Dka Vs Hhs Table

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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 And Hyperosmolar Coma | Harrison's Manual Of Medicine, 18e | Accessmedicine | Mcgraw-hill Medical

DKA results from insulin deficiency with a relative or absolute increase in glucagon and may be caused by inadequate insulin administration, infection (pneumonia, urinary tract infection, gastroenteritis, sepsis), infarction (cerebral, coronary, mesenteric, peripheral), surgery, trauma, drugs (cocaine), or pregnancy. A common precipitating scenario is the pt with type 1 DM who erroneously stops administering insulin because of anorexia/lack of food intake caused by a minor illness, followed by lipolysis and progressive ketosis leading to DKA. The initial symptoms of DKA include anorexia, nausea, vomiting, polyuria, and thirst. Abdominal pain, altered mental function, or frank coma may ensue. Classic signs of DKA include Kussmaul respirations and an acetone odor on the pt's breath. Volume depletion can lead to dry mucous membranes, tachycardia, and hypotension. Fever and abdominal tenderness may also be present. Laboratory evaluation reveals hyperglycemia, ketosis (-hydroxybutyrate > acetoacetate), and metabolic acidosis (arterial pH 6.87.3) with an increased anion gap ( Table 24-1 ). The fluid deficit is often 35 L and can be greater. Despite a total-body potassium deficit, the se Continue reading >>

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  1. bpeterson2

    > ultra low carbing and depression/anxiety

    been low carbing since aug '03. started off on south beach, had great, fast results (down 10 pounds, with 15-pound goal) and found it easy to follow. what i noticed is that I stayed on a very, very restrictive version, eating little or no breads, pastas, vegetables, and fruits. I didn't exclude them, just really did embrace them. I guess I was enjoying the weight loss and wanted it to continue. with the exception of a bowl of granola-like cereal and some fruit, I pretty muhc avoided all carbs.
    My question - looking back, i noticed that within a month or so of starting the diet, I began suffering pretty good anxiety. yes, my life grew more stressful, but I felt that i was becoming easily overwhelmed. generally, i felt jittery, nervous with little reason why. this lasted for more than a year, when I entered into a kiund of full-blown anxiety. I am currently in therapy and take an anti-dpressant, which has given me a lot of reliet. However, I'm still not me. the one constant has been my ultra low carb diet. this last week i began eating complex carbs and feel so much better. Anyone else had this kind of reaction to very low carb dieting?

  2. Nancy LC

    I'm glad you're eating more healthily! Get those veggies, and fruits if you're so inclined, back into the diet. Some people just don't do well on extremely low-carb. You might be one of them!

  3. Nancy LC

    Wow, you sure posted this same thing in a lot of places.

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones

Diabetesmanager / Hyperglycemic Crises: Diabetic Ketoacidosis (dka), And Hyperglycemic Hyperosmolar State (hhs)

Kitabchi AE, Umpierrez GE, Murphy MB, et al. Management of hyperglycemic crises in patients with diabetes. Diabetes Care 2001; 24:131-53. Faich GA,Fishbein HA,Ellis SE:The epidemiology of diabetic acidosis:a population-based study .Am J Epidemiol 117:551-558,1983. Johnson DD, Palumbo PJ, Chu CP. Diabetic ketoacidosis in a community-based population. Mayo Clin Proc 1980; 55:83-8. Centers for Disease Control and Prevention. Diabetes Surveillance System. Atlanta GA: U.S. Department of Health and Human Services. 2003: Accessed at www.cdc.gov/diabetes/statistics/index.htm on June 10, 2006. Kitabchi AE, Umpierrez GE, Murphy MB, et al. Management of hyperglycemic crises in patients with diabetes. Diabetes Care 2001; 24:131-53. Kitabchi AE, Fisher JN, Murphy MB, et al Diabetic ketoacidosis and the hyperglycemic hyperosmolar nonketotic state. In: Joslin's Diabetes Mellitus. 13th ed. Kahn CR, Weir GC, Eds. Philadelphia, Lea & Febiger. 1994; pp. 738-70. Alberti KGMM. Diabetic acidosis, hyperosmolar coma, and lactic acidosis. In Becker KL editor. Principles and Practice of Endocrinology and Metabolism. 3rd ed. Philadelphia. Lippincott Williams & Wilkins. 2001:1438-50 Matz R. Management of hyp Continue reading >>

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  1. jrf_1973

    I was looking up some of the various chocolate sweets which are allegedly safe for diabetics. For example, there is a bar called "Balance" which is advertised as having sweetners derived from the Stevia plant.
    It lists 16.6 grams of carbs of which 9.9grams are polyols.
    You have to dig deep to find out that the sweetner they use is Maltitol. And Maltitol is on the Glycemic Index with a value of 36.
    That's a far cry from zero but is considered "low" on the Glycemic Index.
    Only two of the sugar alcohols that I can find, have a GI of zero : Mannitol and Erythritol. The other sweetner I asked about before (Tagatose) has a GI of zero.
    So the question - do sugar alcohols (polyols) affect keto? Do some of them? If so, which ones?

  2. Beef225

    Depends on the person, from what I have seen around this sub. The body might respond to it as if it is real sugar, giving you a huge insulin spike. Same with aspartame in diet sodas. Personally, I do not get kicked out of ketosis with these. You can try to experiment and see for yourself.

  3. Aingeala

    It's all personal, some people aren't affected at all, sometimes it depends on how keto adapted you are, and sometimes I've noticed that different genders are affected differently due to hormone changes that these sweeteners cause. My SO can have them, while I, personally, am affected by a huge headache and nausea from Mannitol & Maltodextrin. I haven't experimented too much with different ones though, because headaches and nausea are not my idea of a good time.
    Another issue with sweeteners that I have found is that companies often combine 2 different types in one product. Maltodextrin is commonly added, and packs a punch of a GI of 110 or something like that. Kinda screwey....

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Visit us (http://www.khanacademy.org/science/he...) for health and medicine content or (http://www.khanacademy.org/test-prep/...) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Matthew McPheeters. Watch the next lesson: https://www.khanacademy.org/test-prep... Missed the previous lesson? https://www.khanacademy.org/test-prep... NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/b...). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in a

Hyperosmolar Hyperglycemic State

Author: Dipa Avichal, DO; Chief Editor: George T Griffing, MD more... Hyperosmolar hyperglycemic state (HHS) isone of two serious metabolic derangements that occurs in patients with diabetes mellitus (DM). [ 1 ] It is alife-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%. (See Epidemiology.) HHS was previously termed hyperosmolar hyperglycemic nonketotic coma (HHNC); however, the terminology was changed because coma is found in fewer than 20% of patients with HHS. [ 2 ] HHS is most commonly seen in patients with type 2DM who have some concomitant illness that leads to reduced fluid intake, as seen, for example, in elderly institutionalizedpersons with decreased thirst perception andreduced ability to drink water. [ 3 ] Infection is the most common preceding illness, but many other conditions, such as stroke or myocardial infarction, can cause this state. [ 3 ] Once HHS has developed, it may be difficult to identify or differentiate it from the antecedent illness. (See Etiology.) HHS is characterized by hyperglycemia, hyperosmolarity, and dehydration without significant ketoac Continue reading >>

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Popular Questions

  1. Jcorb

    I know that diet-soda is technically keto-friendly, but I'd like to try a healthier alternative, if there is one. Although, I despise tea.
    Any ideas?

  2. change_for_a_nickel

    Source: Kids sitting around a table at starbucks with their eyes popping out of their heads and literally vibrating from excess energy.

  3. Naonin

    Coffee has often been observed as energy inducing and stimulating of the CNS, by a drug labeled "caffeine". In this study, we aim to separate all the chemical components of coffee and feed them one by one to human subjects and observe the effects. Double blind, crossover, 5 week wash out period.
    All funds were provided by the FDA, 11.8 million dollars.

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