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American Diabetes Association Dka Algorithm

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Diabetic Ketoacidosis

Authors Runa Acharya, MD, University of Iowa-Des Moines Internal Medicine Residency Program at UnityPoint Health, Des Moines, IA Udaya M. Kabadi, MD, FACP, FRCP(C), FACE, Veteran Affairs Medical Center and Broadlawns Medical Center, Des Moines, IA; Des Moines University of Osteopathic Medicine, Iowa City; and University of Iowa Carver College of Medicine, Iowa City; Adjunct Professor of Medicine and Endocrinology, University of Iowa, Iowa City, and Des Moines University, Des Moines Peer Reviewer Jay Shubrook, DO, FAAFP, FACOFP, Professor, Primary Care Department, Touro University, College of Osteopathic Medicine, Vallejo, CA Statement of Financial Disclosure To reveal any potential bias in this publication, and in accordance with Accreditation Council for Continuing Medical Education guidelines, Dr. Kabadi (author) reports he is a consultant and on the speakers bureau for Sanofi. Dr. Shubrook (peer reviewer) reports he receives grant/research support from Sanofi and is a consultant for Eil Lilly, Novo Nordisk, and Astra Zeneca. Dr. Acharya (author) reports no financial relationships relevant to this field of study. Continue reading >>

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Popular Questions

  1. DonnaB

    I just saw my PCP yesterday about the hair loss I'm experiencing. I do connect the dots and it seems the hair loss began with the starting of metformin. Of course he is testing me for other possibilities including thyroid, anemia etc but says it could be caused by the metformin. Anyway he says if all the blood work looks okay then we have to try another drug. I am having good control with the metformin, PLUS I've lost a bit of weight with it and kept it off (about 15 lbs). I'm just nervous about other drugs, i.e. side effects, possible weight gain. Still I'm getting close to the point of thinking about buying a wig so this is a real dilemma. Any ideas out there?

  2. princesslinda

    Awhile before I was diagnosed, I started noticing the top of my head was thinning...I assumed it was stress or hormones. I've since read that insulin resistance can contribute to this (as well as a host of other lovely problems/symptoms). After being on metformin for awhile and getting my blood sugar under control, my hair density has finally returned to normal.
    Incidentally, I do transcription for a dermatologist who sees lots of women for hair loss. Usually they will do a thyroid panel, ferritin/iron level, hormone panel to r/o underlying causes. Sometimes stress, crash dieting and/or heredity can also be a culprit.
    If however, it is determined that it is the metformin, stopping it should take care of the problem.

  3. slipperyelm

    If you look at "elderly" women, few of them have full, thick hair. Many have very thin hair. They didn't get there overnight. Loss of hair is fairly to be expected as one gets older, isn't it?
    I have slowly been losing hair and it grieves me a bit. But both my non-diabetic sisters also have the same thing going on. I recall the youngest was thinning at age twenty(!) in the same place where I noticed the thinning beginning around age 38. I plan to try to accept that I, too, am human and that these kinds of things will happen. I'm lucky to get old. And I sure as heck am staying on metformin! Genes gave me some good things, some not so good things. :1eye:
    (Hey notice how 95% of our smilies are bald? Where is the one with the blue Sideshow Bob looking hair?)

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