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Management Of Diabetic Ketoacidosis

Diabetic ketoacidosis is an emergency medical condition that can be life-threatening if not treated properly. The incidence of this condition may be increasing, and a 1 to 2 percent mortality rate has stubbornly persisted since the 1970s. Diabetic ketoacidosis occurs most often in patients with type 1 diabetes (formerly called insulin-dependent diabetes mellitus); however, its occurrence in patients with type 2 diabetes (formerly called non–insulin-dependent diabetes mellitus), particularly obese black patients, is not as rare as was once thought. The management of patients with diabetic ketoacidosis includes obtaining a thorough but rapid history and performing a physical examination in an attempt to identify possible precipitating factors. The major treatment of this condition is initial rehydration (using isotonic saline) with subsequent potassium replacement and low-dose insulin therapy. The use of bicarbonate is not recommended in most patients. Cerebral edema, one of the most dire complications of diabetic ketoacidosis, occurs more commonly in children and adolescents than in adults. Continuous follow-up of patients using treatment algorithms and flow sheets can help to min Continue reading >>

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Popular Questions

  1. peuleu

    Hi fellow ketoers of Reddit!
    I've been doing Keto for about a month (practice what you preach, eh?) so I'm still a noobie. I've been pretty strict recording everything and keeping carbs <30g. I've noticed the changes as to where I know I've entered ketosis. I've been on (an active) vacation for a week, doing lazy keto. Think I've stayed under 30g a day in food, but might have gone over a bit with alcohol (red wine), though I don't think I've gone over 50g total. The thing I'm finding difficult to figure out is if I can tell if my body is out of ketosis or not. A lot of people here say stuff like they can eat up to 80-100g on an active day and still be in ketosis. I gather this is different for everyone, especially if you're not Keto adapted yet, but my question is: how do you KNOW you're still in ketosis when you eat that many carbs? What happens to your body and how you feel when you go over?
    TL;DR: how can you tell if your body is out of ketosis? What changes do you experience?
    Thanks!
    Edit: thanks for all the responses! To clarify: I'm not worried at all! Just curious! I'm on a vacation where I hike all day and visit vineyards. I know I'm not gonna be strict Keto at the moment. I will be when I get back. I just noticed some bodily changes, and wanted to know what people experienced when they're out of ketosis. KCKO!

  2. anbeav

    Most don't, they speculate. If they gain any water weight or feel more hungry than usual, they conclude they are not in ketosis when that's not necessarily true. I wouldn't stress it, avoid the ketosis anxiety and focus on how you feel.

  3. peuleu

    Good to know! Thanks!

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