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Dka Vs Hhs Table

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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 and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academys NCLEX-RN channel: https://www.youtube.com/channel/UCDx5... Subscribe to Khan Academy: https://www.youtube.com/subscription_...

Hyperosmolar Hyperglycemic State

Acute hyperglycemia, or high blood glucose, may be either the initial presentation of diabetes mellitus or a complication during the course of a known disease. Inadequate insulin replacement (e.g., noncompliance with treatment) or increased insulin demand (e.g., during times of acute illness, surgery, or stress) may lead to acute hyperglycemia. There are two distinct forms: diabetic ketoacidosis (DKA), typically seen in type 1 diabetes, and hyperosmolar hyperglycemic state (HHS), occurring primarily in type 2 diabetes. In type 1 diabetes, no insulin is available to suppress fat breakdown, and the ketones resulting from subsequent ketogenesis manifest as DKA. This is in contrast to type 2 diabetes, in which patients can still secrete small amounts of insulin to suppress DKA, instead resulting in a hyperglycemic state predominated simply by glucose. The clinical presentation of both DKA and HHS is one of polyuria, polydipsia, nausea and vomiting, volume depletion (e.g., dry oral mucosa, decreased skin turgor), and eventually mental status changes and coma. In patients with altered mental status, fingerstick glucose should always be checked in order to exclude serum glucose abnormalit Continue reading >>

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  1. Timothy

    I recently told my friend, a professor of medicine at a large university, about my six-week-old PB eating habits (now largely carnivorous). He advised me that it's not good to keep your body "carb-starved" and in ketosis all the time, and that eating so much protein strains the liver's ability to produce urea and the kidneys' ability to process and excrete it. The long-term effects can include liver and kidney damage, he said.
    I've heard something like this before, but it seems to run counter to the research on MDA as well as the experiences of real-life carnivores.
    Do you know anyone who has sustained kidney/liver damage from eating too much protein? Is Tarlach on course for renal failure? Or is this just CW run amok again?

  2. Athena

    1
    Ive heard it from bodybuilders who eat ungodly amounts of protein (mostly from powders) that they have kidney problems. I always heard as long as you keep hydrated your kidneys shouldnt have an issue, especially if u get your protein from meat sources. Although I can't back that up with anything other than broscience. Im interested to see some evidence though

  3. Prowler

    1
    Absolute bull.
    1. What is the incidence of liver or kidney damage among the Inuit practicing their traditional diet?
    2. What is the incidence of liver or kidney damage among the Masai practicing their traditional diet?
    3. The venerable Dr. Atkins himself used ketosis to treat thousands of patients at his clinic over the course of several decades, and he challenged anyone to show one case where ketosis caused kidney damage. Not one case has ever been documented.
    Case closed. Ketosis is a safe and natural state, and any speculation about potential harm is just that: pure unfounded speculation.

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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 blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Ketoacidosis And Hyperglycaemic Hyperosmolar State

The hallmark of diabetes is a raised plasma glucose resulting from an absolute or relative lack of insulin action. Untreated, this can lead to two distinct yet overlapping life-threatening emergencies. Near-complete lack of insulin will result in diabetic ketoacidosis, which is therefore more characteristic of type 1 diabetes, whereas partial insulin deficiency will suppress hepatic ketogenesis but not hepatic glucose output, resulting in hyperglycaemia and dehydration, and culminating in the hyperglycaemic hyperosmolar state. Hyperglycaemia is characteristic of diabetic ketoacidosis, particularly in the previously undiagnosed, but it is the acidosis and the associated electrolyte disorders that make this a life-threatening condition. Hyperglycaemia is the dominant feature of the hyperglycaemic hyperosmolar state, causing severe polyuria and fluid loss and leading to cellular dehydration. Progression from uncontrolled diabetes to a metabolic emergency may result from unrecognised diabetes, sometimes aggravated by glucose containing drinks, or metabolic stress due to infection or intercurrent illness and associated with increased levels of counter-regulatory hormones. Since diabetic Continue reading >>

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  1. yshahin

    Hi,
    I am wondering what are the effects you have seen of eating carbs after being fat adapted?
    I have been on Keto for 5 weeks and cravings have stopped. I went for a KFC breaded dinner and saw some side effects of the carbs.
    1) Dehydration
    2) Little Craving
    3) Bloated

    Thanks

  2. Jeffryan

    Hard to sleep
    Get dizzy two days after running out of gylcogen so back to the keto flu.
    Lots of guilt lol
    Bloated

  3. BodyInBeta

    I'm too afraid to find out.

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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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Popular Questions

  1. Feldew

    I have a friend who's three month's pregnant and I mentioned keto to her, but we weren't sure if it would be safe to go into ketosis when you're already pregnant. I figure it can't be too bad to be in ketosis and then get pregnant, but her already being pregnant makes me a bit hesitant to suggest it until the baby is born.

  2. sellyberry

    Keto is safe if you do it safely? Drink lots of water, get electrolytes, eat when you are hungry.
    Depending on start weight, if she is obese and her doctors told her to try to not gain a lot, then it's fine. I wouldn't recommend any diet to someone of normal weight who just doesn't want to get fat. Gaining weight is a very important part of growing and eventually feeding a healthy baby.
    I was keto when I conceive both my kids but because of cravings I wasn't able to maintain the diet. Postpartum it took me 6 months with the first and 4 months with the second to get back into keto and once I did I lost (am losing) the weight pretty easily.
    If she's diabetic or has other medical issues it's questionable to start while pregnant.

  3. Feldew

    She's of normal weight, no issues that I know of, she did say she's having trouble eating as many calories as she's told to every day.

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