diabetestalk.net

Dka Diagnosis Criteria

Share on facebook

My Site - Chapter 15: Hyperglycemic Emergencies In Adults

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) should be suspected in ill patients with diabetes. If either DKA or HHS is diagnosed, precipitating factors must be sought and treated. DKA and HHS are medical emergencies that require treatment and monitoring for multiple metabolic abnormalities and vigilance for complications. A normal blood glucose does not rule out DKA in pregnancy. Ketoacidosis requires insulin administration (0.1 U/kg/h) for resolution; bicarbonate therapy should be considered only for extreme acidosis (pH7.0). Note to readers: Although the diagnosis and treatment of diabetic ketoacidosis (DKA) in adults and in children share general principles, there are significant differences in their application, largely related to the increased risk of life-threatening cerebral edema with DKA in children and adolescents. The specific issues related to treatment of DKA in children and adolescents are addressed in the Type 1 Diabetes in Children and Adolescents chapter, p. S153. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are diabetes emergencies with overlapping features. With insulin deficiency, hyperglycemia causes urinary Continue reading >>

Share on facebook

Popular Questions

  1. lpret

    Daily carb intake = 28 g of which 24 g is fibre.
    I do weight training to build muscle mass, but have cut out carbs to get my body to burn fat. However, I am not losing weight. Could it be that my carb intake is too low? I am in ketosis and was under the impression that this means that my body is burning fat for fuel.
    I also understood that your body will not target muscle as a fuel source when you are eating enough fat in a day?

  2. lpret

    Originally Posted by lpret
    Daily carb intake = 28 g of which 24 g is fibre.
    I do weight training to build muscle mass, but have cut out carbs to get my body to burn fat. However, I am not losing weight. Could it be that my carb intake is too low? I am in ketosis and was under the impression that this means that my body is burning fat for fuel.
    I also understood that your body will not target muscle as a fuel source when you are eating enough fat in a day?

    Oh yes, my calorie intake is about 1200 cal per day...

  3. MuZI

    Originally Posted by lpret
    Daily carb intake = 28 g of which 24 g is fibre.
    I do weight training to build muscle mass, but have cut out carbs to get my body to burn fat. However, I am not losing weight. Could it be that my carb intake is too low? I am in ketosis and was under the impression that this means that my body is burning fat for fuel.
    I also understood that your body will not target muscle as a fuel source when you are eating enough fat in a day?

    Give us more information about your diet? What are your calories and macro break down? What do you eat?

  4. -> Continue reading
read more close
Share on facebook

Diagnosis And Treatment Of Diabetic Ketoacidosis And The Hyperglycemic Hyperosmolar State

DIABETIC KETOACIDOSIS AND THE HYPERGLYCEMIC hyperosmolar state are the most serious complications of diabetic decompensation and remain associated with excess mortality. Insulin deficiency is the main underlying abnormality. Associated with elevated levels of counterregulatory hormones, insulin deficiency can trigger hepatic glucose production and reduced glucose uptake, resulting in hyperglycemia, and can also stimulate lipolysis and ketogenesis, resulting in ketoacidosis. Both hyperglycemia and hyperketonemia will induce osmotic diuresis, which leads to dehydration. Clinical diagnosis is based on the finding of dehydration along with high capillary glucose levels with or without ketones in the urine or plasma. The diagnosis is confirmed by the blood pH, serum bicarbonate level and serum osmolality. Treatment consists of adequate correction of the dehydration, hyperglycemia, ketoacidosis and electrolyte deficits. Diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state (HHS) appear as 2 extremes in the spectrum of diabetic decompensation.1 They remain the most serious acute metabolic complications of diabetes mellitus and are still associated with excess mortality. Bec Continue reading >>

Share on facebook

Popular Questions

  1. shecan1

    I keep hearing everyone being excited about being in deep Ketosis - when I get there I get an horrible headache that wont seem to go away - and I don't feel all that great. Am I not drinking enough water or taking the right kind of vitamins?

  2. Galoutofdixie

    Hi,
    Yes, I get the headache too and also some body aches and just a general unwell feeling. I think that is a normal part of getting into Ketosis. It's not called the "Atkins Flu" for nothing.
    It goes away in a couple of days, after your body has adjusted to using ketones as fuel instead of glucose. Hang tough and take asprin as needed and you should be feeling tip-top in a couple of days.
    Hope this helps a little.
    Chris

  3. PoisonIvy

    It will go away after 2 days or so. I just take my naproxen. Its part of the induction flu. I go through it weekly since I do M/E mon-fri.
    Grats on reaching ketosis!! The extra energy, and not craving is worth a headache to me! But I had a head injury a few years ago, so headaches are pretty common for me.
    Maybe take something and lay down for a while?
    Hope your feeling better soon.
    Mary

  4. -> Continue reading
read more close
Share on facebook

Diabetic Emergencies — Ketoacidosis, Hyperglycaemic Hyperosmolar State And Hypoglycaemia

Diabetic ketoacidosis (DKA), hyperglycaemic hyperosmolar state (HHS) and hypoglycaemia are serious complications of diabetes mellitus that require prompt recognition, diagnosis and treatment. DKA and HHS are characterized by insulinopaenia and severe hyperglycaemia; clinically, these two conditions differ only by the degree of dehydration and the severity of metabolic acidosis. The overall mortality recorded among children and adults with DKA is <1%. Mortality among patients with HHS is ∼10-fold higher than that associated with DKA. The prognosis and outcome of patients with DKA or HHS are determined by the severity of dehydration, the presence of comorbidities and age >60 years. The estimated annual cost of hospital treatment for patients experiencing hyperglycaemic crises in the USA exceeds US$2 billion. Hypoglycaemia is a frequent and serious adverse effect of antidiabetic therapy that is associated with both immediate and delayed adverse clinical outcomes, as well as increased economic costs. Inpatients who develop hypoglycaemia are likely to experience a long duration of hospital stay and increased mortality. This Review describes the clinical presentation, precipitating cau Continue reading >>

Share on facebook

Popular Questions

  1. Claire2332

    Has any one else experienced this and is it something I should get looked at? I am type 1 and woke up at around 5am feeling a little sick next thing am throwing up bile! Managed to go back to bed but still feel a little sick, I don't have ketones either
    Sent from the Diabetes Forum App

  2. martwolves

    Hello Claire,
    I sometimes have this bright yellow bile after having consumed alcohol the previous night. This is the only time this happens and I think it may that I am compelled to vomit as my pancreas has a hard time processing the toxin and this speeds things up.
    This is based only on my own personal experience and I am not suggesting you consumed alcohol or make any personal remarks. I hope this helps? I don't think, in my case, it's harmful as I am aware of the cause and I'm fine afterwards.
    Mart.

  3. Claire2332

    Thanks no alcohol consumed to be honest I don't really drink and of I do I only have low alcohol larger and prob have a max of 2 bottles (I am a bit boring) I have just re tested my self and I know have ketones at 2.3 and 21mmol I've had a dose of fat acting insulin to see if this helps really hope I am not going DKA!!
    Sent from the Diabetes Forum App

  4. -> Continue reading
read more close

No more pages to load

Related Articles

  • Dka Diagnosis Criteria Uk

    The Joint British Diabetes Societies (JBDS) for Inpatient Care group was created in 2008 to ‘deliver a set of diabetes inpatient guidelines and proposed standards of care within secondary care organisations’, with the overall aim of improving inpatient diabetes care through the development and use of high quality evidence based guidelines, and through better inpatient care pathways. The JBDS – IP group was created and supported by Diabetes ...

    ketosis Apr 5, 2018
  • Gestational Diabetes Diagnosis Criteria 2017

    Gestational diabetes mellitus (GDM) is a primary concern in India affecting approximately five million women each year. Existing literature indicate that prediabetes and diabetes affect approximately six million births in India alone, of which 90% are due to GDM. Studies reveal that there is no consensus among physicians and health-care providers in India regarding management of GDM prepartum and postpartum despite available guidelines. Also, the ...

    diabetes Apr 12, 2018
  • Dka Diagnosis Criteria

    Print If your doctor suspects diabetic ketoacidosis, he or she will do a physical exam and various blood tests. In some cases, additional tests may be needed to help determine what triggered the diabetic ketoacidosis. Blood tests Blood tests used in the diagnosis of diabetic ketoacidosis will measure: Blood sugar level. If there isn't enough insulin in your body to allow sugar to enter your cells, your blood sugar level will rise (hyperglycemia). ...

    ketosis Apr 5, 2018
  • Who Criteria For Diagnosis Of Diabetes

    Type 2 Diabetes ADA Diagnosis Criteria The American Diabetes Association (ADA) criteria for the diagnosis of diabetes are any of the following: [1] A hemoglobin A1c (HbA1c) level of 6.5% or higher; the test should be performed in a laboratory using a method that is certified by the National Glycohemoglobin Standardization Program (NGSP) and standardized or traceable to the Diabetes Control and Complications Trial (DCCT) reference assay, or A fast ...

    diabetes Dec 30, 2017
  • Diabetes Diagnosis Criteria

    You sure got these numbers wrong. Prediabetes is when your sugar levels are between 100 and 125 mg/dl. Beyond 126, you are considered diabetic. Then again, your body does not know that you’ve (the authorities, like the American Diabetes Association, for example) has set levels where a person is “defined” as diabetic, prediabetic or normal. So you cannot fool your body on numbers. Elevated blood sugar levels will hurt your body from within a ...

    diabetes Apr 11, 2018
  • What Are The Criteria For Diagnosis Of Diabetes?

    Topic Overview Have symptoms of diabetes (increased thirst, increased urination, and unexplained weight loss) and a blood sugar level equal to or greater than 200 milligrams per deciliter (mg/dL). The blood sugar test is done at any time, without regard for when you last ate (random plasma glucose test or random blood sugar test). Have a fasting blood sugar level that is equal to or greater than 126 mg/dL. A fasting blood sugar test (fasting plas ...

    diabetes Dec 31, 2017

Popular Articles

More in ketosis