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Diabetic Ketoacidosis Clinical Presentation

History Insidious increased thirst (ie, polydipsia) and urination (ie, polyuria) are the most common early symptoms of diabetic ketoacidosis (DKA). Malaise, generalized weakness, and fatigability also can present as symptoms of DKA. Nausea and vomiting usually occur and may be associated with diffuse abdominal pain, decreased appetite, and anorexia. A history of rapid weight loss is a symptom in patients who are newly diagnosed with type 1 diabetes. Patients may present with a history of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons. Decreased perspiration is another possible symptom of DKA. Altered consciousness in the form of mild disorientation or confusion can occur. Although frank coma is uncommon, it may occur when the condition is neglected or if dehydration or acidosis is severe. Among the symptoms of DKA associated with possible intercurrent infection are fever, dysuria, coughing, malaise, chills, chest pain, shortness of breath, and arthralgia. Acute chest pain or palpitation may occur in association with myocardial infarction. Painless infarction is not uncommon in patients with diabetes and should always be Continue reading >>

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Popular Questions

  1. j

    Keto diet while nursing

    My SIL is doing the Ketogenic Diet (low carb/high fat) and is having great results. I was overweight before getting pregnant, and now have even more to lose. I'm thinking of trying the diet but am wondering how it will affect breastfeeding. I've heard it might not be good for baby if your body is in ketosis, but I'm having a hard time finding solid info either way. Anyone have any experience with this?

  2. Mareeena

    I'm doing something similar but a breastfeeding friendly variation... Basically Atkins 20 is not safe for breastfeeding but Atkins 40 is. I think it's important while nursing to eat balanced so I still eat the recommended servings of fruit a day and some whole grains. I try for lower sugar fruits like berries. For grains I do oats and then a small bowl of kashi go lean cereal (the cinnamon crunch kind is amazing)
    So basically I try and eat balanced for the sake of my milk and just reduce my net carbs while trying to eat as much protein and fiber as possible.
    As for your question is keto specifically safe? I don't personally think so.
    I'm not counting carbs and I'm eating a good amount of fat (meats, eggs, cheese)

    I've lost 7lbs the past 9 days and haven't exercised much during that time (baby is teething I'm tired)

  3. Mareeena

    Sorry when I said I'm not counting carbs I meant I'm not counting calories!!'

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