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Dka In Pediatrics Ppt

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Pediatric Type 1 Diabetes: Reducing Admission Rates For Diabetes Ketoacidosis

Type 1 diabetes mellitus (T1DM) is a disorder in childhood and adolescence, which affects 1.54 per 1000 people younger than 20 years in the United States. 1 , 2 The incidence of T1DM is increasing worldwide 3 and has resulted in increased health care expenditures for patients with this disease. 1 Moreover, this expense is far greater when associated with complications associated with T1DM. The major acute T1DM complication in childhood is diabetes ketoacidosis (DKA). With poor glycemic control, these DKA episodes can be quite frequent resulting in emergency department visits and admissions to the intensive care unit. 4 DKA and other complications, like hypoglycemia, can be reduced by a comprehensive, multidisciplinary approach to disease management. Successful execution, using this approach, results in a significant reduction in patient morbidity and mortality as well as health care costs. 46 In addition, optimal glycemic control is critical for preventing and delaying long-term complications related to T1DM. 7 , 8 Recently, in the United Kingdom, adults with structured diabetes education and flexible basal-bolus insulin dosing regimens experienced a 61% reduction in risk for DKA Continue reading >>

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  1. leeleelee

    I have been water fasting for 4 days so far (my goal is 40 days) but am finding myself a little hungry..
    what types of things can I drink that will not cause me to loose the ketosis I am in?
    Thanks

  2. givemehipbones_

    Story if this sounds dumb but what is ketosis?

  3. leeleelee

    From what I understand It's a state where your body burns excess fat for fuel and not muscle or any other foods that you have recently eaten... usually occurs during fasting!!!

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How to Present a Patient: Series for Medical Students Texas Tech University Health Sciences Center School of Medicine in Lubbock Ashley, 2 Weeks, Female

Pediatric Diabetic Ketoacidosistreatment & Management

Pediatric Diabetic KetoacidosisTreatment & Management Author: William H Lamb, MD, MBBS, FRCP(Edin), FRCP, FRCPCH; Chief Editor: Timothy E Corden, MD more... In patients with diabetic ketoacidosis, the first principals of resuscitation apply (ie, the ABCs [airway, breathing, circulation]). [ 3 ] Outcomes are best when children are closely monitored and a changing status is promptly addressed. [ 39 , 2 ] Give oxygen, although this has no effect on the respiratory drive of acidosis. Diagnose by clinical history, physical signs, and elevated blood glucose. Fluid, insulin, and electrolyte (potassium and, in select cases, bicarbonate) replacement is essential in the treatment of diabetic ketoacidosis. Early in the treatment of diabetic ketoacidosis, when blood glucose levels are very elevated, the child can continue to experience massive fluid losses and deteriorate. Strict measurement of fluid balance is essential for optimal treatment. Continuous subcutaneous insulin infusion therapy using an insulin pump should be stopped during the treatment of diabetic ketoacidosis. Children with severe acidosis (ie, pH < 7.1) or with altered consciousness should be admitted to a pediatric intensiv Continue reading >>

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  1. Aaron1963

    High Blood Pressure Caused by Ketogenic Diet and/or Coconut Oil?

    I always had high blood pressure since first checking it when I was in high school. Finally last month I was experiencing some dizziness, etc. at times, and on my doctor's visit my blood pressure was quite low. My doctor told me to buy a home blood pressure meter and self adjust my medication, which I did to the point of not taking any, and my blood pressure has remained on the low end of normal. That is until a couple of days ago. It's now suddenly gone up to the 140/90 range for no apparent reason and I started back on my blood pressure medication this morning. The only thing I can think of that's changed is I believe I've recently entered deep ketosis, and I've been taking a couple spoonfuls of coconut oil with my coffee each day, in addition to the normal HWC. My total fats have also gone up recently, but I haven't added any new ingredients to my menu other than the coconut oil. I've been doing fasts for the past month, and just did one two days ago, but don't think that should have affected anything, and my blood pressure actually started going up before I started the fast. In reading on the internet, seems fasting should if anything decrease blood pressure. I did see a couple comments on the internet about coconut oil maybe increasing blood pressure.
    Anyone else experience any increase in blood pressure due to coconut oil and/or ketosis?

  2. AnnC

    Well, I lost a lot of weight as a result of going LCHF/ketogenic, and I was able to halve and then stop my BP medication, which I'd been on for about 15 years. I don't test all that often any more, but when I do, I'm still around 105/70.

  3. Nicoletti

    Originally Posted by Aaron1963
    I always had high blood pressure since first checking it when I was in high school. Finally last month I was experiencing some dizziness, etc. at times, and on my doctor's visit my blood pressure was quite low. My doctor told me to buy a home blood pressure meter and self adjust my medication, which I did to the point of not taking any, and my blood pressure has remained on the low end of normal. That is until a couple of days ago. It's now suddenly gone up to the 140/90 range for no apparent reason and I started back on my blood pressure medication this morning.
    Anyone else experience any increase in blood pressure due to coconut oil and/or ketosis? No. Never heard of coconut oil or ketosis increasing blood pressure. What concerns me about yours is the second number.
    What medication did you self-adjust? Didn't see any meds in your signature.

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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

Acute Management Of Pediatric Diabetic Ketoacidosis

Acute Management of Pediatric Diabetic Ketoacidosis To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications. Introduction: This educational tool is a PowerPoint presentation that allows providers to quickly access guidelines for acute management of pediatric diabetic ketoacidosis (DKA). It was created after a chart review of pediatric patients with DKA determined that guidelines of DKA management were being incompletely followed. Methods: The resource contains recommendations from the American Diabetes Association guidelines, as well as a learning module consisting of a case scenario and three questions, each of which highlights important aspects of the care of pediatric patients with DKA.Session length should be no longer than 15 minutes. Results: Data are currently being collected on the reach of this educational tool. Discussion: The resource is limited by its short duration. It was deliberately designed to be readily accessible in a time-limited situation for initial care. Part o Continue reading >>

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  1. ExposedLurker

    I know it's not a popular opinion around here but I think the keto calculator over prescribes protein. 1g per lean body mass was way too much and kept me out of nutritional ketosis as my glucose levels were over 100 will following all the protocols. Yes, I was counting my calories/macros, believe it or not other issues such as gluconeogenesis, stress and lack of sleep can stall weight loss.
    After implementing Dr. Rosedale's formula I have been dropping weight, more specifically fat, as muscle is important to me as I power lift.
    I see a lot of people turning Keto into the Atkins diet, as Atkins high a protein and keto is not. If you're seeing results using the keto calculator then good for you, I'm not here to change what's working for you. If you're not seeing results with calorie counting and are using the keto calculator than this post is for you. Please be sure you followed everything in Keto FAQ before deciding keto is not working for you.
    I suggest using the this formula below per Dr.Rosedale to calculate your daily protein intake.
    Your idea weight/2.2-10%=daily protein. Add an additional 10g of protein if you're doing weight training or anything that fatigues muscles.
    Never eat more than 25g of protein in a meal. This is the safe zone to remain in nutritional ketosis. Edit: Test your glucose levels the morning after (fasted) before debating about it as that's all that matters.
    Links: The Rosedale Health Plan http://drrosedale.com/resources/pdf/Ron-Rosedale-Health-Plan.pdf
    Protein-The-Good-The-Bad-and-The-Ugly http://www.drrosedale.com/resources/pdf/Ron-Rosedale-Protein-The-Good-The-Bad-and-The-Ugly.pdf
    Additional good information from other sources:
    Dr Mercola and Dr D'Agostino really talk about things that Keto FAQ doesn't cover.
    https://www.youtube.com/watch?v=UjPgK7gWJeM&index=3&list=LLGiWwW9PaDB3BcRXoHg_axA
    World Champion Bodybuilder eats 93g of protein per day with high fat diet: http://scottabelfitness.com/low-carb-diet-extremely-high-fat/
    Good recent study on protein synthesis: http://ajcn.nutrition.org/content/99/1/86.abstract
    "Design: Volunteers (n = 48) consumed a standardized, high-protein (0.54 g/kg body mass) breakfast. Three hours later, a bout of unilateral exercise (8 × 10 leg presses and leg extensions; 80% one-repetition maximum) was performed. Volunteers ingested 0, 10, 20, or 40 g whey protein isolate immediately (∼10 min) after exercise. Postabsorptive rates of myofibrillar MPS and whole-body rates of phenylalanine oxidation and urea production were measured over a 4-h postdrink period by continuous tracer infusion of labeled [13C6] phenylalanine and [15N2] urea.
    Results: Myofibrillar MPS (mean ± SD) increased (P < 0.05) above 0 g whey protein (0.041 ± 0.015%/h) by 49% and 56% with the ingestion of 20 and 40 g whey protein, respectively, whereas no additional stimulation was observed with 10 g whey protein (P > 0.05). Rates of phenylalanine oxidation and urea production increased with the ingestion of 40 g whey protein.
    Conclusions: A 20-g dose of whey protein is sufficient for the maximal stimulation of postabsorptive rates of myofibrillar MPS in rested and exercised muscle of ∼80-kg resistance-trained, young men. A dose of whey protein >20 g stimulates amino acid oxidation and ureagenesis. This trial was registered at http://www.isrctn.org/ as ISRCTN92528122."

  2. anbeav

    1g per lean body mass was way too much and kept me out of nutritional ketosis as my glucose levels were over 100 will following all the protocols.
    Please don't tell me you were correlating glucose levels with ketosis or not, doesn't work that way.
    The protein recommendations are based on standard adequate protein recommendations and do not affect ketosis.
    Keto is NOT a high protein diet
    Never eat more than 25g of protein in a meal. This is the safe zone to remain in nutritional ketosis. Test your glucose levels before debating about it as that's all that matters.
    Glucose level doesn't dictate whether you're in ketosis or not. If you want to spread the word about some new revolutionary method, check your science first. There's enough confusion around here without more thrown in

  3. c0horst

    Never eat more than 25g of protein in a meal.
    I suppose I can never eat a single chicken breast ever again or it will kick me out of ketosis! /s

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