Is Ketoacidosis Permanent

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Diabetic Ketoacidosis

Professor of Pediatric Endocrinology University of Khartoum, Sudan Introduction DKA is a serious acute complications of Diabetes Mellitus. It carries significant risk of death and/or morbidity especially with delayed treatment. The prognosis of DKA is worse in the extremes of age, with a mortality rates of 5-10%. With the new advances of therapy, DKA mortality decreases to > 2%. Before discovery and use of Insulin (1922) the mortality was 100%. Epidemiology DKA is reported in 2-5% of known type 1 diabetic patients in industrialized countries, while it occurs in 35-40% of such patients in Africa. DKA at the time of first diagnosis of diabetes mellitus is reported in only 2-3% in western Europe, but is seen in 95% of diabetic children in Sudan. Similar results were reported from other African countries . Consequences The latter observation is annoying because it implies the following: The late diagnosis of type 1 diabetes in many developing countries particularly in Africa. The late presentation of DKA, which is associated with risk of morbidity & mortality Death of young children with DKA undiagnosed or wrongly diagnosed as malaria or meningitis. Pathophysiology Secondary to insulin Continue reading >>

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Popular Questions

  1. Nikos Konstas

    I have been on low carb/keto for several years. It’s doable but its not easy as almost everything these days is full of carbs & low in fat. My advice would be:
    know your macros, use a keto calculator, like this one: KetoDiet Buddy - Easy Way to Calculate Your Macros on a Ketogenic Diet | The KetoDiet Blog
    Make sure your get enough electrolytes. You can make your own electrolyte drinks.
    In the long run, unless you’re treating a condition, you don’t want to go “zero carb”.
    Don’t be afraid to eat fats but know what fats to eat - not all fats are the same.
    People new to keto seem to think all you need is cheese and bacon - don’t make the same mistake - you need to have a balanced low-carb diet.

    Avoid low carb supplements/ meal replacements / ketone drinks at any cost. Know what you eat and learn to cook :)
    I run a Keto Blog with my partner - you can find guides and info on it.

    Best of luck!

  2. Peter Weintraub

    Hello - Thanks for reaching out!
    I personally have used a ketogenic diet long-term, and I have all of my clients follow one on their weight loss programs.
    In terms of tips, you want to keep your macros in this order: Fat (60–70%), Protein (20–30%) and Carbs (0–10%).
    There are no cheat days, and it will take cutting out fruits and starchy veggies for most people.
    I’ve yet to find any convincing evidence that you need to be careful following this type of nutrition long-term. So long as you’re not consuming too much protein, you’re not at risk for ketoacidosis, which many people often confuse for ketosis.
    My partner Evan and I recently did a podcast episode on this. Feel free to check it out at https://itunes.apple.com/us/podc...
    Hope this helps! If you have any further questions, feel free to email me at the address below.

    Peter Weintraub
    Founder and Permanent Weight Loss Expert at Fitness Retriever

    [email protected]

  3. Ron Hunter

    The precaution is to try to avoid cheating. The combination of refined carbohydrates and fat is something that should be avoided by all people. It’s not that fat is bad, it’s the combination.

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