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Hhs Diabetes Guidelines

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My Site - Chapter 15: Hyperglycemic Emergencies In Adults

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) should be suspected in ill patients with diabetes. If either DKA or HHS is diagnosed, precipitating factors must be sought and treated. DKA and HHS are medical emergencies that require treatment and monitoring for multiple metabolic abnormalities and vigilance for complications. A normal blood glucose does not rule out DKA in pregnancy. Ketoacidosis requires insulin administration (0.1 U/kg/h) for resolution; bicarbonate therapy should be considered only for extreme acidosis (pH7.0). Note to readers: Although the diagnosis and treatment of diabetic ketoacidosis (DKA) in adults and in children share general principles, there are significant differences in their application, largely related to the increased risk of life-threatening cerebral edema with DKA in children and adolescents. The specific issues related to treatment of DKA in children and adolescents are addressed in the Type 1 Diabetes in Children and Adolescents chapter, p. S153. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are diabetes emergencies with overlapping features. With insulin deficiency, hyperglycemia causes urinary Continue reading >>

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Popular Questions

  1. Babybeastte

    So I have looked high and low. Is there a list out there of supplements (i.e BCAA, L-carnitine, creatine etc etc ) that have the potential of kicking you out of keto. Or maybe should I be looking for a particular ingredient other than the obvious (i.e sugar or sugar derivative)?
    My urine ketones seem to drop dramatically after a heavy weight session (which involves supplements as noted above). I always bounce back very quickly, but its good to be in the know.
    Facts: current weight 110, BF 17%, height 5'2", sex F, age 48 soon to be 49. 6 weeks out from my 1st grand master figure comp & excited as heck!! Keto since May 1, 2015 and luv'g it.

  2. anbeav

    Put the ketostix away, you can make no conclusions from the level on the stick. Embrace it, as discussed yesterday, don't second guess what's clearly working for you

  3. rickamore

    Nutritional ketosis relies on empty liver glycogen. That's it. I don't know why people think things like caffeine will "Kick them out of keto". Is it a substantial amount of carbs? No? Then unless it's something that will kill you already (thus halting ketosis) it won't do anything other than at most reduce the amount of circulating ketones in the blood. Which doesn't matter, you'll still produce them as needed unless you start carbs again.

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