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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

Euglycaemic Diabetic Ketoacidosis In A Patient With Type 2 Diabetes Started On Empagliflozin

Euglycaemic diabetic ketoacidosis in a patient with type 2 diabetes started on empagliflozin 1Aga Khan University, Karachi, Sindh, Pakistan 2Department of Endocrinology, The Aga Khan University Hospital, Karachi, Sindh, Pakistan Correspondence to Dr Owais Rashid, owais.rashid{at}aku.edu Diabetes ketoacidosis (DKA) is largely associated with type 1 diabetes and has hyperglycaemia as a cardinal feature. We discuss the case of a 42-year-old man, a patient with type 2 diabetes, who presented to the emergency room, with nausea, vomiting and abdominal pain. He had recently changed his diabetes medications and started on an SGLT2 inhibitor (empagliflozin) along with metformin, pioglitazone, liraglutide and self-adjusted exogenous insulin. DKA was suspected in the wake of clinical examination and lab findings but glucose levels were below the cut-off for DKA; therefore, he was diagnosed with euglycaemic DKA. He was successfully managed with intravenous hydration and insulin infusion. We discuss the link of SGLT2 inhibitors with DKA and the pathophysiology behind euglycaemic DKA. The full text of all Editor's Choice articles and summaries of every article are free without registration The Continue reading >>

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  1. bundysn

    I have been doing the Keto diet for 2.5 weeks. The first week I lost 4 lbs in 6 days. Then gained a lb and lost .6 now I'm stalled out. Basically losing .2 every few days. I AM in ketosis. I know the metallic taste, the urine smell and I test my urine in the AM before I drink water and it is at the high end of the color spectrum. My macros are 75/20/5. My energy levels are through the roof!! So no complaints there. I feel amazing!! My skin, hair etc looks better but the weight isn't coming off, even though I'm in ketosis.... Can anyone help me with this? I drink massive amounts of water. It's my addiction. At least 200 oz a day.... Always have so that's nothing new. Thanks in advance!
    Female 33
    5'8
    149

  2. Kathy13118

    Is your doctor advising you about your diet? Being in ketosis, drinking so much water, not losing weight - and continuing with the diet - I would ask your doctor what he or she thinks is going on.

  3. TattooedRN

    Since you are already at a healthy weight for your height I suspect that's why you are not losing large amounts of weight. With that said, a couple of suggestions...
    Are you eating enough fat? It has been shown that higher fat in = higher fat out.
    Also remember you can lose inches without losing pounds, this is normal and happens to everyone. Stalls are normal, they are your body's way of shifting gears and figuring out what changes are happening.
    Again, 5'8 and 149 lbs is a perfectly healthy weight and I can't see it would be very healthy for you to lose much more. Just keep at it, and if you have weight to lose, it will come off, but the less weight you have to lose the slower it will be...if your in the last 5 lbs to lose, i reiterate, it can take some time for that since your body is more likely to hold onto it. Maybe try an Atkins fat fast if that's your goal?
    Good luck!

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In Session 27 of Diabetes University, Dr. Bernstein demonstrates how to dilute insulin, a particularly useful tool for small children. Dr. Bernstein's book is available at www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ This video was produced and edited by Dr. RD Dikeman and David Dikeman of TYPEONEGRIT. For more on Dr. Bernstein's book, Diabetes Solution, go to http://www.diabetes-book.com/ Every month Dr. Bernstein hosts a free teleseminar via http://www.askdrbernstein.net/ where you can ask questions and he will answer them. Also check out http://www.thebernsteinconnection.com/ for the The Bernstein Connection, which is the one and only current and archive website of every Audio Recording, Video, DVD, Transcript, Teleseminar, and more, that Dr. Bernstein has done plus so much more...

Diluting Your Sugar | Sinaiem

By Jeff Nusbaum | Pearl of the Day | Comments are Closed | 15 August, 2016 | 0 Last week, we closed out the week by discussing the dischargable, benign sugars, but what about when you have the legit sugars. Were talking about DKA. While the algorithm for DKA is fairly straight forward fluids, insulin, replete lytes prn, admit / ICU consult, there are some often under appreciated subtleties we neglect in the ED. Lets start with fluid choice. Most clinicians empirically start volume resuscitation with 0.9% saline or normal saline. As weve all heard, there is very little truly normal about normal saline. Specifically in the context of DKA, one should worry about giving an acidic solution (with a pH of ~5.5) to an already acidotic patient. Other, perhaps more savvy clinicians reach for isolyte / plasmalyte. With a more physiologic pH, logically this makes sense, however one must be weary of giving potassium to a patient population that is typically hyperkalemic (often due to normal fluid shifts of acid base balance). So lets review some of the most commonly used ED fluids: This is clearly a complicated question, so what do the experts do. Uptodate recommends resuscitation with 0.9% sa Continue reading >>

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  1. carissanbo

    I'm just wondering if there are ways to tell if you're in Ketosis without using the strips. We live in the Outback in Australia in a small town and I'm not sure I would be able to find them here. And to be honest, I really don't feel like checking. I feel that I finally found a WOE that works for me and I'm feeling great and don't want to focus too much on that aspect. So I'm wondering if there are signs to tell me.
    I'm finishing up my 3rd day of induction and to be honest, it's been pretty easy for me. I haven't really had any bad side effects and after supper I have no urges or cravings to eat anything (and no urges for carbs during the day). I have ALWAYS had a snack before bed my whole life, but I've really had no interest.
    I just want to make sure I'm doing this right. If you go to my journal you can check out my menu for today if you'd like to see what I'm eating. And I have lost a few pounds.
    Thanks!

  2. Sinbad

    Hiya!
    You should update your profile with your weight loss so we can share your happiness
    As for ketosis, I can tell without strips because I sometimes get an odd tinny taste in my mouth, I don't feel hungry or sluggish or headachey at all, and most convincing of all (for me) is that my pee smells almost of acetone... Sometimes it looks almost greenish too but that could be because of the supplements I'm taking (or all the green veggies I'm eating, which I never used to! )
    Of course, the best sign that you're in ketosis/lipolysis is that you're losing weight!
    Good luck with the plan!
    Steven

  3. btdude

    Agreed. Metal mouth prevails. You are in the bathroom every (at least) 35.4 minutes.

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What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Management Of Diabetic Ketoacidosis In Adults

Management of diabetic ketoacidosis in adults Management of diabetic ketoacidosis in adults Insulin (blue dots) promotes glucose uptake in the liver and muscles, controlling blood sugar. Feeding/transition to subcutaneous insulin The first mealtime after the acidosis has resolved and the patient feels that he or she can tolerate food is the time to begin feeding the patient. Subcutaneous insulin should be started simultaneously. Dosing of subcutaneous insulin is given in basal/bolus fashion calculated first as total daily dose (TDD), which is based on insulin therapy the patient received at home prior to losing control. Alternatively, TDD may be estimated at 0.5 to 0.8 units/kg/day in an individual who has not previously been treated with insulin.3 Total daily insulin requirements may be significantly elevated for a few days following the resolution of DKA due to persistently elevated counter-regulatory hormone concentrations. These elevations predispose the patient to going back into acidosis if insulin levels are inadequate or stress levels increase further. Basal/bolus insulin therapy is generally broken down into long- and short-acting insulin as 50% basal and 50% bolus spread Continue reading >>

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  1. Jiggy Puff

    A couple of years ago I lost 90 lbs. on Atkins. During that time I periodically tested my urine for ketones. Since I was on a very low carb ketogenic WOE you would think I would see my fat loss revealed on the strips. But never did I ever see anything other than just "trace" on the strips, which is barely any. But yet I kept buying the strips. Why? During that time I thought maybe something would show,but no.
    Fast forward to present day. life happened, regained my weight, and restart 2 months ago. I am doing great lost 22 lbs and regret ever leaving this WOE. But with that said, what do I do but go to the store and buy Ketone test strips:? :/ Why? you ask lol. I really don't know, I guess i thought by some miracle of events I would see some different results. Guess what I have been seeing? Yep you guessed it...."trace".
    Now why am I telling you this? It is because it is to show you that not all of us that lose weight and do great on this WOE will show it on our test strips. The ketones that are not showing up on my urine strips are probably being used by my body. Not to mention if you are someone who drinks lots of water, the urine can be diluted and therefore not show much on the strips. Another theory is some of us urinate more times than others; which for those, the ketones don't have time to build up in consistency to show on the strips.
    So don't be discouraged if you don't see anything on your strips you can tell by how well you are doing, by how well you look and feel and the weight loss you obtain by living and eating the best WOE in the world.
    And for those of you who get to enjoy the "colorful" results of moderate results on your strips; it is a pretty why to observe your progress, that is about it. So "stripping or not" lol good luck and happy success my friends.

  2. black57

    It is better to see nothing on the test strips. By seeing nothing on the test strips, your body is telling you that it is indeed using the ketones for energy which is what you want...you don't want to see ketones on the test strips at all. Ketones do not get stored as fat, they're used to maintain bone, muscle and other tissues including heart and brain.When your body uses ketones for energy your body has become ketone adapted and healthier than ever before.

  3. CMCM

    Quote:

    Originally Posted by black57
    It is better to see nothing on the test strips. By seeing nothing on the test strips, your body is telling you that it is indeed using the ketones for energy which is what you want...you don't want to see ketones on the test strips at all. Ketones do not get stored as fat, they're used to maintain bone, muscle and other tissues including heart and brain.When your body uses ketones for energy your body has become ketone adapted and healthier than ever before.
    Good good points. I've rarely if ever seen much on ketostix. Perhaps way back when I first did Atkins, but since I'm always eating pretty much along Atkins low carb lines anyway, whenever I tighten up my eating and go very low carb, the ketostix will show virtually no change.

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