diabetestalk.net

High Ketones Without High Blood Sugar

Share on facebook

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.....

How To Treat Ketoacidosis

Fri, 11/19/2010 - 14:57 -- Richard Morris Immediately drink a large amount of non-caloric or low caloric fluid. Continue to drink 8 to 12 oz. every 30 minutes. Diluted Gatorade, water with Nu-Salt and similar fluids are good because they help restore potassium lost because of high blood sugars. Take larger-than-normal correction boluses every 3 hours until the blood sugar is below 200 mg/dl (11 mmol) and ketones are negative. It will take much more rapid insulin than normal to bring blood sugars down when ketones are present in the urine or blood. Often, one and a half to two times the normal insulin dose for a high blood sugar will be necessary. Higher insulin doses than these will be needed if there is an infection or other major stress. If nausea becomes severe or last 4 hours or more, call your physician. If vomiting starts or you can no longer drink fluids, have a friend or family member call your physician immediately, then go directly to an emergency room for treatment. Never omit your insulin, even if you cannot eat. A reduced insulin dose might be needed, but only if your blood sugar is currently low. When high blood sugars or ketoacidosis happen, it is critical that you Continue reading >>

Share on facebook

Popular Questions

  1. Shanell08

    High Blood Sugars with No Ketones

    Question:
    So my boyfriend has had Type 1 Diabetes for over 10 years now and while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks!

  2. hannahtan

    Interesting... perhaps your bf is still producing that tiny bit of insulin which is what that is keeping him from developing into DKA but not enough to regulate his bg?

  3. MarkM

    Originally Posted by Shanell08
    ... while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks! It just means that there is enough circulating insulin for for the body's glucose requirements to be satisfied. Ketones are produced when fat or muscle are broken down. And large amounts of ketones are only produced if there is inadequate insulin for glucose to be used as fuel to keep the body ticking over.

  4. -> Continue reading
read more
Share on facebook

What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the spontaneous decomposition of acetoacetic acid. It is often described as smelling like fruit or nail polish remover. Ketosis may also smell, but the odor is usually more subtle due to lower concentrations of acetone. Treatment consists most simply of correcting blood sugar and insulin levels, which will halt ketone production. If the severity of the case warrants more aggressive measures, intravenous sodium bicarbonate infusion can be given to raise blood pH back to an acceptable range. However, serious caution must be exercised with IV sodium bicarbonate to avoid the risk of equally life-threatening hypernatremia. Three common causes of ketoacidosis are alcohol, starvation, and diabetes, resulting in alcoholic ketoacidosis, starvation ketoacidosis, and diabetic ketoacidosis respectively. In diabetic ketoacidosis, a high concentration of ketone bodies is usually accompanied by insulin deficiency, hyperglycemia, and dehydration. Particularly in type 1 diabetics the lack of insulin in the bloodstream prevents glucose absorption, thereby inhibiting the production of oxaloacetate (a crucial molecule for processing Acetyl-CoA, the product of beta-oxidation of fatty acids, in the Krebs cycle) through reduced levels of pyruvate (a byproduct of glycolysis), and can cause unchecked ketone body production (through fatty acid metabolism) potentially leading to dangerous glucose and ketone levels in the blood. Hyperglycemia results in glucose overloading the kidneys and spilling into the urine (transport maximum for glucose is exceeded). Dehydration results following the osmotic movement of water into urine (Osmotic diuresis), exacerbating the acidosis. In alcoholic ketoacidosis, alcohol causes dehydration and blocks the first step of gluconeogenesis by depleting oxaloacetate. The body is unable to synthesize enough glucose to meet its needs, thus creating an energy crisis resulting in fatty acid metabolism, and ketone body formation.

What Is Diabetic Ketoacidosis?

Diabetic ketoacidosis is a serious condition characterized by high blood sugar (hyperglycemia), low insulin, and the presence of moderate to large amounts of ketones in the blood. It's a medical emergency that requires treatment in a hospital. If not treated in a timely fashion, ketoacidosis can lead to coma and death. While diabetic ketoacidosis (or DKA) is much more common among people with type 1 diabetes, it can also occur in people with type 2 diabetes, so ketone monitoring is something everyone with diabetes should understand. Diabetic Ketoacidosis Symptoms Signs and symptoms of ketoacidosis include: Thirst or a very dry mouth Frequent urination Fatigue and weakness Nausea Vomiting Dry or flushed skin Abdominal pain Deep breathing A fruity breath odor What Are Ketones? Ketones, or ketone bodies, are acidic byproducts of fat metabolism. It's normal for everyone to have a small amount of ketones in the bloodstream, and after a fast of 12 to16 hours, there may be detectable amounts in the urine. As is the case with glucose, if blood levels of ketones get too high, they spill over into the urine. An elevated level of ketones in the blood is known as ketosis. People who follow low Continue reading >>

Share on facebook

Popular Questions

  1. Shanell08

    High Blood Sugars with No Ketones

    Question:
    So my boyfriend has had Type 1 Diabetes for over 10 years now and while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks!

  2. hannahtan

    Interesting... perhaps your bf is still producing that tiny bit of insulin which is what that is keeping him from developing into DKA but not enough to regulate his bg?

  3. MarkM

    Originally Posted by Shanell08
    ... while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks! It just means that there is enough circulating insulin for for the body's glucose requirements to be satisfied. Ketones are produced when fat or muscle are broken down. And large amounts of ketones are only produced if there is inadequate insulin for glucose to be used as fuel to keep the body ticking over.

  4. -> Continue reading
read more
Share on facebook

Dont Overlook These 8 Caution Indications of Vitamin B12 Shortage!! Mineral deficiencies are more typical than vitamin shortages; statistics shows that a person in four grownups handles lack of vitamin B12. In this video we will cover the signs and causes of vitamin B12 shortage, plus you will get a couple of simple pointers on ways to regulate that. Vitamin B12: This vitamin is known as the energy vitamin. Something you have to provide you an energy increase late in the afternoon. Some like it for its ability to bring some reside in cardio exercises. Vitamin B12 is likewise thought about as a weight reduction miracle drug, and it is incredibly popular at medical weight loss clinics. It became more than clear that individuals are insane for this vitamin, so clinics and spa provide reduced vitamin B12 injections. These are used on day-to-day deal sites with the hope that you did get a bunch of these immediately. But, vitamin B12 does not offer genuine energy by itself. However, if you are diagnosed with Megaloblastic anemia (it makes you feel all tired and weak), an abrupt increase in your B12 intake will sure make you seem like you have got the power (and all the energy on the planet). This occurs due to the fact that this vitamin has an essential function in the formation of red blood cells. These take oxygen throughout the body. And yes, we require oxygen to endure! It is pure logic oxygenated blood fills you up with life and energy. Vitamin B12 is necessary for you Dr. Mercola says that vitamin B12 carries out various important functions in the body, consisting of: Secretion of adrenal hormonal agent Circulation Formation of red blood cells Healthy anxious system Correct digestion Iron absorption Metabolism of fat and carbs Nerve growth and development Healthy reproductive system in ladies Risk groups vulnerable to B12 deficiency: Some foods are packed with healthy portions of vitamin B12, but in some cases this cannot preserve its optimum level in the body. We have covered the most common high-risk groups that ought to think about supplementing with vitamin B12 on a daily basis! Individuals aged 60 and over who do not have sufficient stomach acid Patients identified with autoimmune conditions, such as celiac or Crohns illness Vegans and vegetarians who do not consume products of animal origin Diabetics on Metformin (this medication affects the absorption of vitamin B12). Signs of vitamin B12 deficiency: Failure to keep your eyes open. It is because your blood is not abundant in oxygen, and you do not get the energy your body requires; Feeling numb, tingly and experiencing a pins and needles feeling. This indicated that you are dealing with nerve damage as an outcome of bad vitamin B12 levels; Memory loss is likewise triggered by vitamin B12 deficiency. This uses specifically to young people who are too young to establish age-related dementia; Feeling shaky or dizzy also suggests that your blood does not have enough oxygen; Yellow skin is brought on by red cell deterioration. It tosses out a distinctive yellow pigment when it tears apart. If you do not have vitamin B12, your body is not able to produce strong cells; Smooth tongue is something you get after you lose a couple of papillae bumps. These bumps assist you recognize the taste, and if you are constantly getting a blah impression of your food, you are probably lacking vitamin B12; Feeling anxious and tearful, you are likely to handle vitamin B12 shortage. This vitamin is accountable for the production of happy brain chemicals, serotonin, and dopamine. Optic nerve damage leads to weird vision problems, so you typically get fuzzy or double vision. Test your vitamin levels each time you see shadows in your vision fields, since this is a common symptom of low vitamin B12 levels. Reasons for vitamin 12 shortage: Although it is extremely important, vitamin B12 is one of the most neglected vitamins. The shortage of this vitamin may be triggered by numerous elements, and we provide you some of the most typical: Antacids affect the assimilation of vitamin B12. Think it or not, the body requires sufficient stomach acid to soak up vitamin B12; Nitrous oxide, likewise known as the laughing gas, damages vitamin B12 in the body. Scary! The H. pylori germs damages stomach cells that produce the intrinsic aspect. The body is not able to absorb vitamin B12 without his protein; Stomach bypass weight reduction surgery changes the digestion mechanisms, and this might affect the absorption of vitamin B12; If you consume more than 4 cups of coffee each day, you have 15% less vitamin B12 than those who do not really elegant coffee. Scientists still have actually not discovered why is this so;

Caution: Don’t Get Caught With Ketones

Ketoacidosis is an extremely serious diabetic complication that can lead to coma and even death. Unfortunately it is also fairly common. The good news, however, is that with proper care and an eye towards prevention, this costly and dangerous complication can be avoided. What Is Ketoacidosis? When there isn't enough insulin present for the metabolism of glucose, or when insufficient food has been eaten to satisfy energy requirements, the body burns fat for energy. Ketones are toxic, acidic byproducts of this process. Ketones are normally processed by the kidneys and excreted in the urine. But when more ketones are produced than the kidneys can handle, they can build up in the blood and lead to a dangerous condition known as diabetic ketoacidosis (DKA). Ketoacidosis raises the acidity of the body, which leads to "a cascade of problems throwing off a number a parameters in the body," says Cindy Onufer, RN, MA, CDE, the diabetes research and clinical care coordinator at Oregon Health Sciences University. Ketoacidosis rarely occurs in people with type 2 diabetes, who usually do not suffer from insufficiency of insulin, but is of great concern to those with type 1 diabetes. In fact, ket Continue reading >>

Share on facebook

Popular Questions

  1. Shanell08

    High Blood Sugars with No Ketones

    Question:
    So my boyfriend has had Type 1 Diabetes for over 10 years now and while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks!

  2. hannahtan

    Interesting... perhaps your bf is still producing that tiny bit of insulin which is what that is keeping him from developing into DKA but not enough to regulate his bg?

  3. MarkM

    Originally Posted by Shanell08
    ... while having High Blood Sugars he has never had any ketones. Everytime he tests it is always negative. Even with a Blood Sugar of 500. What does this mean? What is his body using for fuel? Should I be alarmed? Thanks! It just means that there is enough circulating insulin for for the body's glucose requirements to be satisfied. Ketones are produced when fat or muscle are broken down. And large amounts of ketones are only produced if there is inadequate insulin for glucose to be used as fuel to keep the body ticking over.

  4. -> Continue reading
read more

No more pages to load

Related Articles

  • High Ketones Without High Blood Sugar

    Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. 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 ...

    ketosis May 2, 2018
  • Can You Have Ketones Without Diabetes

    Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. Got a quick call today from my doctor since I had a routine physical and got bloodwork and urine tests done. He said everything was normal except for really low vitamin D levels and oddly enough, ketones in my urine. He explained that typically it's a sign of uncontrol ...

    diabetes Apr 26, 2018
  • High Ketones Normal Blood Sugar

    Ketoacidosis And Hyperglycemic Hyperosmolar Syndrome Severe high blood sugars, ketosis (the presence of ketones prior to acidification of the blood), and ketoacidosis (DKA) are serious and potentially life-threatening medical problems which can occur in diabetes. High blood sugars become life-threatening in Type 1 or long-term Type 2 diabetes only when that person does not receive enough insulin from injections or an insulin pump. This can be cau ...

    ketosis Apr 29, 2018
  • Ketones In Urine Without Diabetes

    WRITTEN BY: Kyla Schmieg, BSN, RN Editor’s Note: Kyla Schmieg (BSN, RN) is a practicing pediatric endocrinology nurse in Cincinnati, OH, USA, and Type 1 Diabetic, working on the same unit she was diagnosed at 26 years ago. 1 – What are ketones? Ketones are chemicals that build up when your body starts to burn fat for energy. The most common cause of ketones in diabetics is insulin deficiency. Without enough insulin, glucose builds up in the b ...

    diabetes May 6, 2018
  • Can You Have Ketones Without High Blood Sugar

    Blood sugar levels that are too high (hyperglycemia) can quickly turn into a diabetic emergency without quick and appropriate treatment. The best way to avoid dangerously high blood sugar levels is to self-test to stay in tune with your body, and to stay attuned to the symptoms and risk factors for hyperglycemia. Extremely high blood sugar levels can lead to one of two conditions—diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonket ...

    ketosis May 1, 2018
  • Can You Have Ketones Without Having Diabetes?

    A researcher on diabetes and exercise describes why exercise elevates risk of DKA for people with Type 1 diabetes. In a new set of guidelines for Type 1 diabetes and exercise, I and my fellow researchers warn that people with Type 1 diabetes need to monitor for elevated levels of ketones during exercise. If you have Type 1 and exercise regularly, testing for ketones could save your life. Ketones develop in our bodies when we mobilize fat as fuel. ...

    diabetes Jan 16, 2018

More in ketosis