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Cerebral Edema In Dka In Adults

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In this video, Dr. Michael Agus discusses the risk factors, signs, symptoms, and treatment of cerebral edema in diabetic ketoacidosis. Please visit: www.openpediatrics.org OPENPediatrics is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

An Adult Case Of Diabetic Ketoacidosis Presenting With Cerebral Edema - Case Report

An Adult Case of Diabetic Ketoacidosis Presenting with Cerebral Edema - Case Report Cerebral edema is a life-threatening complication of diabetic ketoacidosis (DKA) which may predominantly develop in pediatric cases during the management of DKA.. Symptomatic cerebral edema in children is rarely detected at admission, before initiation of the treatment. Cerebral edema associated with DKA is extremely rare in adults. Here, we report an adult patient with DKA who presented with symptomatic cerebral edema. Turk Jem 2009; 13: 16-8 Key words: Diabetes complications, cerebral edema Serebral dem diyabetik ketoasidozun (DKA) daha sklkla pediatrik olgularda tedavi srasnda gelien yaam tehdit eden bir komplikasyonudur. Nadiren, serebral dem ocuklarda tedaviye balanmadan nce (bavuru annda) tespit edilebilir. DKA ile ilikili serebral dem grlmesi erikinlerde olduka nadirdir. Bu yazmzda semptomatik serebral dem ile bavuran bir erikin DKA hastas sunuyoruz. Turk Jem 2009; 13: 16-8 Anahtar kelimeler: Diyabet komplikasyonlar, beyin demi Cerebral complications of diabetic ketoacidosis (DKA) are a common cause of deaths related to DKA (1,2). Cerebral edema associated with DKA occurs predominantly in ch Continue reading >>

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  1. minkagloss

    LCHF/Keto diet making me worse

    Hi, I've been eating low carb diet since last yr, October I believe. The only time I ate loads of carbs was when I was preparing for my OGTT to get tested for diabetes after a few months of giving birth. I didn't track my food intake like how many carbs per day but in general I would eat 2 eggs with a small tom. with 1/4 small cucumber for breakfast sometimes no cucumber, Lunch was usually a small zucchini, some cashews like maybe 6-10, a couple of bites of apple (occasionally) and maybe w/ 2 eggs again. Sometimes just cashews like 15-20 pcs. Dinner was always shrimp/panneer/fish w/ coconut cream and a small zucchini. I started doing a Ketosis diet last month and now I feel like I'm falling apart. I started getting heart palpitation and shortness of breath at night, starting the 3rd day. People informed me that I should upped my sodium so I did. I was still getting heart palp. and shortness of breath which usually happens at night. When my heart palp. was still happening the next morning and all day, I went to the hospital and they gave me an ECG testing, Xray and some blood samples. The didn't find anything wrong. The doctor said that it might be just stress. I thought that it might be my cardio exercise stressing me so I stopped exercising. My blood sugars were fine everytime I get the attack, they were always around 4 mmol.
    Anyways, I didn't exercise for a few days. I started doing lots of deep breathing exercise, meditation, foot massage at night and just started doing hatha yoga, no stress at all. I also upped my sodium to minimum 4g per day and potassium to around 2,000mg per day. I've been tracking my water intake as well to 12 glasses or so per day. It was 4 days with no heart palp. attack so I really thought it was the stress issue.
    Last night we were about to do the meditation routine and I became dizzy and got very fast heartbeat so I drank some salty water just in case it was my electrolytes being low. I also drank lots of water. I tested my bg and it was 5.6 mmol and that was 3 hrs post meal as well.
    When I eat my usual meal for dinner/lunch I normally get 5.2 mmol 2 hrs post meal and only 10g carbs. I normally wake up late at around 9 am and my fasting blood glucose is usually around 4 mmol to 5.1 and that's when it's almost 10am. I tested again an hr later and it came down to 5.3.
    I've been feeling restless all night and I got a very fast heartbeat and dizziness at 5am so I tested my bg. It was 5.9! I've never had a very high bg in the morning esp. that early. I ate 6 almonds and drank water. I will test again in a couple of hrs.
    This LCHF/keto diet is making me even more sick. I just want to cry. I have 3 very young children I just want to feel better. I don't know what to do now. Should I continue this diet or drop it?
    I'm going to see a doctor later to see what else is wrong.
    Thank you.

  2. furball64801

    I see you mention low carb but I do not see much high fat in the diet. Not sure it would seem your eating very very little food. I could be wrong but its better to be safe than sorry. I will say again it does not seem like very much food, almost as if your a starving the body.

  3. Nan OH

    Your diet reads to me as a starvation diet. In my opinion it is no wonder you feel ill. You don't show much fat or protein. May I ask why you chose this route for control?

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Ketoacidosis

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia Rapid weight loss in patients newly diagnosed with type 1 diabetes History of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons or history of mechanical failure of insulin infusion pump Altered consciousness (eg, mild disorientation, confusion); frank coma is uncommon but may occur when the condition is neglected or with severe dehydration/acidosis Signs and symptoms of DKA associated with possible intercurrent infection are as follows: Gl Continue reading >>

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  1. NYC-Hot-Stuff

    Bad breath as a sign of ketosis

    The item is from WebMD.com. I hadn't heard of bad breath as a possible sign of overdoing a low-carb diet and ketosis. Is the breath connection commonly known?
    "This can make your breath stinky:
    "Correct! You answered: A very low-carb diet
    "If you eat too few carbs, your body may have to burn fat for energy, and that creates acidic chemicals called ketones. These can make your breath smell fruity or like nail-polish remover. This is called ketosis, and it can become dangerous if too many ketones build up in your body."

  2. Cathy H.

    I learned about it back when Atkins Diet was all the rage, they talked about it a lot.

  3. Sai F.

    It's common, at least with all the people I know who have been following a low carb diet. It's because of acetone that is in both your urine (urinary acetoacetate) and breath, but it does go away after awhile. Thank goodness it's not permanent.

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Pediatric diabetic ketoacidosis practice essentials, background cerebral edema in children with. However cerebral edema is the most frequent serious complication of diabetic ketoacidosis (dka) in children, occurring 1. 10,29 it is manifested by 25 apr 2014 diabetic ketoacidosis, together with the major complication of most cases of cerebral edema occur 4 12 hours after initiation of treatment the diagnosis and treatment of diabetic ketoacidosis in children is discussed incidence clinically significant cerebral edema occurs in approximately 1 but do not independently support the efficacy of physiologic management what's known on this subject cerebral edema (ce) occurs frequently during treatment fluid infusion in children with dka does not substantially affect current research on the assessment of the risk of cerebral edema in patients with diabetic and ketoacidosis and an appropriate diagnosis and therapy do not allow for the nerable to injury when hypocapnia occurs in children with dka. Probably occurs in most cases during or even before treatment. Cerebral edema is the leading cause of death in children presenting diabetic ketoacidosis and occurs 0. Diabetic emergencies diabetic ketoacidosis in adults, part 4. The causes of dka related cerebral edema are not well understood. Which edema did not occur with reduc complications do in dka, most commonly hypoglycemia, hypophosphatemia, hypokalemia, etc. Ncbi diabetic ketoacidosis and cerebral edema. Cerebral edema and diabetic ketoacidosis pediatric em morsels. Onset of treatment, and it was claimed that they did not have brain oedema [12] objective children who develop cerebral edema (ce) during diabetic ketoacidosis. Objective to review the causes of cerebral edema in diabetic dosis as it pertains prevention. Diabetic ketoacidosis and cerebral edema. Cerebral edema in diabetic ketoacidosis a look beyond cerebral children with uptodate. Cerebral edema in diabetic ketoacidosis emergpaadult cerebral after treatment of children with complicating. Gov pubmed 12011666 cerebral edema is the leading cause of death in children presenting diabetic ketoacidosis and occurs 0. Krane dka and cerebral edema pedsccm. The journal of family practice. Diabetic ketoacidosis and cerebral edemadiabetic edema. Subclinical cerebral edema in children with diabetic ketoacidosis risk of the. Symptomatic cerebral oedema during treatment of diabetic edema in childhood ketoacidosis diabetes care. Cerebral edema after that a limited increase in brain water did occur with its use. Overall tends to occur in the newly diagnosed diabetic patient (4. Cerebral edema is a rare, but severe complication in role the pathogenesis of cerebral after treatment dka. Mechanism of cerebral edema in children with diabetic ketoacidosis. Risk factors for cerebral edema during dka There is increased ensure that the corrected na does not decrease over first 12 hours, then no faster than 1 19 aug 2010 oedema most feared complication of. Initially,

Laboratory Values And Treatment Associated With Dka-related Cerebral Edema [pediatrics Classics Series]

Image: PD 1. Among children admitted to 1 of 10 medical centers for diabetic ketoacidosis management, elevated serum urea nitrogen concentrations and low partial pressures of carbon dioxide were associated with significant increases in risk of developing cerebral edema. 2. Lack of pronounced serum sodium rise and use of bicarbonate for treatment were also associated with significantly increased cerebral edema risk. Original Date of Publication: January 2001 Study Rundown: Among children presenting in diabetic ketoacidosis (DKA) either during an initial type 1 diabetes mellitus I (T1DM) presentation, following bodily stresses, or medication noncompliance, 1% will experience cerebral edema. At the time of this study, mortality occurred in 40-90% of these individuals, accounting for 50-60% of T1DM-related childhood deaths. However, before this study’s publication, there was limited information regarding cerebral edema risk factors among children with T1DM. Researchers found that elevated serum nitrogen concentrations and low partial pressures of carbon dioxide were associated with significantly increased risk of children hospitalized for DKA developing cerebral edema. In addition, l Continue reading >>

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  1. A-Keegs

    Does anyone else here run? I would assume so. If so, I'm looking for advice.
    My typical running distance is 15km, and I'm doing a charity race in a few weeks. I've been on keto since the start of this year, and have found it so much easier to run over a long distance, but I wanted to know if anyone has tried and would recommend a carb up the night before?
    Like I said, I can comfortably run the distance on a keto diet, but I want to get a PB, so would stocking up on a big bowl of pasta help or am I better off staying with keto now that I'm fat adapted?
    Thanks in advance.
    TLDR: Read the title

  2. anbeav

    I've been on keto since the start of this year, and have found it so much easier to run over a long distance, but I wanted to know if anyone has tried and would recommend a carb up the night before?
    If it's easier to run why would you carb up? No. The last thing you should do before an event is something you don't usually do. If you're adapted you don't need carbs. Carbs will not help and likely would just make you feel bad which is not what you need night before race day. You'll also be running on carbs and losing out on the never ending energy that running on fat provides. KCKO.

  3. 5ftwndr

    I don't know, after reading all the horror stories of digestive issues from eating carbs after being keto adapted, I'd be really hesitant to try something like that before a big race. If you're training on keto, you should also race on keto. If you want to start carb cycling (I honestly don't know much about it), I wouldn't do it right before a race.

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