Complications Of Dka In Pediatrics

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Cerebral Accidents In Pediatric Diabetic Ketoacidosis: Different Complications And Different Evolutions

Cerebral Accidents in Pediatric Diabetic Ketoacidosis: Different Complications and Different Evolutions Mozzillo E.a D'Amico A.b Fattorusso V.a Carotenuto B.b Buono P.a De Nitto E.a Falco M.a Franzese A. a I have read the Karger Terms and Conditions and agree. I have read the Karger Terms and Conditions and agree. Buy a Karger Article Bundle (KAB) and profit from a discount! If you would like to redeem your KAB credit, please log in . Save over 20% compared to the individual article price. Buy Cloud Access for unlimited viewing via different devices Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use * The final prices may differ from the prices shown due to specifics of VAT rules. For additional information: Diabetic ketoacidosis (DKA) may be associated with neurologic complications: the most common is cerebral edema while the risk of venous and arterial stroke is rare. There is a pathogenetic link between DKA, hypercoagulability and stroke, whose risk is underestimated by clinicians. Our cases present a wide spectrum of cerebral accidents during Continue reading >>

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  1. nboylie

    I have searched rexall and shoppers drug mart and I can't seem to find them?

  2. quality_time

    I get mine at shoppers. I ask for them from the pharmacist as they keep them behind the counter. I've also gotten them from the pharmacy at the grocery store - same deal behind the counter. If they don't have them behind the counter it's on order. Typically with the diabetic stuff.

  3. rolodex9

    yep, Shoppers has them behind the pharmacists counter. In regards to how expensive they are, I combat that by cutting mine in half. They're still readable and instead of 50 you get 100 strips

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Diabetic Ketoacidosis In A Pediatric Intensive Care Unit - Sciencedirect

Volume 93, Issue 2 , MarchApril 2017, Pages 179-184 Diabetic ketoacidosis in a pediatric intensive care unitCetoacidose diabtica em uma unidade de terapia intensiva peditrica Author links open overlay panel Clarice L.S.Lopes Open Access funded by Sociedade Brasileira de Pediatria To describe the characteristics of children aged 014 years diagnosed with diabetic ketoacidosis and compare the following outcomes between children with prior diagnosis of type 1 diabetes mellitus and children without prior diagnosis of type 1 diabetes mellitus length of hospital stay, severity on admission, insulin dosage, time of continuous insulin use, volume of fluids infused during treatment, and complications. A retrospective descriptive study with review of medical records of patients admitted to the pediatric intensive care unit of a referral hospital from June 2013 to July 2015. The following data regarding 52 admissions were analyzed: age, sex, weight, body surface area, signs, symptoms and severity on admission, blood gas, blood glucose, glycated hemoglobin, serum osmolarity, and index of mortality. The insulin dosage, time of continuous insulin use, volume administered in the expansion phase a Continue reading >>

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  1. sahil28293

    For someone who’s trying to build muscle on keto, try this:
    Eat your last meal two hours before you sleep(considering you sleep for 8 hours). Do your workout in the morning in a fasted state. If you need a pre workout, try a little caffeine plus electrolytes. Don’t consume anything for at least 5-6 hours after your gym workout ends. I’ve been doing this on and off for 4 months now and find it the most effective approach to build muscle on keto. (Should be something to do with the extension of growth hormone’s presence due to prolonged fast after the workout.)
    I personally do this(Approach 1): Eat my last meal by 6pm. Sleep at 8pm. Workout at 630am. Break my fast at 12pm.
    Approach 2:
    Eat my last meal by 12pm. Sleep at 8pm. Workout at 630am. Break my fast at 9am.
    Approach 2 is tougher to sustain at times. Feel hungry between 12pm to 8pm sometimes. Morning fasts are easier to sustain. I only have water, ACV water, electrolytes, controlled amounts of black coffee or espresso during the fast.
    If someone tells you to consume protein right after a workout, they are following a “fad” health industry bro science logic. That protein that they suggest does two things that highly concerns me:
    Raises your insulin (pushes you out of fat burning mode). We don’t lose excess muscle on keto as opposed to the other eating lifestyles because of the absence of carbs(that lets your body borrow energy from stored protein; aka muscles). So we don’t need that so called “fast releasing” protein.
    Protein (fast or not; refined or not) takes a lot of time for your body to actually build muscle. (There is a video by Eric Berg too on this.) For most people, the protein you eat today would be converted to muscle tomorrow. So, I personally believe the “have your protein right after your workout” is a fad. (Also, since it raises insulin, your growth hormone goes down. GH helps in building muscle and losing fat.) Do a little math.

    Also, one more thing. If you notice the “suggested usage” of these protein supplements on the boxes, they say “one scoop after bed, one scoop pre workout, one scoop post workout, one scoop before bed”. These are times when growth hormone should be up and insulin low in a healthy individual. Having these “suggested” dosages would make your insulin go up and you will not only hinder your fat loss but also be not very effective at building muscle. Fasted workouts and post fasts are a great way to keep that right hormone up and insulin low. Two birds with one stone.

  2. AMaj

    Great Post, what meal do you break your fast with? I heard rice cakes since it is considered a high glycimic carb which enable your muscles to open up more although it’s not a keto considered food.

  3. sahil28293

    Hi! Thanks!
    I do not do a Targeted or Cyclic Keto diet so I do not believe in breaking fasts with carby foods. In the absence of carbs and insulin, your muscles can still open up with leucine. It’s an essential amino acid; this means you can either get it through food or you can supplement it through a good leucine or BCAA supplement.
    I generally break my fast with a protein source with moderate to high amounts of fat, greens, and a leucine supplement. Ex: 200g of cottage cheese and 100-200g spinach stir fried in 1 tbsp butter plus a Leucine supplement. It keeps me full for 6-7 hours generally. Hope this helps.

    Sahil Bawa

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Predictors Of Acute Complications In Children With Type 1 Diabetes

No significant age effect in boys. In girls, increasing incidencewith age (P<.001 for trend). Pairwise comparisonssubject to Bonferroni correction, ie, significant at the = .017. Figure 2. Predictors of Diabetic Ketoacidosis Relative risk estimates and the 95% confidence intervals for significantand independent predictors derived from age-stratified (<13 vs 13 years)and sex-adjusted Poisson regression with all variables simultaneously in themodel. Hb indicates hemoglobin. Figure 3. Incidence of Severe Hypoglycemia In females, decreasing incidence with age (P<.001for trend). Pairwise comparisons subject to Bonferroni correction, ie, significantat the = .017 level. Figure 4. Predictors of Severe Hypoglycemia Relative risk estimates and the 95% confidence intervals for significantand independent predictors derived from age-stratified (<13 vs 13 years)and sex-adjusted Poisson regression with all variables simultaneously in themodel. Table 1. Characteristics of Patients WithDiabetic Ketoacidosis* Predictors of Acute Complications in Children With Type 1 Diabetes ContextDiabetic ketoacidosis and severe hypoglycemia are acute complicationsof type 1 diabetes that are related, respectively Continue reading >>

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  1. ss138341

    Can you guys give me some suggestions for starting? I really want to do this and be happy with my body, but I'm still insure in the things to but will you guys/girls please help me make a shopping list? I'm not a very picky eater, and I'm 6' 200lbs male if that matters.
    Help me change my life! Thanks guys!

  2. beeeeeemo

    35% cream (for coffee)
    butter (can be grass-fed if you can get a hold of it)
    chicken broth (powder or cube form)
    chicken thighs
    pork chops
    coconut oil (I love using that for frying eggs)
    avocados (great for getting your fat requirements!)
    cream cheese
    peanut butter
    Those are the main things I shop for. If prices are okay, I might go for some salmon too. I love salmon.

  3. [deleted]

    You can find a guide of acceptable foods in the sidebar, I'd start there and see what you'd fancy. I'm a pescatarian and on a college budget, so with that in mind here's a list of what I usually get at the market:
    Eggs. Definitely eggs-very cheap, very healthy, "nature's multivitamin"
    Veggies: I buy what's keto and on sale, both fresh and those frozen steamer bags. My staples are broccoli, mushrooms, cauliflower and spinach
    Fruit: Avocado and tomato. You should eventually be able to incorporate small amounts of berries, but I wouldn't do that right away, learn the ropes first
    Cheese! I love sharp cheddar in a block. I eat it plain or grate it onto steamed veggies
    Okay, pescatarian hat coming on: canned fish (tuna,salmon,sardines) and your choice of something to mix with-I like olive oil, mayo is fine too. These items are great for you and budget friendly even if you're not pescatarian. Especially if you can buy in bulk (Costco and I are buds)
    Nuts. Macadamias are very good for this diet because their carb/fat ratio is the best, from what I understand. I never buy them because of the price. I snack on almonds, pistachios, and sunflower seeds. You do have to be a bit more careful with them, because they're very calorically dense and the carbs can add up 1/4 cup should fit in nicely to your day, though
    Oils: Olive and coconut are my go to. Butter's good too. You'll hear a lot about coconut oil on here because it's just a very healthy fat, and for me it helps with bowel regularity. If you have a Trader Joe's nearby, they have the cheapest price-cheap nuts too.
    Hope this helped some!

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