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Euglycemic Dka

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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

Euglycemic Diabetic Ketoacidosis: A Review

Euglycemic Diabetic Ketoacidosis: A Review Author(s): Anar Modi , Department of Endocrinology, Diabetes & Metabolism, Cooper University Hospital, Camden, New Jersey, United States Abhinav Agrawal* , Department of Medicine, Monmouth Medical Center, 300 Second Avenue, Long Branch, New Jersey, United States Farah Morgan . Department of Endocrinology, Diabetes & Metabolism, Cooper University Hospital, Camden, New Jersey, United States Introduction: Diabetic ketoacidosis (DKA) is one of the most serious complications of diabetes.It is characterised by the triad of hyperglycemia (blood sugar >250 mg/dl), metabolic acidosis(arterial pH <7.3 and serum bicarbonate <18 mEq/L) and ketosis. Rarely these patients can present withblood glucose (BG) levels of less than 200 mg/dl, which is defined as euglycemic DKA. The possibleetiology of euglycemic DKA includes the recent use of insulin, decreased caloric intake, heavy alcoholconsumption, chronic liver disease and glycogen storage disorders. DKA in pregnancy has also beenreported to present with euglycemia. The recent use of sodium glucose cotransporter 2 (SGLT2) inhibitorshas shed light on another possible mechanism of euglycemic DKA. Clinicia Continue reading >>

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  1. RunnerXL

    Just wondering if anybody has been thrown out of ketosis from too much protein in one meal (say >100 g, which is almost my daily allowance), due to protein going into gluconeogenesis, etc. Even if you take in no protein at the other meals and keep your daily macros good.

  2. anbeav

    No. Eat what you want when you want, assess the effects, adjust accordingly instead of the ketosis anxiety. Some feel great doing this, others don't. Listen to your body.

  3. DClawdude

    This is not a practical concern at all.

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A Can't Miss Ed Diagnosis: Euglycemic Dka

The FDA has approved these three SGLT2 inhibitors for Type 2 diabetics, and at times, they are prescribed off-label for Type 1. The mechanism involves decreasingglucose reabsorption in the nephrons proximal tubule (via inhibition of the sodium-glucose linked cotransporter-2 protein). This results in increased urinary excretion of glucose that is independent of the bodys insulin secretion.1 Other potential benefits of this class of medications include:13 In 2015 the FDA issued a warning, however, that SGLT2 inhibitors may cause ketoacidosis, urinary tract infections, and urosepsis.4 Since then, multiple case reports have been published showing an association between SGLT2 inhibitors and the development of euglycemic DKA. Euglycemic DKA is an uncommon and likely under-diagnosed phenomenon, best defined as DKA with alower than expected blood glucose (less than 250 mg/dL according to the American Diabetes Association).46 Potential precipitants, in addition to SGLT2 inhibitors, include:7 EPs may delay diagnosis, given the modest glucose levels at the time of presentation. This, however, is false reassurance because DKA is not defined by an absolute blood glucose. Interestingly, patient Continue reading >>

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Popular Questions

  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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Euglycemic Diabetic Ketoacidosis: A Potential Complication Of Treatment With Sodiumglucose Cotransporter 2 Inhibition

Objective Sodiumglucose cotransporter 2 (SGLT-2) inhibitors are the most recently approved antihyperglycemic medications. We sought to describe their association with euglycemic diabetic ketoacidosis (euDKA) in hopes that it will enhance recognition of this potentially life-threatening complication. Research Design and Methods Cases identified incidentally are described. Results We identified 13 episodes of SGLT-2 inhibitorassociated euDKA or ketosis in nine individuals, seven with type 1 diabetes and two with type 2 diabetes, from various practices across the U.S. The absence of significant hyperglycemia in these patients delayed recognition of the emergent nature of the problem by patients and providers. Conclusions SGLT-2 inhibitors seem to be associated with euglycemic DKA and ketosis, perhaps as a consequence of their noninsulin-dependent glucose clearance, hyperglucagonemia, and volume depletion. Patients with type 1 or type 2 diabetes who experience nausea, vomiting, or malaise or develop a metabolic acidosis in the setting of SGLT-2 inhibitor therapy should be promptly evaluated for the presence of urine and/or serum ketones. SGLT-2 inhibitors should only be used with grea Continue reading >>

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  1. sharidoto

    HOW MANY DAYS OF STRICK EATING DOES IT NOEMALLY TAKE BEFORE THE STRIPS START TO SHOW YOUR BURNING FAT??
    DREAM,CREATE,INSPIRE AND LOVE YOU HAVE THE PERFECT LIFE !

  2. ljessica0501

    It varies for everyone. For me personally...it took 4 days to register anything and almost 2 weeks to get purple...I have never seen the darkest purple shade. Some people will tell you not to use the sticks, but I like them. My doctor told me to use them 3 times a day for a week to see when my body is the highest. Again...everyone is different. I am highest in the morning, but I hear some people are highest at night.
    Lauren
    Your goals, minus your doubts, equal your reality. - Ralph Marston

  3. PeeFat

    Your body has to burn off all the stored sugar before it goes into ketosis. The shade on the stick should read ' moderate. ' Any higher means you aren't drinking enough water to flush out excess ketones. Too many ketones in your body is unhealthy. So don't think you have to be in the darkest purple range to be eating properly. Also the best time to test is first thing in the morning. Only diabetics need check more than once a day. On atkins we don't even need to use keto sticks. If you follow the rules you will be in ketosis.

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