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Pediatric Hyperglycemia Protocol

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Pediatric Diabetic Ketoacidosis Treatment & Management

Approach Considerations In patients with diabetic ketoacidosis, the first principals of resuscitation apply (ie, the ABCs [airway, breathing, circulation]). [3] Outcomes are best when children are closely monitored and a changing status is promptly addressed. [39, 2] Give oxygen, although this has no effect on the respiratory drive of acidosis. Diagnose by clinical history, physical signs, and elevated blood glucose. Fluid, insulin, and electrolyte (potassium and, in select cases, bicarbonate) replacement is essential in the treatment of diabetic ketoacidosis. Early in the treatment of diabetic ketoacidosis, when blood glucose levels are very elevated, the child can continue to experience massive fluid losses and deteriorate. Strict measurement of fluid balance is essential for optimal treatment. Continuous subcutaneous insulin infusion therapy using an insulin pump should be stopped during the treatment of diabetic ketoacidosis. Inpatient care Children with severe acidosis (ie, pH < 7.1) or with altered consciousness should be admitted to a pediatric intensive care unit. In cases in which the occurrence of diabetic ketoacidosis signals a new diagnosis of diabetes, the process of e Continue reading >>

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Popular Questions

  1. Porthardygurl

    I am feeling rather upset and concerned right now at this time. I have been OP since i started this program this time around..Not a lick , taste or a bite and my numbers show the continuous losses from week to week..I have been so happy being in ketosis and not feeling hungry...
    HOWEVER... I was feeling seriously nauseated in the store today, felt like i was going to puke...so my hubby grabbed me a 1 litre gingerale and we booked it out of there pronto...I get to the car, unscrew the cap and suck it back like nobodys business...hoping that it would help..Well..good news is..it did help... BAD NEWS is... It wasnt diet ...
    I didnt even look at the label on the bottle till after i had drank some..Usually i pick up diet .... i never buy the sugar laden soft drinks..but my hunny must have picked it up in a rush, and didnt look..and of course me thinking that he has my best interest at heart..assumed it was diet....
    So now im seriously conerned i have knocked myself out of ketosis...
    The carb content per 8oz were 25 grams of carbs... 16 grams of sugar...
    I measured the rest of the gingerale out when i got home to see how much i had drank..and it looks like maybe 1/2 a cup was gone..My question is...if thats half a cup...then thats about 13 total carbs for that 1/2 cup....
    My other food for the day..has consisted of..
    morning shake: 2 g net carb
    Lunch shake : 2 g net carb
    wafer packet alternative: 6 net carb
    So thats 10 grams of Net carbs without adding in vegs yet...So 10 plus 12 is 22 Net carbs...will this kick me out of ketosis????? Ive worked so hard to stay OP 100% I dont want to have ruined it...

  2. CarCamMom

    Quote:

    Originally Posted by Porthardygurl
    I am feeling rather upset and concerned right now at this time. I have been OP since i started this program this time around..Not a lick , taste or a bite and my numbers show the continuous losses from week to week..I have been so happy being in ketosis and not feeling hungry...
    HOWEVER... I was feeling seriously nauseated in the store today, felt like i was going to puke...so my hubby grabbed me a 1 litre gingerale and we booked it out of there pronto...I get to the car, unscrew the cap and suck it back like nobodys business...hoping that it would help..Well..good news is..it did help... BAD NEWS is... It wasnt diet ...
    I didnt even look at the label on the bottle till after i had drank some..Usually i pick up diet .... i never buy the sugar laden soft drinks..but my hunny must have picked it up in a rush, and didnt look..and of course me thinking that he has my best interest at heart..assumed it was diet....
    So now im seriously conerned i have knocked myself out of ketosis...
    The carb content per 8oz were 25 grams of carbs... 16 grams of sugar...
    I measured the rest of the gingerale out when i got home to see how much i had drank..and it looks like maybe 1/2 a cup was gone..My question is...if thats half a cup...then thats about 13 total carbs for that 1/2 cup....
    My other food for the day..has consisted of..
    morning shake: 2 g net carb
    Lunch shake : 2 g net carb
    wafer packet alternative: 6 net carb
    So thats 10 grams of Net carbs without adding in vegs yet...So 10 plus 12 is 22 Net carbs...will this kick me out of ketosis????? Ive worked so hard to stay OP 100% I dont want to have ruined it... I wish I could help you, but I'm too new to be sure....All I can do is hope for you!! I think the magic number I hear is 40 carbs or less a day, so you might be ok???? I'm sure someone else will know. I've got my fingers crossed for you!
    Look on the bright side...this will make for an excellent update on IPTV!

  3. scorbett1103

    I'm way too new to be an expert, but I've done LOTS of reading on the forums since starting. I have seen more than one person post that their coach allowed for a "cheat" day (which I can only assume means they would be eating a lot more carbs than usual) followed by 2 days on VERY strict phase 1 protocol with NO restricted packets/bars. Not something to make a habit of, but it might be worth doing for the next 2 days and talk to your coach. You might stall just a little but you shouldn't lose too much ground.

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