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Dka Guidelines Ada

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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.....

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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  1. JUDAHprazr

    I have a question....after you have come out of ketosis, how long does it take to get back into it? Also, can taking a pain killer called Hydroc/apap have any effect on this?
    I was doing great, showing maroon on the strips, then at passover, I had 1/8 slice pecan pie and 1 matza ball in my soup. That was on Thursday of last week. I came out of Ketosis on Saturday and have not been able to get back into it although I am following the instructions totally. My husband is also taking the same medications as I am because of a tooth as well. The antibiotic we are taking is Trimox, and he hasn't been able to get into ketosis, so I'm wondering if our meds are the cause. If not, how long before we get back into it, and should we drop some more carbs? We are staying under 20 g a day.
    Thanks.

  2. wbahn

    It's my understanding that if you drop out of ketosis because of carb intake that this happens fairly rapidly - not a couple of days later.
    Drugs and other things can have a significant impact on the ketosis test strips. On the test strips. There's a real good chance that you are in ketosis and the test strips are being impacted by other substances in the urine. Just continue one the way you were doing before. Be sure you get all the water you need and keep your carbs in the 20g range from allowed sources. Don't drop them below that thinking it will improve your results - even Dr. A points out that he used to think it should but years of results has shown him that it doesn't.

  3. doreen T

    Actually, infections can and will interfere with ketosis ... the bacteria (also virus) cause the blood sugar to be elevated, and increased insulin production. Diabetics often find their sugars skyrocket and difficult to control in the presence of an infection. Take your antibiotics as prescribed, and avoid sugar at all costs .. bacteria thrive on it! Choose your carbs from high-fiber vegetables instead. And drink extra water to keep the toxins flushed out.
    I'm not familiar with Hydroc/APAP, I'm guessing it's a hydroxycodone and acetaminophen combo? Acetaminophen can potentially interfere with the liver's ability to metabolise glycogen and ketones/fatty acids, with prolonged use.
    Hope you're feeling better soon :)
    Doreen

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Treatment Of Children With Diabetic Ketoacidosis Differs From Adult Treatment

Timing is crutial when a pediatric patient presents themselves with the symptoms for DKA Children with diabetic ketoacidosis (DKA) present differently and require different treatment than adults with DKA, according to newly published guidelines from the American Diabetes Association (ADA). "This is the first time that the ADA has had a position paper on childhood DKA separate from the adult position paper on DKA and nonketotic hyperglycemic coma, in recognition of the fact that children are not merely small adults — they have specific needs," Dr. Mark A. Sperling from Children’s Hospital of Pittsburgh, Pennsylvania told Diabetes In Control.com. Dr. Sperling and colleagues present a consensus statement on DKA in infants, children, and adolescents in the May issue of Diabetes Care. The younger the child, the less likely it is that the physician will be able to obtain the classical history of polyuria, polydipsia, and weight loss, the authors explain, and diabetes is often misdiagnosed as pneumonia or other conditions. For this reason, Dr. Sperling suggested that doctors "think of diabetes mellitus in any sick child whose cause of illness is not clear." In addition, the report ind Continue reading >>

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  1. cicadasinmyears

    http://www.forksoverknives.com/fat-insulin-resistance-blood-sugar/
    This post confuses me. If I'm reading it correctly, they're saying keto makes us more insulin-resistant (because of intercellular fat?). My first (admittedly quick) review makes me wonder what the two dieting groups ate in addition to their HF / HC intake; am I correct in understanding that those of us who have been on a HFHC diet would be insulin-resistant, and that ketosis would make us less so?
    I think I need an /r/ketoscienceELI5. Is this just shitty science? I know I'm certainly happy with my weight loss and think going ultra-low-carb is the reason it has been so easy compared to the SAD. My blood work seems to agree too. However, I am not diabetic, so I haven't had an insulin challenge test (not sure if that's the correct term), and don't actually know if I'm more insulin-resistant now.
    Intuitively, I feel like the study is flawed; if anyone has the time to weigh in, it would be appreciated. :)

  2. simsarah

    Mostly commenting to remind myself to come back and see what others have to say, but... imagine my surprised, a site trying to sell a starch based, low fat, low animal protein diet are crapping on keto.

  3. cicadasinmyears

    Hmm, good point - I was just sent the link about the study, I didn't look at the site.
    Edit: yeah, whole-grainapalooza!

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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. GoldChest

    for who used the both, what is the best?
    im currently on keto, 10 week, but the results its not what i expected..thinking about change to carb cycling

  2. red head

    between the 2 id say carbcycling . ive tried keto , tkd and carb cycling and had better results with carb cycling and its much more flexible . i IF now which is sort of carb cyling and even more flexible with better results .

  3. J Nicholas

    I've always used Keto with great results. One thing I have learned though, both from myself getting older, and working with clients of different ages, is that you'll need to mess around with your cycle duration. I've seen women stay out of ketosis for a week and a half, and I've personally gone into ketosis after only a day and a half. Find the cycle time that works best for you then stick with it. Rinse and repeat. Due to the nature of how this form of dieting works, you should be able to get nearly the same results week in and week out. Here's another couple of tips:
    1) I KNOW you're using ketone test strips.....right? If they are old, toss em and get a new bottle.
    2) unfortunately, the glycemic index doesn't seem to get along too well with carb depleting. If you are eating bars or shakes that say they have low NET carbs, but it's based on glycemic rating, then you are fucking yourself. Best to avoid bars and shakes altogether, except maybe isopure or another truly carb free shake.
    3) Alpha Lipoic Acid. Go get some right now. Its friggin fantastic for you, but besides that, it will get you into ketosis MUCH quicker. 1000000 times safer than insulin. Some people swear by being able to use it to fight back against incidental carbs or moments of weakness during a ketosis cycle.
    good luck with whatever you decide to do. diet is definitely the way to go for fat loss.

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