eating causing ketosis doesn’t have all above mentioned problems, just ketones due to low carbs.

  2. Michael L. Jirka

    Muslims probably have a degree of ketosis from fasting for a month of Ramadan and they seem to do OK. Generally, ketones rise when you force your body to burn fats as an alternate source of energy. It is just not as efficient as clean burning GLUCOSE … our main energy source. The byproducts of using fats for energy are ketones (acetone) and acids (beta-hydroxybutyric acid and acetoacetic acid). If you are in firm grasp of what you are doing this for (body sculpting or puke and purge party for the play about the Holocaust or marathon training) then a short lived trip to Ketosis Land might be all right. IF YOU ARE DOING THIS BECAUSE YOUR MIND CAN SEE ONLY A FAT PIG IN THE MIRROR … get some help … My favorite singer of the past century, Karen Carpenter, died from anorexia … and my life lost some of it’s luster at her passing.

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