Dka Criteria Uptodate

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At the American Association for Clinical Endocrinologists (AACE) 25th Annual Scientific and Clinical Congress, W. Timothy Garvey, MD, outlines the new AACE/ACE clinical practice guidelines for the comprehensive management of patients with obesity.

Aace/ace Clinical Practice Guidelines

American Association of Clinical Endocrinologists The American Association of Clinical Endocrinologists The Voice of Clinical Endocrinology Founded in 1991 Keep up to date with the latest in Legislative and Regulatory news AACE recognizes the importance of providing continued education to its members, which may require financial support from an outside entity through unrestricted educational grants. Outside support will not be used for the development and/or writing of AACE consensus statements/conference proceedings, white papers, or guidelines. Outside support may be accepted for the administration/ logistical support of a consensus conference and for the dissemination and distribution of the final written paper. The content of these documents is developed solely by AACE members and, as always, will remain free of any outside entity influence. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice are systematically developed statements to assist health care professionals in medical decision making for specific clinical conditions, but are in no way a substitute for a medical professional's independent judgment and should not be considered med Continue reading >>

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  1. Iduttnnytxdc

    I've only done Keto for about a week and happy with the results, but my hands & feet are always freezing now! I used to have perpetually warm feet & hands but now they're always cold. Did this happen to anyone else? Did it change?

  2. happinessanddisaster

    I've gotten colder feet as I've gotten older, but they've basically turned to ice blocks on strict keto. My poor boyfriend is a furnace and entirely too tolerant of my snuggling in to thaw my extremities. I've only been strict keto for about a month so I'm hoping I go back to my normal soon.

  3. hampired

    Ha. My reddit name is hampire which stands for "heat vampire." My SO gave me this name because of how often I touch him with cold hands and feet in order to provoke a scream or just to steal his heat for myself 😈

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones stimulate FURTHER production and release of glucose into the blood, causing it to overflow into urine, resulting in excessive LOSS of water and electrolytes. The major DIFFERENCE between HHS and DKA is the ABSENCE of acidosis in HHS. This is because, unlike DKA, the level of insulin in HHS patients is HIGH enough to SUPPRESS lipolysis and hence ketogenesis. This explains why HHS occurs more often in type 2 diabetics, who have more or less normal level of circulating insulin. Reminder: type 2 diabetics DO produce insulin but their cells do NOT respond to insulin and therefore cannot use glucose. Because symptoms of acidosis are NOT present, development of HHS may go UNnoticed until blood glucose levels become EXTREMELY high. Severe dehydration results in INcreased concentrations of solutes in the blood, raising its osmolarity. HyPERosmotic blood plasma drives water OUT of bodys tissues causing cellular dysfunction. Primary symptom of HHS is ALTERED consciousness due to excessive dehydration of brain tissues. This can range from confusion to coma. Emergency treatment consists of intravenous fluid, insulin and potassium similar to those used in DKA.

Diabetic Ketoacidosis And Hyperosmolar Hyperglycemic State In Adults: Treatment

INTRODUCTION Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS, also known as hyperosmotic hyperglycemic nonketotic state [HHNK]) are two of the most serious acute complications of diabetes. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum. The treatment of DKA and HHS in adults will be reviewed here. The epidemiology, pathogenesis, clinical features, evaluation, and diagnosis of these disorders are discussed separately. DKA in children is also reviewed separately. (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Epidemiology and pathogenesis".) (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Clinical features, evaluation, and diagnosis".) Continue reading >>

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  1. Kodah007

    I'm new here and may be too late for this discussion. Our 8 year old husky was in diabetic ketoacidosis 4 days ago. 3 nights on fluid at vet, started insulin, steroids and pain meds. She cannot walk on her own, like her hind legs are totally numb. She's also been going potty on herself at vet. I'm really worried she won't get better and I don't have the time to be carrying her around and/or cleaning up messes. How long can I expect this yo last? Do all dogs recover?

  2. k9diabetes

    I decided to copy your question to a thread of your own... so sorry such a scary experience brings you here.
    If she can get past the ketoacidosis, whatever leg problems and incontinence coming from neuropathy should gradually diminish with better blood sugar.
    Most dogs I've seen have fully recovered from neuropathy. Sometimes a dog has other spinal issues also involved and in those cases the problems associated with neuropathy go away so things get better.
    So, yes, chances are very good she can get back to normal. Beaming her Get Well wishes.... hang in there.

  3. Rubytuesday

    Hi there,
    If the sole cause of weakness in the backend is diabetic neuropathy, and it could well be, they can recover and go on to be healthy diabetics. Surviving diabetic ketoacidosis can take quite a toll on them and I would not judge her condition now as long as she isn't suffering. weakness isn't a lot of fun for either of you but they can get back to normal.
    I will attach some info about a key role a specific form of B-12 (methylcobalimin) plays in recovery.
    Many dogs here have struggled with hind end weakness. Has the B-12 helped in these cases? I don't know, but it hasn't hurt.
    The single most important thing you can do now is to find the best dose to manage her diabetes. This can be a trying process. To tell the truth this was the best place I found for getting the best information about how to go about that. My dog wasn't an easy diabetic and frankly my vets didn't know what to do to make our situation better. Folks here helped us tremendously. The collective knowledge and creativity was a godsend.
    I found that I couldn't rely on just the guidance from my vet and some stories I have heard have been downright scary. The best advice I can give is read a lot from the home page and threads, ask a bunch of questions and if at all possible give home testing a try. Doing your own home testing not only saves you money and keeps your dog safe, but it will help you progess through the regulation process a bit quicker.
    I will go grab the home page link for you and the b-12 info. Just don't want to lose this post. The ipad sometimes doesn't like me switching around.

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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.....

Clinical Features And Diagnosis Of Diabetic Ketoacidosis In Children And Adolescents

INTRODUCTION Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in children with type 1 diabetes mellitus. Less commonly, it can occur in children with type 2 diabetes mellitus. DKA is caused by absolute or relative insulin deficiency. (See "Classification of diabetes mellitus and genetic diabetic syndromes".) The incidence and prevalence of type 2 diabetes mellitus have increased across all ethnic groups. This has been coupled with an increasing awareness that children with type 2 diabetes mellitus can present with ketosis or DKA, particularly in obese African American adolescents [1-7]. (See "Classification of diabetes mellitus and genetic diabetic syndromes", section on 'DKA in type 2 diabetes'.) The clinical features and diagnosis of DKA in children will be reviewed here. This discussion is primarily based upon the large collective experience of children with type 1 diabetes mellitus. There is limited experience in the assessment and diagnosis of DKA in children with type 2 diabetes mellitus, although the same principles should apply. The management of diabetes in children, treatment of DKA in children and the epidemiology and pathogenesis of DKA are di Continue reading >>

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  1. phillychick14

    Suffering through keto flu and have questions...

    I am new to the keto lifestyle and I had a question related to the keto flu. I have done lots of research on-line and in books prior to beginning this lifestyle, but I definitely did not think the keto flu would be this bad. I have been eating less than 20 grams of carbs per day and 0 sugar for the past 8 days. I have also significantly increased my fat intake (bacon, butter, cheese) and have been eating more proteins. Yesterday, I started to feel like I had a fever, my stomach was really upset and I had a headache. I took my magnesium, vitamin D and pottasium supplements. I also have been drinking approximately 100 ounces of water per day. Today, the symptoms are nearly unbearable. I actually had to call off from work. My concern is that I have the worst pain in my sinuses and my jaw bone. The other symptoms seem pretty common, but I did not read anything about the sinus pain and jaw pain. Has anyone ever experienced this? To try and alleviate the symptoms I have been drinking chicken broth and eating even more fat than usual. I would really appreciate any guidance or support. If this is a part of the process, then great! I just want to make sure I am not doing something dangerous to my body. Thanks!

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