What Does Metabolic Acidosis Do To The Body?

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Sodium Bicarbonate Therapy In Patients With Metabolic Acidosis

The Scientific World Journal Volume 2014 (2014), Article ID 627673, 13 pages Nephrology Division, Hospital General Juan Cardona, Avenida Pardo Bazán, s/n, Ferrol, 15406 A Coruña, Spain Academic Editor: Biagio R. Di Iorio Copyright © 2014 María M. Adeva-Andany et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Metabolic acidosis occurs when a relative accumulation of plasma anions in excess of cations reduces plasma pH. Replacement of sodium bicarbonate to patients with sodium bicarbonate loss due to diarrhea or renal proximal tubular acidosis is useful, but there is no definite evidence that sodium bicarbonate administration to patients with acute metabolic acidosis, including diabetic ketoacidosis, lactic acidosis, septic shock, intraoperative metabolic acidosis, or cardiac arrest, is beneficial regarding clinical outcomes or mortality rate. Patients with advanced chronic kidney disease usually show metabolic acidosis due to increased unmeasured anions and hyperchloremia. It has been suggested tha Continue reading >>

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Popular Questions

  1. Sally

    ketone confusion

    Ok, here is what is going on with me. ANY info anyone has will be much appreciated. I was (a few days ago) haveing light ketones show up in my urine. My bs was great, 100 fasting and not over 145 post meals. I figured not enough carbs, looking back on my recent meals. I upped my carbs to 110 yesterday, ketones in urine went away. I thought I had it figured out. This morning, bs was 115, but ketones in my urine was in the high color zone, plus I am having frequent urination. Are there any other things that would cause ketones besides bs issues? I unfortunately do not have insurance and money is tight, cannot see any docs. I have checked with the health dept here and they most they can offer a diabetic is sugar screenings twice a week. This is by a reg doc, not an endo, same with the only free clinic here. When I talked to them, they suggested I see an endo. So I am back to square one. Any advice at all???

  2. lipsie

    Sally, I dunno much at all about this stuff but just wanted to wish you well, hope it all works its way out for you and you feel better. *Hugs* Love yassssss Sheila

  3. kdroberts

    Ketones are 'created' when your body burns fat for energy rather than carbohydrates. Briefly, when you don't have enough insulin in your body burns fat for energy and you spill ketones. If you eat very low carb you will spill ketones, some people on low carb diets aren't satisfied until they are. If you fast, you may spill ketones. If you are pregnant and don't eat enough, you can spill ketones. If you have LOW blood sugar you can spill ketones (opposite to when you have not enough insulin, you have too much and it's used all the glucose so burns fat). Illness and stress can cause you to spill ketones. Exercise can cause you to spill ketones.
    Now, spilling ketones in your urine (ketosis) is very different to ketoacidosis because ketosis doesn't cause your blood pH to drop which is the issue with DKA. Ketosis is not (well not been shown to be) dangerous, ketoacidosis is. I would buy some fresh ketostix and monitor things and pay very carful attention to the DKA symptoms like extreme tiredness, extreme thirst, constant urination, hyperventilation, nausea and pain in the upper body. If you have multiple ones of those you really need to go to a doctor. If you have any of the following, you really need to go to the ER. Vomiting, abdominal pain, symptoms of the flu, weakness and fast/normal but deep breathing like you are gasping for air.

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