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Ketoacidosis Definition

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Clinical Features And Diagnosis Of Diabetic Ketoacidosis In Children And Adolescents

INTRODUCTION Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in children with type 1 diabetes mellitus. Less commonly, it can occur in children with type 2 diabetes mellitus. DKA is caused by absolute or relative insulin deficiency. (See "Classification of diabetes mellitus and genetic diabetic syndromes".) The incidence and prevalence of type 2 diabetes mellitus have increased across all ethnic groups. This has been coupled with an increasing awareness that children with type 2 diabetes mellitus can present with ketosis or DKA, particularly in obese African American adolescents [1-7]. (See "Classification of diabetes mellitus and genetic diabetic syndromes", section on 'DKA in type 2 diabetes'.) The clinical features and diagnosis of DKA in children will be reviewed here. This discussion is primarily based upon the large collective experience of children with type 1 diabetes mellitus. There is limited experience in the assessment and diagnosis of DKA in children with type 2 diabetes mellitus, although the same principles should apply. The management of diabetes in children, treatment of DKA in children and the epidemiology and pathogenesis of DKA are di Continue reading >>

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Popular Questions

  1. sammerb

    I understand ketosis is achieved when staying between 0-50g of carbs, upwards to 100g for some people.
    But I was wondering where sugar fits in to this?
    The reason I'm asking is there's a full fat greek yogurt that I LOVE. But it's got 15g of carbs and 10g of sugar.
    Will eating that likely to kick me out of ketosis?

  2. Egoldstein

    thinking about being IN ketosis or not is somewhat misleading. What you want is to be fully keto-adapted, meaning your body will seamlessly move from carb burning, fat burning, maybe protein burning back and forth. The carb flu period is when you are not fully adapted and feel a bit out of sorts when transitioning. For someone fully adapted, having a high carb meal or day should not impair longer-term fat burning and fatloss.

  3. OnTheBayou

    Sugar and carbs in yogurt is misleading. Carbs in all foods are not determined directly, but presumed to be what is left over after subtracting proteins and fats. Most, but not all, of the milk's lactose is converted to acids (acidolphilus, any one?) which while still carbs are no longer sugars.
    Just stay away from sugar added yogurts and don't eat it too often. It is dairy.

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