Euglycemic Dka Uptodate

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====================================================== SUBSCRIBE TO MY CHANNEL PLEASE.... https://www.youtube.com/channel/UCWDy... ===================================================== How to Calculate Your Heart Disease Risk There are certain risk factors that affect your chances of developing heart disease. Some of these factors are beyond your control, such as getting older, being male, or having a family history of heart disease; however, other factors you may be able to control, including high blood pressure, high cholesterol, obesity, your amount of physical activity, and whether or not you smoke. In order to calculate your risk of developing heart disease, you will need to look at several different parameters and calculate the correlating numbers. You will then add up your score to see how it reflects to your risk of developing heart disease. Part 1 : Calculating Risk Factors 1.Visit your doctor for a physical and lab work. In order to calculate your risk of developing heart disease, you will have to test certain aspects of your health. Your doctor should be able to do this during a normal appointment. She will also draw a sample of your blood and test the levels of certain substances. 2.Consider your age. Heart disease is relatively uncommon in people younger than 30 years old but the risk increases with age for both men and women. Women run a slightly lower risk of heart disease than men of the same age group. 3.Add in your LDL levels. LDL cholesterol are lipids that are bad for your heart and blood vessels. They are deposited on the walls of your coronary arteries (blood vessels in the heart) and cause plaque to form. This plaque impedes blood flow and can lead to heart disease. 4.Factor in HDL cholesterol. HDL cholesterol is known as good cholesterol because it helps to lower your risk of cardiovascular diseases. It is considered good because it transports bad lipids back to the liver, where they are flushed from the body. 5.Consider your blood pressure as it relates to heart disease. High blood pressure is a major risk factor for coronary heart disease. 6.Account for possible diabetes. Diabetes is strongly related to heart disease. In fact, diabetics are twice as likely as non-diabetics to develop heart disease at some point in their lifetime. Part 2 : Subtracting for Protective Factors 1.Exercise regularly. Some behaviors like exercise can give you moderate protection against heart disease. Being physically active can lower your blood pressure, help to lower your cholesterol levels, and reduce your chance of having a heart attack or stroke. 2.Stop smoking. Smoking is not only terrible for your lungs but also increases your chances of getting heart disease. 3.Factor in diet. Diet is another mildly protective factor against heart disease. Put simply, the foods that you eat can control blood pressure, diabetes, weight gain, and high cholesterol. Part 3 : Assessing the Results 1.Add up your points. You have now scored all of the parameters for risk and prevention. Add up your points from the previous sections and see your final score. 2.Calculate your risk of heart disease if you are male. Take your point total and then find the corresponding percentage. This percentage represents the risk that you have of developing heart disease or of experiencing a cardiac event in the next 10 years. The points-risk relationship is different for males and females. 3.Calculate your risk if you are female. If you are a female, a total point score of less than -2 points represents a 1% risk of heart disease in the next 10 years. 4.Make changes to lower your risk. If you have a 20% or higher chance of having a heart condition in the next 10 years, you should seriously consider making some lifestyle changes. How to Calculate Your Heart Disease Risk. What are the six main risk factors for cardiovascular disease? Why is heart disease so deadly? Who is most at risk for a heart attack? What is the main cause of heart disease? ------------------------------------------------------------------------------------------------------- THANKS FOR WATCHING OUR CHANNEL -------------------------------------------------------------------------------------------------------- -~-~~-~~~-~~-~- Please watch: "Child's Anemia Know How to Deal with Your Child's Anemia" https://www.youtube.com/watch?v=7CVvs... -~-~~-~~~-~~-~-

#51: Diabetes Treatment In 2017: New Meds, Insulin, And Cardiac Risk Reduction

Get cozy with these new drugs for diabetes treatment. Don’t be scared, they won’t bite. On this episode, we interview Endocrinologist and current president of AACE, Dr. Jonathan D. Leffert, MD, FACP, FACE, ECNU about how to utilize the myriad of new diabetes drugs on the marketplace including SGLT2 inhibitors, DPP4 inhibitors, GLP1 agonists, and new ultra long acting insulins. Plus, we’ll teach you how to choose between agents, common side effects, A1C goals, and the cardiovascular benefits of these newer agents. Help patients afford their meds with this resource from AACE Full show notes available at Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected] Case: Case from Kashlak Memorial Hospital: 49 yo M with HTN, BMI 29, hyperlipidemia, family history of premature CAD (dad age 45yo), and type 2 diabetes with A1C increase from 6.4% to 9% while on metformin monotherapy. Clinical Pearls: Latent autoimmune diabetes of aging (LADA): Autoimmune disease similar to type 1 diabetes (DM1). Suspect if older adult presents w/new insulin dependence. Check glutamic acid decarboxylase (GAD) antibodies, which are most s Continue reading >>

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  1. 2bflawless

    Anyone else in ketosis and burning up? Seriously, I don't have a fever and I feel great but I just can't get or stay cool. And ladies I am not in menopause. :lol: Just wondering if anyone has experienced this as well. Now it is hot here in Southern California but I am in AC and can not cool down...drinking loads of water. Can't seem to find anything in my Atkins books referring to body temperature in ketosis.

  2. mattie o

    yes! the burn, i get that. it sucks, but you know somethings working!

  3. 2bflawless

    OK, so its not just me. :lol:

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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 stimulate FURTHER production and release of glucose into the blood, causing it to overflow into urine, resulting in excessive LOSS of water and electrolytes. The major DIFFERENCE between HHS and DKA is the ABSENCE of acidosis in HHS. This is because, unlike DKA, the level of insulin in HHS patients is HIGH enough to SUPPRESS lipolysis and hence ketogenesis. This explains why HHS occurs more often in type 2 diabetics, who have more or less normal level of circulating insulin. Reminder: type 2 diabetics DO produce insulin but their cells do NOT respond to insulin and therefore cannot use glucose. Because symptoms of acidosis are NOT present, development of HHS may go UNnoticed until blood glucose levels become EXTREMELY high. Severe dehydration results in INcreased concentrations of solutes in the blood, raising its osmolarity. HyPERosmotic blood plasma drives water OUT of bodys tissues causing cellular dysfunction. Primary symptom of HHS is ALTERED consciousness due to excessive dehydration of brain tissues. This can range from confusion to coma. Emergency treatment consists of intravenous fluid, insulin and potassium similar to those used in DKA.

Diabetic Ketoacidosis And Hyperosmolar Hyperglycemic State In Adults: Clinical Features, Evaluation, And Diagnosis

INTRODUCTION Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS, also known as hyperosmotic hyperglycemic nonketotic state [HHNK]) are two of the most serious acute complications of diabetes. DKA is characterized by ketoacidosis and hyperglycemia, while HHS usually has more severe hyperglycemia but no ketoacidosis (table 1). Each represents an extreme in the spectrum of hyperglycemia. The precipitating factors, clinical features, evaluation, and diagnosis of DKA and HHS in adults will be reviewed here. The epidemiology, pathogenesis, and treatment of these disorders are discussed separately. DKA in children is also reviewed separately. (See "Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Epidemiology and pathogenesis".) Continue reading >>

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  1. needtolose4me2

    since last week when I messed up and had some ad carbs one day, I basically started over Tuesday. I was really good all day Tuesday and Wednesday. Wednesday night I used a ketosis stick and it came up "trace". is that normal?should it take longer to get into ketosis? I was doing good the first 3 weeks (however not measuring my ketone levels) then all of a sudden I gained 2 pounds at which point I got aggrivated and screwed up for one day. the next day I got right back in the groove. I know my carbs are low, Ihaven't gotten on a scale,but this trace amount of keytones is concerning me. DO you think I should do some kind of fast (could onl really stomach the macadamia nut one) or wait it out a bit longer?

  2. JerseyGyrl

    I would not be too concerned about the Ketosis Stix....they have been known to not be accurate. If you are drinking a lot of water (as you should be) or eating a lot of fat & protein, they can give you false readings.
    Eating something you shouldn't, can definately knock you out of ketosis. Getting back into ketosis can vary depending on the person.
    As far as "fasts" are concerned, personally, I woudn't consider a fast unless I was in a very serious stall (not losing lbs OR inches). My best advice to you is to do a clean induction (only real foods..meat,eggs,cheese, veggies, etc) and be patient. Sometimes we get so anxious to lose the unwanted pounds we forget that we didn't gain them overnite & we aren't going to lose them overnite.
    All the best to you,

  3. Tiffany_Bracelet

    For me, it depends on the amount of water and foods that I consume. Ketosis makes my mouth really dry....so I don't go into a deep ketosis like I have before with the meat/egg fast.

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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.....

Prevalence Of Diabetes Ketoacidosis Rises And Still No Strict Treatment Adherence

Prevalence of Diabetes Ketoacidosis Rises and Still No Strict Treatment Adherence Author(s): Alex Jervis , Susannah Champion , Gemma Figg , Jane Langley , Gary G. Adams . Insulin Diabetes Experimental Research Group, Faculty of Medicine and Health Sciences, The University of Nottingham, Nottingham, NG7 2UH, United Kingdom. Diabetes ketoacidosis (DKA) should be managed following clear written guidelines. However, evidence suggests thathealthcare professionals do not always adhere strictly to the agreed guidelines. Objective: This investigation aimed to review the management of DKA in a hospital setting, to assess what DKA treatmentwas implemented and its effectiveness on patient care. As a result of the study, it was also anticipated that the datawould highlight other matters of interest, such as whether certain categories of people are more prone to DKA. Method: A retrospective audit was carried out on patients case notes in hospitals within the East Midlands, UK. Thismethod prevents study outcomes being swayed because DKA management has already taken place. To reduce selectionbias the most recent available case notes were selected. All patients aged 39 and under who were admitted Continue reading >>

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  1. Timothy Covel

    “Is it safe”… knowing nothing about your general health status, any specific conditions, age, weight, sleep, stress levels, there is no way someone can say yes or no to this question with absolute certainty.
    I can give you a probabilistic answer, which is that most people seem to have no serious side effects or problems on a ketogenic diet, so you probably would not either.
    Or an anecdotal answer, which is that I’ve been doing keto for several years, so 12 weeks seems like a trivial commitment and should be no problem in my experience.

    Unfortunately “Is it safe” sounds like a question for a doctor, for which the answer carries a certain weight of liability, and I am not one.

  2. Elsdon Carel Ward

    A ketogenic diet burns body fat in the absence of carbohydrate. But the process is turned off by eating carbs. I would say that it is perfectly safe to restrict your carbs to the recommended minimum per day - but not to go without any. If you are eating mainly protein - limit your fat intake and eat lean proteins. There is still a question mark over a high fat diet and its relationship to cardio-vascular health - so avoid oils and fats other than what is in nuts and avocados.

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