How Can Dka Be Avoided?

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How Can Cerebral Edema During Treatment Of Diabetic Ketoacidosis Be Avoided?

Abstract Cerebral edema during diabetic ketoacidosis (DKA) is a rare complication but it can be devastating, with significant mortality and long-term morbidity. Certain risk factors have been teased out with some large case-control studies, but more research needs to be done to make management guidelines safer. This article will discuss how DKA might be prevented from occurring in the first instance, known risk factors for cerebral edema, fluid and insulin management, the importance of careful monitoring during DKA treatment, and the importance of recognizing and acting on the earliest symptoms to prevent long-term harm. Continue reading >>

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Popular Questions

  1. NewtoKetoFemale

    I'm 5'7", early 30's, 153 lbs and about 30% BF. I have a personal trainer and just started a keto diet with him guiding me on it to (1) lose some fat and (2) hopefully become a faster runner. I'm not a huge runner, I've done one full marathon and a few half marathons but am always around the same pace - about 2:15 for a half marathon. I want to get faster so he told me to try this diet out for 2 months.
    I was on it for 2 weeks, didn't see any results and found out it was because on some days my protein levels are too high. So I've started again. For most of the winter I've been running about 5 - 7 K but now that it's getting nicer outside I've been increasing my distance. I did one long run of 12 K and it was one of my worst runs ever. My trainer said it'll take about 2 - 4 weeks for my body to adapt to running on fat as opposed to carbs so I will wait and see what happens.
    During the 12 K run, I thought to myself "I could use a gel". I used to take gels with caffeine when running anything above 12 K but gels contain a lot of carbs. I asked my trainer about it he said I can't take them anymore. He also said I shouldn't need to fuel at all during long runs. He himself is not a runner so I wanted to check to see what other runners take (if anything) who are on a keto diet.
    If you're running 21 - 42 K, do you take something while running to replace gels? If so, what would be good? Or will I be ok without anything? Also, what do people eat before a run? I used to eat a banana but last time I ate an avocado instead since I can't eat bananas. For electrolyte supplements I use Biosteel powder and that doesn't have any carbs in it so I think that's ok.

  2. wigako

    Your body is still adapting to the changes. Explain your diet a little more than your run. That will help us more since that's your question.

  3. NewtoKetoFemale

    Ok, thanks for the tip! In a day I usually eat the following: 2 meals a day (breakfast and dinner), maybe a snack if I feel hungry (around lunch or after dinner if I have an early dinner) and drink 2 - 3 tbsp of MCT oil throughout the day in my tea or coffee. I also take BCAA powder before or after working out and different vitamin/mineral supplements.
    I net about 20 - 25 g carbs, 120 g fat and 80 g of protein in a day. Caloric intake ranges anywhere from 1400 - 1800 depending on the day.
    Is that enough info? I'm just not sure about how to fuel for running longer distances since I'm so used to fueling with carbs before and during the run which I now can't do. My trainer says I won't need anything but he doesn't run so I'm just not sure.

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