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Diabetic Ketoacidosis

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. To reveal any potential bias in this publication, and in accordance with Accreditation Council for Continuing Medical Education guidelines, we disclose that Dr. Farel (CME question reviewer) owns stock in Johnson & Johnson. Dr. Stapczynski (editor) owns stock in Pfizer, Johnson & Johnson, Walgreens Boots Alliance Inc., GlaxoSmithKline, Bristol Myers Squibb, and AxoGen. Dr. Wise (editor) reports he is on the speakers bureau for the Medicines Company. Dr. Kabadi (author) reports he is a consultant and on the speakers bureau for Sanofi. Dr. Shubrook (peer reviewer) rep Continue reading >>

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Popular Questions

  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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