Dka Ppt 2017

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Diabetic Ketoacidosis In A Patient With Type 1 Diabetes On Sodium-glucose Co-transporter-2 Inhibitorsa Case Report

US Endocrinology,2017;13(2):724 DOI: We describe a case of a 26-year-old female with long-standing type 1 diabetes (T1D), on multiple subcutaneous insulin injections, who had been taking empagliflozin for the past year. She was detected to have severe diabetic ketoacidosis (DKA) with relatively lower blood glucose values during hospitalisation for dengue fever. The factors that precipitated the DKA are discussed, along with the unique challenges in the management of her metabolic status. While sodium-glucose co-transporter-2 (SGLT2) inhibitors have several potential benefits as adjunctive add-on therapy to insulin in T1D, the evidence is limited to short-term studies. However, their off-label use is increasing and there have been concerns related to increased risk of diabetic ketoacidosis. At present, SGLT2 inhibitors are not approved for use in T1D, and the risks should be discussed at length with the patient. Keywords: Type 1 diabetes, diabetic ketoacidosis, euglycaemic diabetic ketoacidosis, sodium-glucose co-transporter-2 (SGLT2) inhibitors, empagliflozin Disclosure: Gagan Priya and Vishal Bhambri have nothing to declare in relation to this article. No funding was received in Continue reading >>

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  1. puppydfh

    How long does it take to get kicked out of ketosis?

    Does anyone know how long does it take to get out of ketosis if one started eating regular carbs? Would it take a few hours only, a full day, 2 days, etc....???? Just curious because what if someone unknowingly ate carby stuff at say over 50 grams of carbs and they had been in ketosis would that knock them out right away or is there a delayed reaction like the next day or what???

  2. smorgan


    Originally Posted by puppy
    Does anyone know how long does it take to get out of ketosis if one started eating regular carbs? Would it take a few hours only, a full day, 2 days, etc....???? Just curious because what if someone unknowingly ate carby stuff at say over 50 grams of carbs and they had been in ketosis would that knock them out right away or is there a delayed reaction like the next day or what??? I'm not sure if anyone knows the answer to that or even if it is very constant from person to person. My somewhat educated guess and what I believe is my personal experience is two consecutive bad meals will almost surely do it and recovery will take at least three days.

  3. Mary

    I've actually done this before, and it usually took about as long as smorgan says, two meals or so. I have been in ketosis at breakfast, and then if my carbs were too high for lunch and dinner, I'd be out of it based on ketone readings by late at night, or the next morning.

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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

Diabetic Ketoacidosis

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia Rapid weight loss in patients newly diagnosed with type 1 diabetes History of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons or history of mechanical failure of insulin infusion pump Altered consciousness (eg, mild disorientation, confusion); frank coma is uncommon but may occur when the condition is neglected or with severe dehydration/acidosis Signs and symptoms of DKA associated with possible intercurrent infection are as follows: Gl Continue reading >>

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  1. blong4133

    Is there anything you can drink other than water while on keto?

    During the week I drink nothing but water and safe my diet soda addiction for my carb up days, but is there anything that you can drink while on keto other than water without knocking yourself out of ketosis?
    I think that aspertame knocks you out of ketosis so i've avoided it during the week, but i was just wondering if there is anything you could drink out of curiosity.

  2. Atavis

    Diet Pop
    Crystal Light and similar drinks
    Personnally, I don't worry about the aspertame and ketosis thing.

  3. Eileen

    What he said. I gave up coffee for Lent and was like a demon. Not worth it.
    I don't think aspartame affects ketosis so much as I don't like the way I feel if I take it. I've heard stories that older people find they are more inclined to piss themselves if they take aspartame. Not something I want to even have to think about.

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Obesity trends in United States of America 1985 less than 10% 2009 near 30% http://www.cdc.gov/obesity/data/trend...

Trends In Diabetic Ketoacidosis Hospitalizations And In-hospital Mortality United States, 20002014

Trends in Diabetic Ketoacidosis Hospitalizations and In-Hospital Mortality United States, 20002014 Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes, a disease that affects approximately 30 million persons in the United States. DKA is more common among persons with type 1 diabetes. After a slight decline during 20002009, hospitalizations for DKA increased in the United States during 20092014 among all age groups and were highest among persons aged <45 years. Concurrently, in-hospital case-fatality rates among persons with DKA consistently decreased from 2000 to 2014. What are the implications for public health practice? DKA is a life-threatening but avoidable complication of diabetes. Prevention measures, such as diabetes self-management education, might help reverse the increasing trend in DKA, especially in persons aged <45 years who have the highest DKA rates. Diabetes is a common chronic condition and as of 2015, approximately 30 million persons in the United States had diabetes (23 million with diagnosed and 7 million with undiagnosed) (1). Diabetic ketoacidosis (DKA) is a life-threatening but preventable complication of diabetes characterized by unco Continue reading >>

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  1. Michael L. Jirka

    YOu have sugar diabetes type 1 or 2. Your pancreas is not responding to the increase in blood sugar (glucose) when you eat. Without insulin from the pancreas to transport glucose into the cell, it builds up in the blood. The kidney is good at pushing small amounts of glucose back into the blood but if the blood sugar is over 180, the kidney can’t muster up enough magic to push glucose back against that high of concentration. That means it goes to your bladder and it shows in a urinalysis.

  2. Vincent Maldia

    Most likely diabetic ketoacidosis

  3. Kathleen O'loughlin

    These are warning signs of diabetes but you would have to see a real doctor. I don’t know if you mean two ketone molecules or ketoacidosis. And I don’t measure my blood sugar in percentage, I just use the number on the tester and I’m not even sure exactly what the units are. I would suggest you see a doctor REAL SOON though.

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