Dka Pathophysiology Diagram

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Diabetes Mellitus Type 2 Pathophysiology Schematic Diagram Market Drugs

Diabetes Mellitus Type 2 Pathophysiology Schematic Diagram Market Drugs Diabetic Ketoacidosis Icd 9 What Is grapefruit 3 x a day to avoid this chronic ailment.Goals and Outcomes of Medical Nutrition Therapy for Diabetes.Diabetes Diet Breakfast test for childhood diabetes are symptoms type 2 diabetes diabetes management guidelines 2013Doctors are diagnosing diabetesa condition in which your blood More than one-third of diabetics go for several years without a diagnosis, so it is best to follow these For your own ease and comfort, this test is usually done first thing in the morning, before breakfast.Diabetes Sick Day Rules Treatment Diabetes & Alternative Diabetes Treatment Diabetes Sick Day Rules Diabetic Retinopathy Definition ::The 3 Step Trick thatQuick summary of blood sugar (glucose) testing tips.Thuc gc Insulin - Thuocbietduoc.com.vn.is a skin condition usually found on the lower legs of people with diabetes.Because the symptoms of acute pancreatitis are similar to the symptoms of a number of other conditions, its important to have a doctor perform tests and a physical exam.Step by step, illustrated guide to giving an insulin shot using the Prefilled Humalog KwikPen,A simple Continue reading >>

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  1. Renfairewench

    Ketosis Tongue or Thrush?

    Seriously, as I sit and write this I am in tears. I simply am not physically nor mentally capable of handling one more issue, but here I am with one more thing that seemingly is going wrong. I'm at this point where I simply want to give up. And by give up I mean, stop feeding, stop drinking, stop taking my meds. I feel miserable all the time and I'm wishing that I never went and had a revision. I'll bet you don't hear that from many people, but I'm blunt and honest in that I'm sick of complications. I'm so depressed that even my all is bright and beautiful meds are not helping me at all. I had my operation on 8/10, I was back in the OR on 8/12. Then they discovered a leak. I've been NPO ever since. I was supposed to be released on 8/21, but my stomanch sprung a leak and my incision had to be opened up to allow for drainage. I was not released until 8/26. I came home for 3 days and was sent back to the hospital for an infected pic line and a DVT (Blood Clot) in my arm. I was in the hospital for that 4 or 5 days. Then I come home for another 4 days to have my husband discover that my open incision was spewing pus everywhere. Back to the hospital for another 5 days. I just got out Friday. I've been on antibiotics since 8/11 and have develoved a case of VRE thanks to being on Vancomycin and being in the hospital. Nothing to worry about really except that I could infect my family if I am not diligent about washing my hands, using alcohol hand cleaner and putting bleach in the tolie****er each time I pee or poo, oh and wiping down the seat with bleach wipes too.
    My water intake is limited by what I can push in my J tube. Since I have a leak and an active infection I have to limit my drinking to 4 to 8 oz. a day of water a day. I am allowed water or ice chips. Nothing more. No tea, no coffee, no crystal lite, nothing. I've been NPO since Aug. 10. I'm pretty goddamned tired of having nothing to eat. As for eating, I'm on 1400 CC of Osmolite a night delivered directly into my intestines via my stupid J tube.
    So today I have felt like I have fur on my tongue. I thought it was because I had not brushed my teeth. I took a look in the mirror and I am horrified at what I see. My entire tongue is covered in a white thick mucous like substance. Brushing my teeth and tongue did not make it go away either. It's still there. I looked up Thrush and it looks like if you have Thrush that there is significant pain involved, but I don't have any pain. I do feel like I have something stuck in the back of my throat though. I've heard other's talk about Ketosis tongue, but I'm not sure what that really is.
    I know that you are not doctors, but I was wondering what your advice is as to what this could be. I have an appointment with my doctor tomorrow to check my blood levels and to adjust my coumadin and will show him this, but I'd like to get a little advice on what you think this might be.

  2. Redhaired

    I had thrush and there was no pain. I tried the liquid stuff and the lozenges, they were nasty and made me sick to my stomach. Finally one day I was speaking with my hematologist and told him about it and I remember very clearly he said "oh we can do better than that". He gave me a prescription for diflucan and it was gone in something like two days!
    It sounds like you have a bad case of thrush.

  3. Renfairewench

    Is it something you swish with? I'm currently on diflucan via IV. I am not allowed to swallow anything.

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W3l Para204 Dka, Hhs, Aka

Poorly managed/undiagnosed diabetes (Type I Diabetes is first presentation of SKA fast or slow how can a DKA patient technically be hypoglycaemic A decrease in the circulating insulin level forces the body to source glucose from the break down of fat/protein at an how does a DKA patient become dehydrated and hypovolaemic (A decrease in the circulating insulin level forces the body to source glucose from the break down of fat/protein at an increased rate to fuel the body > Lysis (break down) of protein and lipids produces ketones as a by product ) The increased ketone production and hyperglycaemia produces osmotic diuresis and as a result a concentration gradient occurs. Fluid moves out of cells into the blood resulting in cellular how does a DKA patient become hyperkalaemic Metabolic acidosis occurs due to the increase in acid The hyperosmolality and acidic state cause potassium to what does hyperkalaemic patient present as on ECG what is the risk of moving a DKA patient which has been lying down for an extended period of time and how should this be managed If a Pt has been lying down for an extended period, K will have been accumulating in blood stream. Once you stand them up the Continue reading >>

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  1. walkerwally1

    Interpreting the ReliOn Ketone Test Strips

    I have been low carb, less than 25g/day, for the last week and was sure I was in ketosis but thought I would check with the ReliOn test strips from Walmart. My result was 40mg/dl on their chart which they call moderate. Everything I have read lists ketones as mmol and it is said ketosis is from 0.5 to 5.0 mmol. I thing 40mg/dl converts to about 2.2 mmol but I am not sure. If someone understands this better than me I would like to know if I am doing the conversion right.
    I am currently reading a book about Low Carb Living:
    The Art and Science of Low Carbohydrate Living: An Expert Guide to Making the Life-Saving Benefits of Carbohydrate Restriction Sustainable and Enjoyable: Stephen D. Phinney, Jeff S. Volek: 9780983490708: Amazon.com: Books
    I think this is one of the best books I have found so far, not better than Dr. Bernstein's or Jenny Ruhl's, but a great compliment to the lchf WOE. It goes into great detail about the science of low carb and why it works and is more natural than our high carb diets. It is written to inform professionals and they invite you to give a copy to your Doctor. The link is to Amazon so you can get more info and see some of the reviews it has received. I have no connection to this book or authors other than being impressed.

  2. Steve3129


    Originally Posted by walkerwally1
    I have been low carb, less than 25g/day, for the last week and was sure I was in ketosis but thought I would check with the ReliOn test strips from Walmart. My result was 40mg/dl on their chart which they call moderate. Everything I have read lists ketones as mmol and it is said ketosis is from 0.5 to 5.0 mmol. I thing 40mg/dl converts to about 2.2 mmol but I am not sure. I use these strips as well, but the only thing they tell you is if you are spilling Ketones in the urine, excess Ketones at that. The color code really doesn't tell you more other than the darker the color, the more your kidneys are taking out of the blood.
    You have to get a special meter and strips to accurately measure blood Ketones, which is rather expensive and I'm not willing to buy. I'm satisfied to know that I'm producing Ketones by the excess production as indicated by the strip.

  3. MCS

    If your showing any color on the urine test strip your in ketosis.

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Living With Diabetes

Managing diabetes is a daily challenge. There are so many variables to keep in mind -- food, exercise, stress, general health, etc. -- that keeping blood sugar levels in the desired range is a constant balancing act. We want to make managing diabetes easier. So, the DRI's Education Team hasdeveloped short brochures about the topics listed below -- offering useful tips on many of the day-to-day issues facing people living with diabetes. And, most of the materials are offered in English and Spanish. If you can benefit by learning about one or more of these subjects, just click on the title to expand. Do you know what foods have the greatest impact on your blood sugars? If you answered CARBOHYDRATE FOODS...youre right! Carbohydrates -- "carbs" -- are broken down into glucose. So if you eat too much of them, your blood sugar level may rise. For this reason, people with diabetes find it helpful to keep track of the carbs they eat in order to manage their blood sugars. Carb counting is easy. It just takes some practice at first. Caring for older people with diabetes requires special thought and consideration. The older individual is more likely to have other health problems and may be t Continue reading >>

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  1. elbruce

    Stages of DKA/Any Personal Experiences?

    After 19.5 years of Type 1 diabetes I should probably know everything about DKA but thankfully up to this point I have avoided any hint of DKA so out of sight, out of mind! I of course know the basics, the danger signs, symptoms etc. but the basic info does not tell you a lot about the progression, stages, etc. so in my mind my takeaways were "don't stay high too long, take your insulin, if you are high stay hydrated,"....good to go right?
    So yesterday around 4 AM my blood sugar started to rocket up after being normal for most of the night. Took a bolus to bring it down and when I woke around 6 my CGM said 250 but tested my blood sugar, it was 190. A little annoyed as my bolus should have brought this down but good enough to continue with my plan so I went for a 30 min run. After exercise it came down to about 150, I was happy so I did not think too much of it.
    Got it the car, ate two pieces of toast, and on my drive to work (45 minutes) my blood sugar started to rocket up! Gave myself a large bolus to bring it down and by the time I got to work it still was climbing higher and higher (over 400). Changed my infusion site (it was leaking so I probably was getting very little insulin), gave myself a bolus with a needle, drank a lot of water and just tried to focus on work. Started to come down very slowly but it was coming down and around 1230 I was down to about 150 around the same time I started feeling physically ill (lots of nausea, threw up once, lethargic) and that is when it hit me, could it be DKA? Since my blood sugar was not too bad I did not feel I was in immediate danger but I read that DKA can change your blood chemistry so I was a little worried about any cascading effects. My body felt awful, I just threw up, my stomach was upset, I didn't feel like eating. I forced myself to eat my modest lunch and closely monitored but still didn't feel good for most of the day and I left work about an hour early.
    I rode it out and I was fine but the experience just got me thinking. Has anyone ever experienced DKA? How fast did it come on? Any noticeable stages? Just curious about any personal experiences. Read that DKA can happen fast but when you are possibly experiencing it, it still surprised me at the speed of it. Don't know if I was actually experiencing DKA but it certainly seems plausible! Thoughts?

  2. Nicoletti

    Sorry, no personal experience here, but vomiting can be an early sign. And yes, DKA will change your blood chemistry to the point of metabolic acidosis. Too much acidosis is not compatible with life -- very serious stuff!
    Do you have urine keto strips? You can check ketones with them if your blood sugar is high.

  3. coravh

    I've been on the verge twice in my 50 years of D. The first time was when I was about 16 or so and I'd had the flu. One of those horrible ones making the rounds that was killing some of the elderly that caught it. I was vomiting for 3 days and on day 3 it started getting worse, rather than better (keep in mind that this was in the 70s, so horrible insulins and no home testing) so my Mom took me to the hospital. They said my blood chemistry was just starting to go "off". The second time was when I had peritonitis (so got really sick, really fast) and went to hospital in the morning. Again, this was in the days before lantus. I took my morning shot of N, and went to the ER. By midnight they had given me no insulin, hadn't tested my blood sugar in 6 hours (the nurse was refusing to) and so I called home to get my insulin. The next morning a young resident cheerfully told me that I had "been on the verge of DKA, but we saved you!!!!". I informed her that they were the ones that had pushed me there.
    As far as for myself, I know coming close I have always been pretty ill before I got close to the edge. So if you are taking a reasonable amount of insulin and still feel ok, I suspect that DKA is the last thing you need to worry about. Especially if you can keep fluids down along with your bg.
    I really doubt if you were experiencing DKA. Don't forget, the K stands for Keto (acidosis). So you have to have rampaging ketones that acidify your blood. It's not a single day process, especially with insulin on board.

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