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Keto Acidosis

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Diabetic Ketoacidosis

Initial Evaluation Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors (Table 14–18). The most common precipitating factor is infection, followed by noncompliance with insulin therapy.3 While insulin pump therapy has been implicated as a risk factor for DKA in the past, most recent studies show that with proper education and practice using the pump, the frequency of DKA is the same for patients on pump and injection therapy.19 Common causes by frequency Other causes Selected drugs that may contribute to diabetic ketoacidosis Infection, particularly pneumonia, urinary tract infection, and sepsis4 Inadequate insulin treatment or noncompliance4 New-onset diabetes4 Cardiovascular disease, particularly myocardial infarction5 Acanthosis nigricans6 Acromegaly7 Arterial thrombosis, including mesenteric and iliac5 Cerebrovascular accident5 Hemochromatosis8 Hyperthyroidism9 Pancreatitis10 Pregnancy11 Atypical antipsychotic agents12 Corticosteroids13 FK50614 Glucagon15 Interferon16 Sympathomimetic agents including albuterol (Ventolin), dopamine (Intropin), dobutamine (Dobutrex), terbutaline (Bricanyl),17 and ritodrine (Yutopar)18 DIFFERENTIAL DI Continue reading >>

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Popular Questions

  1. PPumpItUp

    I have been reading conflicting information on blogs and threads. Some people say that too much protein will kick you out of ketosis, others say that you need excess protein. I lift weights so I try to take 1g for each pound of lean body mass so that around 220g of protein per day. I think I should be safe with this no matter which theory you go by, correct?

  2. PPumpItUp

    I guess the protein is supposed to convert to glucose but even that has controversies around it. Some people say it does happen and others say it does not.

  3. MizTenaciousT

    I've heard different things about this too. I'm hoping some of the more experienced ketoers will chime in. From what I understand, as long as you're staying close to the traditional 5-20-75 CPF ratio, with carbs under 50g, you should be good.

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