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How Can Dka Be Avoided?

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In this video, Dr. Michael Agus discusses the risk factors, signs, symptoms, and treatment of cerebral edema in diabetic ketoacidosis. Please visit: www.openpediatrics.org OPENPediatrics is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

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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  1. anonymous

    Sample carb up day diet on keto

    Hey starting keto on sunday. Can someone help me out and post a sample carb up day diet plan? Thanks

  2. FunkMasterPhil

    Originally Posted by itsurboyS
    Hey starting keto on sunday. Can someone help me out and post a sample carb up day diet plan? Thanks

    Its kind of hard to just post a carb up sample .. so many carb sources you can choose from depending on what you feel liek eatting for that specific carb up day.. start from high gi to low gi ...
    skim milk, white bread, cereal, candy, white rice, white pasta, sugar and anything high in sugar .... oats, whole wheat pasta, whole wheat bread, sweet potatoes, beans
    just make sure you meet your protein requirements and you're set

  3. acrack35

    I am carbing up today and all I can think about is beer and ice-cream. Damn DQ and beer commercials, advertising works I guess....
    I will most likely stay away from the ice-cream but I am for sure having a couple cold ones.

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What is CHROMIUM DEFICIENCY? What does CHROMIUM DEFICIENCY mean? CHROMIUM DEFICIENCY meaning - CHROMIUM DEFICIENCY definition - CHROMIUM DEFICIENCY 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... Chromium deficiency is a disorder that results from an insufficient dietary intake of chromium. It is an uncommon condition. Clear cases of deficiency have been observed in hospital patients who were fed defined liquid diets intravenously for long periods of time. The US dietary guidelines for adequate daily chromium intake were lowered in 2001 from 50200 g for an adult to 3035 g (adult male) and to 2025 g (adult female). These amounts were set to be the same as the average amounts consumed by healthy individuals. Consequently, it is thought that few Americans are chromium deficient. Approximately 2% of ingested chromium(III) is absorbed, with the remainder being excreted in the feces. Amino acids, vitamin C and niacin may enhance the uptake of chromium from the intestinal tract. After absorption, this metal accumulates in the liver, bone, and

Dka: How To Avoid A Severe Complication Of Insulin Deficiency

To understand DKA, it is first necessary to understand how our body uses glucose for energy and the role that insulin plays in that process. When we eat, food gets broken down into glucose (commonly called sugar), which is then released into the bloodstream. Insulin that is produced by the pancreas in healthy individuals then helps transport the glucose into our cells, where it is used as an energy source. DKA occurs when the body lacks enough insulin to help the glucose enter the cells, resulting in the glucose getting stuck in the circulatory system. Consequently, the body eliminates the glucose via urine, along with much-needed water and electrolytes such as salt and potassium, ultimately causing dehydration. As a result, the person with DKA is thirsty, urinates frequently and is at risk for severe complications resulting from electrolyte imbalances. At the same time, the body’s glucose-starved cells resort to burning body fat for fuel. And when that fat is broken down, the chemical byproducts of the fat-burning process – ketones – build up in the blood and urine, which can make the blood more acidic, cause organ dysfunction and ultimately lead to life-threatening complica Continue reading >>

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  1. cindy01

    I regret the day I discovered low carb. It destroyed my health in two short months, here I am struggling to eat normally again yet suffering the consequences and side affects harshly.
    I feel vacant, depressed and detached. I’ve already posted here http://180degreehealth.com/180forums/topic/months-carbing-destroyed
    I’ve been following Matt Stone’s protocol of restoring metabolism, restoring insulin sensitivity and utilising my glucose metabolism efficiently. Honestly low carb ruined me, it destroyed my glucose metabolism.
    I can’t handle starches, fruits, carbs, nothing. I’ve added them back slowly, transitioning from low GI to high GI gradually, over a period of two months. I just can’t handle carbs any more, whereas prior to low carb I never suffered with dizzy spells, hypoglycemia, brain fog, lethargy, low energy etc.
    For the past five days I’ve been following Matt’s protocol of more starches, sugar, saturated fat etc. I’m exceeding 2500 cals a day, and all my carb sources are from very starch dense foods, white rice, potatoes etc. and dry fruit like bananas and dates. These foods make up about 65% of my cals, the rest is protein and sat fat.
    My hypoglycemia episodes improved slightly on day 2, but they havent subsided and returned, especially after carb heavy meals. I have random moments of severe brain fog throughout the day and blood sugar swings erratically. I may be talkative and happy for a few minutes and suddenly crash really badly without warning.
    All this induced by a low carb diet, and all the symptoms I’m describing appeared on day 2 of my initial ketogenic approach. They have NOT improved since, despite gradually increasing my carbs back to sanity levels.
    I know I need to be patient but the frustration of feeling like shit for the past 3 months and not noticing any improvement is basically stressful. This constant zombie state is affecting every aspect of my life, socially, academically, mentally.
    I’m 23 with no known prior health problems. I thought my body would adapt better. Months have been wasted trying to correct my issues. I can’t progress. I really wanna stick it out. Right now I’m just binging out of pure frustration, of course it’s worsening my symptoms. I still get chills after eating and severe disorientation.
    I’ve tried every suggestion. More salt, less sugar more starch, more sugar less starch.
    I want to move on and ditch any type of restricting dieting for good. Felt like shit on low carb, eating MORE than prior to any dieting and still feel like shit. Should I be patient? My patience is wearing extremely thin.

  2. Hiss

    Ok like, I ate zero carb for 14.5 months. And when I started eating carbs again I experienced a lot of the symptoms you’re describing: fatigue, super fun mood swings, digestive issues, did I mention fatigue etc. They lasted for months. Like 6 months sounds right. Was it worth it? Absolutely yes.
    You mentioned you’ve been following Matt’s protocols for 5 days. I mean, I’m assuming you’ve been eating carbs again for longer than that but even so, this shit takes time.
    One thing that helped me was just sticking to mostly starch at the beginning. It was a while before I could eat sugar without it making me feel crappy.
    Also hi first post on this forum.

  3. Cody

    Interesting. It usually takes quite some time for people to have issues on low carb.
    Have you read eat for heat? I’m guessing you haven’t.
    If I were you, I’d find a way to calm down (maybe find a good therapist) and re-evaluate from a logical, calm perspective.
    How much water are you drinking?

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DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details). Quiz on DKA: http://www.registerednursern.com/diab... Lecture Notes for this video: http://www.registerednursern.com/diab... Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary

How To Avoid Diabetic Ketoacidosis (dka)

It might have been a really long time since you’ve been in diabetic ketoacidosis (DKA), or maybe you’ve never had it. But if you have Type 1 diabetes, you are at risk. Sometimes when you haven’t recently experienced a situation, you kind of forget about what you were told to do for prevention or treatment. That’s why a refresher might be a great idea! Signs you are experiencing diabetic ketoacidosis: If you are in DKA, it’s likely that you are nauseous or vomiting. Your breath may have a fruity or acetone odor as your body tries to offload ketones through your breathing. It’s likely that you will be dehydrated with very high BG levels and excessive urination. You might have aches and pains, and perhaps blurred vision. Not fun. DKA is serious, and can be life-threatening. Because of dehydration and excessive ketone production, the blood becomes acidic. This is caused by a lack of working insulin. Most cells preferentially burn glucose for fuel. Many cells can also burn fat in small amounts. While glucose burns “cleanly,” fat produces waste products called ketones. Ketones are acid and upset the pH balance, essentially polluting the atmosphere in our bodies. We don’ Continue reading >>

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  1. RCFletcher

    This is a general and interesting article which explains how ketosis works. the bit which alarmed me was about drinking if in ketosis. It also explains why people appear to get drunk quicker - it seems they're not drunk but their brains are short of fuel!
    If the moderators would like to move this post please do. I thought it was of such general interest that it should be here.
    Enjoy!
    http://www.sun.ac.za/med_physbio/med_physiology/dept/ketosis.htm
    DO NOT DRINK ALCOHOL IF YOU ARE KETOTIC!
    Alcohol is a powerful inhibitor of gluconeogenesis. In fact, it forces part of the gluconeogenic metabolic process into reverse. This means that if all the glucose in the blood is being derived from gluconeogenesis then the consumption of alcohol will inevitably cause the blood glucose level to fall. Worse still, the alcohol also stops ketone body production, thus leaving the brain entirely without fuel.
    A person who is ketotic is 100% reliant on gluconeogenesis to maintain adequate levels of glucose in the blood. If, under these circumstances alcohol is taken, the person will become disorientated and might lose consciousness, not just from the alcohol, but from low blood sugar. Needless to say, this could be very dangerous, and even fatal.
    Alcohol does not have these effects if the glycogen stores in the liver are normal. Under these circumstances the blood glucose level in the blood is maintained by the breakdown of liver glycogen, a process that is not influenced by alcohol. If a person becomes confused under these circumstances it is due simply to the pharmacological effects of the alcohol!

  2. kimberlyw

    OK - but there's a difference between slamming down shots of vodka and having a glass or two of wine.
    I mean - I personally have never noticed a difference - but then I don't drink much.
    Thanks for the article :D
    ~Kimberly

  3. BigJ

    Ehh.. It just means I'm a cheaper drunk. Getting loaded is hard on the brain cells no matter what :)
    Thanks for the article though!

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  • How Can Dka Be Avoided?

    To understand DKA, it is first necessary to understand how our body uses glucose for energy and the role that insulin plays in that process. When we eat, food gets broken down into glucose (commonly called sugar), which is then released into the bloodstream. Insulin that is produced by the pancreas in healthy individuals then helps transport the glucose into our cells, where it is used as an energy source. DKA occurs when the body lacks enough in ...

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