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Dka Guidelines Ada

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Hospital Guidelines For Diabetes Management And The Joint Commission-american Diabetes Association Inpatient Diabetes Certification☆

Jump to Section Abstract Background The Joint Commission Advanced Inpatient Diabetes Certification Program is founded on the American Diabetes Association’s Clinical Practice Recommendations and is linked to the Joint Commission Standards. Diabetes currently affects 29.1 million people in the USA and another 86 million Americans are estimated to have pre-diabetes. On a daily basis at the Medical University of South Carolina (MUSC) Medical Center, there are approximately 130-150 inpatients with a diagnosis of diabetes. Methods The program encompasses all service lines at MUSC. Some important features of the program include: a program champion or champion team, written blood glucose monitoring protocols, staff education in diabetes management, medical record identification of diabetes, a plan coordinating insulin and meal delivery, plans for treatment of hypoglycemia and hyperglycemia, data collection for incidence of hypoglycemia, and patient education on self-management of diabetes. Results The major clinical components to develop, implement, and evaluate an inpatient diabetes care program are: I. Program management, II. Delivering or facilitating clinical care, III. Supporting s Continue reading >>

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  1. SWEETJAS

    HEY ALL!!
    I AM SOOOOO CONFUSED! I know some people don't think that the strips are accurate (their are many things that can effect the out come, how much water are you drinking, yadda, yadda, yadda) I had to try them !. I bought some last night and according to the color I am in Moderate ketosis. This morning I used one and it is the same. The strips go from Zero, Trace, Low, Moderate, to Large. So does the moderate mean that I AM buring fat as fuel or that I am ALMOST buring fat for fuel? The box and directions don't give and explanation for some odd reason.
    HEEEEELP!! Thanks!

  2. Cherimee

    On the side of the bottle, you should see a like a chart to compare it to.... if you are in moderate ketosis then that's good! The more purple the stick, the more fat you are burning for fuel, which is what you want to do on Atkins. You'll notice that with Atkins, the keto strips are like the scale, you wanna see PURPLE when you test becasue the more ketones in your urine, of course the more fat you burn! Sounds like you are doing good...good luck
    P.S. I'm told that with Atkins even a 'trace' of ketones is good... trying going to www dot lowcarbnexus dot com, that site gives you good info... here's what they say about ketosis:
    Ketosis? - As long as we are on the topic, what about ketosis? Ketosis is the state that your body enters into when you are eating mainly protein and fats, and drastically curtailing your consumption of carbohydrates. As Dr. Atkins says, "There is no lipolysis without ketosis, no ketosis without lipolysis." Lipolysis is, essentially, "fat burning." In other words, this is just what we want! We want to force our bodies to consume stored fat for fuel rather than burn primarily our food. This occurs because protein and fat do not "give up" their stored energy as easily as do carbohydrates. As long as you are eating mainly carbs, especially refined sugars, you will find that your body will burn that as opposed to your fat stores. Testing with LTS, as we have mentioned above, scientifically tests for the process of your body burning it's own fat as fuel. When the sticks turn purple (or a shade thereof), you are burning fat! It is a good feeling! It is especially comforting to see that purple when your scales don't agree that you are losing! Keep in mind that fat loss doesn't always equal weight loss on the scales... immediately. Body weight can be related to water retention, and many other temporary conditions. However, FAT loss is what we want, and you will see measurements change even if your scale does not show it immediately! That WILL follow, of course... just stick with it!
    Some have asked, "Do I have to be in ketosis?" Well, it is perfectly safe to be in what Dr. Atkins calls "Benign Dietary Ketosis" for extended periods. In fact, if you are burning fat, you will be in some amount of ketosis...sometimes just not a measurable amount (with LTS). If you are out of ketosis for extended periods, you won't be burning fat, and therefore, you won't be losing weight! And that's what we are doing the diet to do! Don't confuse ketosis, a safe metabolic state that you enter when you loss weight, with ketoacidosis, a dangerous state that diabetics, in particular, can enter if they get out of proper balance in their insulin / glycogen balance. Many health care professionals and nutritionists are apparently confused by the distinction between these two different states... ketone test strips are used to test both states, but they are quite different!

  3. SWEETJAS

    Cherimee, BIG THANKS!!!! The info you gave me is sooooo relieving!!! I was so worried! I know that must have takin a while for you to find and type, thank you so much for helping me!

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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 b

Pilot Study Of Guideline Adherence And Secondary Outcomes In Patients Presenting With Diabetic Ketoacidosis

Background: The 2010 American Diabetic Association (ADA) Guidelines for management of diabetic ketoacidosis (DKA) recommend treatment of DKA in a timely manner. Objective: We sought to explore the quality of emergency department (ED) DKA management by comparing ED DKA management with standard ADA guidelines beyond the initial management. Materials and Methods: This study was a retrospective study at an academic ED. Patients age ≥ 18 years who were evaluated and treated for DKA were included. We compared ED DKA management with standard ADA guidelines in four aspects: (1) fluid administration, (2) insulin administration, (3) electrolyte correction, and (4) ED disposition. Secondary outcomes were hypoglycemia, restarting of continuous insulin infusion (CII), and rebound hyperglycemia within 24 hours. Results: Of 75 enrolled patients, 29(39%) had mild, 16(21%) had moderate, and 30(40%) had severe DKA. All patients received intravenous fluid during their ED stay. Seventy five (100%) of cases received insulin administration in the ED. Twenty-four (44%) of cases received potassium supplement. Dextrose containing fluids was administered in 24/58(41%) of cases where blood glucose dropped Continue reading >>

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  1. MathWiz

    I wasn’t sure which section I should post this in, my strategy is what I call the 4–2–1 plan, I fast 2 day non consecutive days a week, eat a low carb but not calorie restricted diet 4 days a week to keep the fat burning benefits of ketosis going and then I give myself 1 day a week to indulge and eat whatever I want, usually a Saturday pasta dinner and wonderful dessert. I also walk 4 to 6 miles a day during the week and 10 to 12 miles on Saturday.
    Low Carb plans such as Atkins can be very effective for some people including me, many people who start a low carb diet experience get what’s called the “ketosis flu” or the “induction flu” in the first few days while the body is adapting to burning ketones instead of glucose.
    The basic symptoms are:
    – Headaches
    – Nausea
    – Upset stomach
    – Lack of mental clarity (brain fog)
    – Sleepiness
    – Fatigue
    It’s called the “ketosis flu” for a reason: you feel sick. I’ve gone through it and it wasn’t a pleasant experience. Fortunately it only lasted 2 days but then suddenly I woke up feeling much better, less hungry and my energy level was really high and consistent throughout the day!
    The first time I thought to myself: “What the heck am I doing? I feel like I’m going to die!” but I persevered and when it was over I didn’t regret a thing because what I had gained mentally and physically was 100% worth it.
    For those of you that are going through the ketosis flu, don’t give up! I know you feel like it’s never going to get better but stick with it and you´ll be so happy you did! I’m telling you, waking up refreshed for the first time in years, not getting the afternoon “blah” feeling and stuffing my face with carbs to try to boost my energy is the best side effect of the low carb diet I’ve experienced. Okay, losing weight while eating good food, feeling full and satisfied is great too.
    First you have to understand why your body is reacting this way. Your body’s been burning glucose for energy so it’s basically full of enzymes that are waiting to deal with the carbs you eat, but now the body needs to make new enzymes that burn fat for fuel instead of carbs, and the transition period causes the flu-like symptoms.
    There are some things you can do to lessen the symptoms of the ketosis flu and to make it go away sooner (to force the body to transition sooner) Ok, let’s get to the good part – what to do:
    First of all – you’re probably dehydrated. Drink PLENTY of water while you’re on a low carb diet, and then drink some more.
    Watch your electrolytes. When the body is getting rid of excess insulin from your former carb-crazy diet you´ll lose lots of fluids that have been retained in your body. This causes the rapid weight loss most people see in their first few days of ketosis, it’s mostly water, sorry. When you lose all the retained water you also lose electrolytes like sodium, magnesium and potassium. When you’re lacking them you´ll feel like crap so when you’re feeling really ill on the ketosis flu try things like chicken/beef broth and look for foods rich in these minerals. Take a multi-vitamin and a multi-mineral.
    Ok, here is where people throw the red flag – Eat more fat – Yup, I said MORE fat. Have some butter, just not on a roll, eat some bacon and eggs for breakfast, just skip the potatoes and toast. This will force your body to hurry up the transition. You´ll think this is crazy and think you´ll never get lose weight eating this way, but you will.
    Don’t eat too much protein – The body can transform protein into glucose so if you eat too much of it in the first days it will slow down the transition. Go for fatty meat and cheese if you can, add fat to protein shakes etc.
    Drink water, replenish electrolytes (sodium, magnesium, potassium) with food and supplements, drink broth, eat fat and not too much protein.
    I hope this helps, and have a great day
    Charles

  2. rockyromero

    @mathwiz
    ” Take a multi-vitamin and a multi-mineral.”
    I have been forgetting to take a multi-vitamin on fast days. Thanks for the reminder.
    “Eat more fat – Yup, I said MORE fat. ”
    I will have avocado more often.

  3. AussieJess

    Thanks for that info, very interesting

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What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Study Of The Outcomes Of Application Of Ispas Versus Ada Guidelines Of Diabetic Ketoacidosis In Type 1 Diabetic Children

Diabetic ketoacodosis (DKA) is a serious complication of diabetes mellitus, especially type 1, and its secondary consequences account for a large proportion of diabetes-related hospitalizations and mortality in children with type 1 diabetes. Aim of the work: The aim of this study was to compare between the outcomes of application of ISPAD (International Society of Pediatric & Adolescence Diabetes) versus ADA, (American Diabetes Association) guidelines for management of diabetic ketoacodosis in type 1 diabetic children attending the National Institute oof Diabetes & endocrinology in Cairo, Egypt (NIDE). Each protocol had been applied on 100 dibetic children with DKA with no significant difference between both groups as regarding, age, sex, acidity represented by ph. and serum bicarbonate and anion gap or coma score. The results showed that there was no statistical difference as regarding all outcome results as duration of recovery of acidosis or dehydration or the morbidity or mortality results. While the results of the change in potassium was better in ISPAD protocol. The Net results showed that there is no great difference between both groups. It could be recommended to apply any Continue reading >>

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Popular Questions

  1. FooFatFighters

    So I've read on r/keto that you can use a cheap breathalyzer to test for acetone on the breath which indicates your level of ketosis. The trick is to use a cheap, crappy alcohol breathalyzer to test and not an expensive fancy one.
    The cheap ones can't tell the difference between alcohol and acetone, the good ones (like the police carry) only measure alcohol and ignore acetone (ketones).
    So I bought this breathalyzer http://www.ebay.com/itm/231045711618 from ebay
    And folks in r/keto say that blowing 0.01—0.05 is good and shows youre in ketosis. I just blew 0.14 which I can believe because I've been doing less than 15g net carbs/day this week and I lost three pounds. I put a photo of the readout in my profile pics.
    Has anybody else tried this? What reading levels should I be watching for? This seems a lot better than peeing on a stick.

  2. Booksandbeaches

    That's interesting and affordable too.
    I'm interested in what the veteran keto folks have to say.
    I found this study that says breath acetone is a reliable indicator of ketosis in adults consuming ketogenic meals. It's not a long-term study though, but still intriguing.
    http://ajcn.nutrition.org/content/76/1/65.full

  3. FooFatFighters

    I bought a nice breathalyzer on Amazon.com but it was a good one and it didn't register breath acetone at all, only alcohol so I returned it. Seems like this cheap one does the trick. I'm meeting-up with a friend tommorrow and hopefully she hasn't had any drinks and isn't doing keto, I'm going to get her to blow into it for a baseline test.

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