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Does Dka Go Away

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Get more at http://popbuzz.co/igWBw9 We sat down for a chat with Nick about the time he went on Running Wild with Bear Grylls and nearly died. Not gonna lie, it's actually hilarious (for us, not for Nick). You can hear our chat with Nick on this week's podcast. Get it on iTunes here: http://popbuzz.co/9MIjeF

I Nearly Died From Dka

“Geez kid, when’d you get so skinny?” My dad was getting me ready for school one February morning. As he began to help me into my school clothes, he’d lifted my pajama shirt up and was shocked at the sight of my protruding ribs. “You’d better start eating more,” he said to me. And so I did. My appetite increased immensely. For breakfast, I’d finish two, sometimes three large bowls of cereal, which wasn’t adding up considering the noticeable weight I was losing. My thirst intensified. Late one night, my mom awoke to a commotion coming from the kitchen. To her dismay, there was her 6-year-old daughter on the countertop in her nightgown, pouring six glasses of apple juice. “Carlie, what’re you doing? Are you alright?” “Go away! Leave me alone!” I snapped, proceeding to guzzle down all six glasses. I felt so sick, like I was wasting away. But I kept it to myself and I didn’t tell my parents how I was feeling in fear of being taken to a doctor. February 22, 2003 as I sat in the basement, staring lifelessly at the television in front of me, I tried my best to listen to the conversation that was taking place between my parents in the kitchen. “Dave, she’s Continue reading >>

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  1. Bekky1975

    Just out of hospital following DKA

    Hi
    I'm off work following recovery from recent keto-acidosis. Been T1 diagnosed for nearly 5 years but really struggle to accept my illness. Try and pretend I don't have Diabetes. Did anyone else out there have this problem? What will it take to get out of this denial? I'm 31 and thought I would be more sensible!!!

  2. vrocco1

    I'm very sorry you had that experience. How did you end up DKA? I'm guessing you skipped a dose of insulin?
    It has only happened to me once, and that was during a month long bout with the flu. I really learned my lesson on that one. Keeping your A1C low is a lot of effort, but keeping yourself out of the hospital does not take much effort at all.
    You may be suffering from a bit of depression, and that is why you are in denial. You might want to talk to your Doctor about that possibility. Denial is definitely our enemy. Depression is very common in diabetics.
    I hope you decide to spend some time with us. It really can help! I sure hope you feel better soon.

  3. Jodes800

    Hi Bekky,
    I totally understand what you're going through! I was daignosed at 10 but had a couple of years when I was a teenager that I went into denial. I would still have my injections but would eat whatever I liked!
    I soon realised that this way of thinking was doing me no good and that I had to deal with it or go on feeling ill for the rest of my life so I started taking better care of myself. I also thought about the complications that could arise in the future and what that could mean for me...for example would I be able to have the family that I have always dreamed of?
    I have been in and out of hospital on many occassions with Ketoacidosis, due to viruses and stomach bugs etc, but the doctors never told me what it was! I didn't know anything about Ketoacidosis and because of this i had a really severe Ketoacidosis incident when I was 18. I was at university and was feeling progressively more unwell...I went to A & E where doctors failed to do any blood or urine samples and diagnosed me with anxiety! I also called another doctor out that night who gave me a sleeping tablet and left me in my room alone and with no medical assistance...I was found the next morning minutes from death..and was in Intensive care for a week.
    I totally understand how you must be feeling at the moment as it takes away all your energy and takes a while for you to start feeling stronger. The Ketoacidosis won't cause any long term damage to your health but you should be aware that not taking care of your diabetes or having an illness of any kind can cause Ketoacidosis. More often than not it is treated quickly and efficiently by the medical proffessionals but sometimes it isn't-like in my case-so always check for ketones if you start to feel unwell or your blood sugars run high.
    You won't be in denial forever..diabetes takes a long time to understand and come to terms with....at 10 years old I think it may have been easier for me to accept than for someone diagnosed in their 20's...but I still found it incredibly hard!
    You've done the right thing joining this site as there are so many great people out there to talk to and for the first time since my diagnosis 15 years ago I feel like I can offload my fears and anxieties and also share good news with people who can empathise with what I'm going through...We're all here to help and anytime you feel down tell us about it and we'll try to help! We all understand how you're feeling!
    Big hugs!

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Ketones.

Headache. Check. Eyes that weighed at least a pound apiece. Check. Mouth full of sweaters. Check. Looks like they're all here - the symptoms of a high blood sugar. Sitting down to catch up on some emails, I absently fish my meter out of my gym back and lance my fingertip. I hit send, graze against the new infusion set on my left thigh, and see a meter result of 420 mg/dl. "Oh, that is just fantastic." Taking out my pump, I calculated the massive correction bolus and felt the quiet sting of the insulin as it coursed through the infusion set I had placed an hour earlier. Normally when I'm at an elevated blood sugar, I feel lethargic and generally Crumbs Morrone, but this one had a different feel to it entirely. My stomach felt like it was playing host to a hamster wheel, and my headache was blinding. I brought the ketone strips into the bathroom and watched uneasily as the pad on the ketone strip turned a deep purple. Large ketones. I hadn't seen those suckers since my days at Clara Barton Camp. I never, ever have ketones, and I test regularly for them. So where did this come from? My stomach in knots, I wandered back into the living room and filled Chris in on the situation. "I'm hi Continue reading >>

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  1. kel4han

    I still dont see why ketones (small-moderate) are dangerous if your BS is in range and you are ill. It has been explained many of times. Dont you have ketones becuase you are ill, the stress on the body,not becuase you are at risk of DKA? Can someone explain it in lame man terms?

  2. lilituc

    Here is the argument as I've heard it: Ketones are a result of not enough insulin. Often high bg is present as well, as another result of not enough insulin. Type 1 diabetics aren't able to clear ketones like other people would, so if they build up, you can end up with DKA. I've heard several instances where someone started going into DKA with "normal" blood sugar and ended up with one IV in each arm - one dextrose and one insulin.
    Anecdotally, it seems to me that this is more of a risk with children and not adults. Still, I wouldn't take chances with it. If I had moderate or high ketones, I would try to clear them out (by carb and insulin intake).

  3. BlueSky

    lilituc said:

    .... Ketones are a result of not enough insulin. ....
    Not quite. Ketones in the urine are the result of burning fat. This can happen with adequate insulin and normal blood glucose, in which case it is not dangerous.

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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

Diabetic Ketoacidosis (DKA) is a frightening term for any diabetic. This condition can rapidly kill a diabetic if treatment is not administered immediately. Ketoacidosis can occur in any person for a number of reasons such as alcoholism or starvation, but diabetic ketoacidosis is only found in diabetics, primarily uncontrolled type 1 diabetics. Often times a diabetic is first diagnosed with diabetes when rushed to the ER in severe ketoacidosis. In general ketoacidosis is when the body produces too much ketones, it breaks down fatty acids and these build up in the blood and quite literally the blood becomes toxic and poisonous making the body deathly ill. The build up of acetone in the blood is marked by a sweet almost fruity smell on the breath and sometimes in the sweat. Exactly what causes ketoacidosis in diabetics? When a diabetic is uncontrolled and their blood sugar runs too high over an extended length of time the body recognizes that it is being starved for insulin, so it begins to breakdown fat for energy. This breakdown of fat causes acid to build up in the blood and this leads to ketoacidosis. Oftentimes diabetic ketoacidosis is triggered by illness and/or dehydration. If Continue reading >>

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  1. Shama

    I was diagnosed as t1 four weeks ago. I was admitted to hospital with BGLs of 19 and ketones were 5.5, so I was DKA.
    I spent 24 hours in emergency while they brought down my ketones to zero then spent another 8 days in hospital getting stabilised and learning how to inject insulin etc.
    My question is: how long does it take to fully recover from DKA? I went back to work yesterday and was exhausted after 7 hours (including a short lunchbreak). I deliberately didn't do very much; just got through my backlog of emails and did a bit of reading. When I got home, I perked up a bit after dinner. Today, it was the same at work but tonight I am SO tired I can barely walk and I can't do *anything* other than sit and watch tv. I can't keep doing this. I need to be able to function at least a bit in the evenings, and this is without me doing my usual job of answering complex (and long) phone calls and emails. Is this normal??
    I wasn't in a coma (I walked into emergency). I lost 3kg in the fortnight before I was admitted despite eating heaps, and lost more weight before that. I had a lot of muscle pain and muscle cramps before diagnosis, and couldn't walk up a hill without having to stop all the time to catch my breath. (plus the classic insatiable thirst and peeing heaps)
    When I first got out of hospital I basically just tried to get on with normal life and started exercising, ie a 20 minute walk most days. Then I carried lots of heavy boxes (long story) over several days. I was fine at the time then lost some stamina late last week. The DE (after I'd done all this exercise, not before!) said now was not the time to hit the gym, just as a throwaway comment. I didn't ask her to elaborate but did scale back my daily walks a bit.
    I'm going to ring the DE or endo tomorrow to see if this is normal and if I need more time before going back to work (I'm not driving yet, hubby can't afford to take time off to pick me up early each day and the bus home involves two 15 minute walks each end and a 45 minute bus ride). But I would like to know other people's experiences with DKA recovery, particularly if it was a pre-diagnosis one with several weeks of symptoms.
    Thanks in advance :)

  2. Magenta76

    Hi Shama, sucks that you have to be here, but glad that you found us!!
    I, unfortunately, have a LOT of experience with DKA's... (something like 9 or 10 in 13 years of diagnosis) Each of them the recovery time has been different.
    My diagnosis, I have no idea what my level of ketones was, I know my BSL was 30something, and I was incredibly ill, and weighed something ridiculous like 50kgs.... with hindsight I was probably presenting symptoms at least 2 or 3 months before I was diagnosed.
    After my diagnosis, I took the probably set standard, month off. I went back to work as a chef after that, I don't really remember what it felt like, I was 22 so I probably was not too bad. I think we all would have different recovery times to anything and everything, so I don't think anyone could give you a straight answer on how long it will take for your body to go back to "normal". Talk to your HP's but take it day by day would be the best bet. Not really helpful, I know, but can't say any more than that.
    My last DKA was extremely severe. We're talking coma, organ failure type stuff. That was 18 months ago. My body is still recuperating from that one. I know that for me, each time I have a DKA, the whole episode is worse, and I take longer each time to get better. I just wish I discovered and knew about all the triggers for me. Stress is a large factor for about half of mine, which unfortunately means that when I get the all clear to work again, I have to change my career.
    Good luck with everything, and I hope you are feeling better soon. Try not to overdo it. Your body would still be adjusting. Let it. :)

  3. tantan

    Hi Shama,
    I have a similar story to you. I was diagnosed about 4 years ago, with ++++ ketones (whatever that means), a BGL of 32.7, and weight loss of 9kg in the preceding 3 and a half weeks. My understanding is that DKA involves the body basically chewing up fat because the lack of insulin means it can't access the glucose in your body, even if you're eating lots of it! So a lot of that weight loss is coming from storage (and we all need some fat storage for normal functioning! :-) ). At the end of the day, it will take a body awhile to replenish those stores, work properly again, and get back to the state it was at prior to diagnosis (and prior to the weeks leading up to diagnosis).
    I can't remember how long it took me to recover fully. I was diagnosed several weeks before Christmas, which was a massively busy time at the company where I was working. The doctor at the hospital gave me a medical certificate for at least a week off, but I actually only took about two days. However, I only worked shorter days for at least a week, maybe two, once I went back. I wasn't allowed to drive, so my co-worker would pick me up in the morning on her way to work, and my husband would pick me up in the afternoon when he finished at his work (which was always about 1-2 hours earlier than my usual finishing time). I found that I felt better in the mornings, so that worked for me.
    I think the best one can do for one's body after something like DKA is to eat healthily and get plenty of sleep!
    All the best!
    Tanya

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