Complications Of Untreated Dka

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Diabetic Ketoacidosis And Hyperglycaemic Hyperosmolar State

The hallmark of diabetes is a raised plasma glucose resulting from an absolute or relative lack of insulin action. Untreated, this can lead to two distinct yet overlapping life-threatening emergencies. Near-complete lack of insulin will result in diabetic ketoacidosis, which is therefore more characteristic of type 1 diabetes, whereas partial insulin deficiency will suppress hepatic ketogenesis but not hepatic glucose output, resulting in hyperglycaemia and dehydration, and culminating in the hyperglycaemic hyperosmolar state. Hyperglycaemia is characteristic of diabetic ketoacidosis, particularly in the previously undiagnosed, but it is the acidosis and the associated electrolyte disorders that make this a life-threatening condition. Hyperglycaemia is the dominant feature of the hyperglycaemic hyperosmolar state, causing severe polyuria and fluid loss and leading to cellular dehydration. Progression from uncontrolled diabetes to a metabolic emergency may result from unrecognised diabetes, sometimes aggravated by glucose containing drinks, or metabolic stress due to infection or intercurrent illness and associated with increased levels of counter-regulatory hormones. Since diabetic Continue reading >>

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Popular Questions

  1. Marie

    Hi has anyone on here continued to drink wine occasionally on phase 1 and still continued to lose weight?
    I am in my 6th week on the Atkins and am so happy to have lost 19lbs so far (still 2.5 stone to go). I haven't found it any hardship 'except' I do sooooo love wine of which I have completely done without! However, with Xmas upon us I have a couple of prearranged meals out and as much as I know on phase 1 alcohol Is not permitted, I don't think it's being realistic that I won't drink on these type of occasions.
    Do I need to accept that this is going to be my lifestyle now, not being able to drink again as I'll put on weight?? In the long term, at maintenance, I would be sooo happy to follow the Atkins 7 days a week but having a glass of wine or 2 at weekends.??

  2. Alex

    You need to accept that you either don't drink or if you do that you may well see an overnight weight gain (mostly water) and the fact that it will take you out of ketosis so you won't fat burn for a few days afterwards until you re-establish it. Anytime you drink the alcohol will be burnt for energy before fat, halting weight loss on top of the above.
    If you can cope with this having a glass of wine isn't a massive health issue or anything.

  3. Ellen

    Actually it's not quite right to say that alcohol is not permitted on phase one. It's not permitted during the first two weeks, but after that you can have the occasional drink. However it's better to stick with spirits like vodka, gin etc which don't contain carbs, and use diet mixers. Wine contains carbs and so anything significant will take you out of ketosis, but spirits won't.
    That said, as Alex says, your body will use alcohol for energy before anything else so fat burn will stop while the alcohol is in your system. But if your meal out is going to be spoilt by not having alcohol, then you may think it's better to allow yourself a drink...but because you say you love wine, that might not be the wisest choice because alcohol also lowers resolve and the one glas you've allowed yourself could more easily turn into several.
    So you have choices which only you can make.
    1. Stay alcohol free...the best scenario for your diet, but you have to be realistic about whether you can or not.
    2. Allow yourself one glass of wine and accept that this might affect ketosis, and you will probably see a small temporary gain which isn't the end of the world but you will have to deal with it psychologically. A worse scenario is that the one glass may lead to another...and so on, which will take you out of ketosis and take you a few days to get back in.
    3. Allow yourself spirits and diet mixers, which won't take you out of ketosis, but again, can lower resolution!be making the wine (and off plan foods) look more attractive, and again you might see an overnight gain but once the alcohol is out of your system you will go straight back to fat burning.
    Some people continue to have the odd glass of wine throughout and still lose weight and some can't...its individual. So probably not recommended on a regular basis, but everything is a trade off for something else. You will have to decide what is more important to you for that particular event. It's very personal

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