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What Is The Key Differentiating Factor Between Dka And Hhs

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Management Of The Hyperosmolar Hyperglycaemic State (hhs) In Adults With Diabetes (aug 2012)

Management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes (Aug 2012) Management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes (Aug 2012) Unlike the other common diabetes emergency, diabetic ketoacidosis (DKA), guidelines on the management of the hyperglycaemic hyperosmolar state (HHS) in adults are uncommon and often there is little to differentiate them from the management of DKA. However, HHS is different and treatment requires a different approach. The person with HHS is often elderly, frequently with multiple co-morbidities but always very sick. Even when specific hospital guidelines are available, adherence to and use of these is variable amongst the admitting teams. In many hospitals these patients are managed by non-specialist teams, and it is not uncommon for the most junior member, who is least likely to be aware of the hospital guidance, to be given responsibility for the initial management of this complex and challenging condition. Diabetes specialist teams are rarely involved at an early stage and sometimes never at all. To address these issues the Joint British Diabetes Societies (JBDS) for inpatient care, supported by Continue reading >>

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Popular Questions

  1. belmont316

    what is a good range of ketones on a ketone urinalysis strip (ketostix)

    the ketosticks i have range from
    0mg/dl (negative test)
    5mg/dl - 15mg/dl - trace/small
    15mg/dl - 40mg/dl - small/moderate
    40mg/dl -80mg/dl - moderate/large
    80mg/dl -160mg/dl large
    i was wondering what levels would be optimal, ive been doing a low carb diet, i wasnt even really aware of what exactly keto diets were but i had been doing one without knowing (going very low carb until i felt like a zombie usally takes 3-4 days, then carbing up like a mad dog for 1 day, then repeating). i peed on the strip and i got between 15mg/dl and 40mg/dl ... these strips are made for diabetics so i wasnt sure what the ideal ketone range for a low-carb dieter would be.... small / moderate / large ????

  2. beaucephus

    Tough to say because the ketones in your urine are excess ketones, meaning that if you are doing a lot of cardio/weightlifing, you probably aren't going to have as high a level as you would if you're just sedentary.
    I find myself between 40 - 80 on most keto tests.

  3. stempleman

    Originally Posted by belmont316
    the ketosticks i have range from
    0mg/dl (negative test)
    5mg/dl - 15mg/dl - trace/small
    15mg/dl - 40mg/dl - small/moderate
    40mg/dl -80mg/dl - moderate/large
    80mg/dl -160mg/dl large
    i was wondering what levels would be optimal, ive been doing a low carb diet, i wasnt even really aware of what exactly keto diets were but i had been doing one without knowing (going very low carb until i felt like a zombie usally takes 3-4 days, then carbing up like a mad dog for 1 day, then repeating). i peed on the strip and i got between 15mg/dl and 40mg/dl ... these strips are made for diabetics so i wasnt sure what the ideal ketone range for a low-carb dieter would be.... small / moderate / large ????

    any... if your producing them then you are in ketosis. excess ketones you pee so ones that are not used are excreted through your urine, and any amount is fine. if you find a dark color that doesnt mean a high amount of ketones, you need to drink more water if its a dark color.

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