How Do You Test For Ketoacidosis?

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What is POINT-OF-CARE TESTING? What does POINT-OF-CARE TESTING mean? POINT-OF-CARE TESTING meaning - POINT-OF-CARE TESTING definition - POINT-OF-CARE TESTING 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... Point-of-care testing (POCT), or bedside testing is defined as medical diagnostic testing at or near the point of care—that is, at the time and place of patient care. This contrasts with the historical pattern in which testing was wholly or mostly confined to the medical laboratory, which entailed sending off specimens away from the point of care and then waiting hours or days to learn the results, during which time care must continue without the desired information. Point-of-care tests are simple medical tests that can be performed at the bedside. In many cases the simplicity was not achievable until technology developed not only to make a test possible at all but then also to mask its complexity. For example, various kinds of urine test strips have been available for decades, but portable ultrasonography did not reach the stage of being advanced, affordable, and widespread until the 2000s and 2010s. Today portable US is often viewed as a "simple" test, but there was nothing simple about it until the more complex technology was available. Similarly, pulse oximetry can test arterial oxygen saturation in a quick, simple, noninvasive, affordable way today, but in earlier eras this required an intraarterial needle puncture and a laboratory test; and rapid diagnostic tests such as malaria antigen detection tests rely on a state of the art in immunology that did not exist until recent decades. Thus, over decades, testing continues to move toward the point of care more than it formerly had been. A recent survey in five countries (Australia, Belgium, the Netherlands, the UK and the US) indicates that general practitioners / family doctors would like to use more POCTs. The driving notion behind POCT is to bring the test conveniently and immediately to the patient. This increases the likelihood that the patient, physician, and care team will receive the results quicker, which allows for better immediate clinical management decisions to be made. POCT includes: blood glucose testing, blood gas and electrolytes analysis, rapid coagulation testing (PT/INR, Alere, Microvisk Ltd), rapid cardiac markers diagnostics (TRIAGE, Alere), drugs of abuse screening, urine strips testing, pregnancy testing, fecal occult blood analysis, food pathogens screening, hemoglobin diagnostics (HemoCue), infectious disease testing and cholesterol screening. POCT is often accomplished through the use of transportable, portable, and handheld instruments (e.g., blood glucose meter, nerve conduction study device) and test kits (e.g., CRP, HBA1C, Homocystein, HIV salivary assay, etc.). Small bench analyzers or fixed equipment can also be used when a handheld device is not available—the goal is to collect the specimen and obtain the results in a very short period of time at or near the location of the patient so that the treatment plan can be adjusted as necessary before the patient leaves. Cheaper, faster, and smarter POCT devices have increased the use of POCT approaches by making it cost-effective for many diseases, such as diabetes, carpal tunnel syndrome (CTS) and acute coronary syndrome. Additionally, it is very desirable to measure various analytes simultaneously in the same specimen, allowing a rapid, low-cost, and reliable quantification. Therefore, multiplexed point-of-care testing (xPOCT) has become more important for medical diagnostics in the last decade. Many point-of-care test systems are realized as easy-to-use membrane-based test strips, often enclosed by a plastic test cassette. This concept often is realized in test systems for detecting pathogens. Very recently such test systems for rheumatology diagnostics have been developed, too. These tests require only a single drop of whole blood, urine or saliva, and they can be performed and interpreted by any general physician within minutes.....

Diagnostic Accuracy Of Point-of-care Testing For Diabetic Ketoacidosis At Emergency-department Triage

Diagnostic Accuracy of Point-of-Care Testing for Diabetic Ketoacidosis at Emergency-Department Triage -Hydroxybutyrate versus the urine dipstick Department of Clinical Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California Corresponding author: Sanjay Arora, [email protected] . Received 2010 Oct 4; Accepted 2011 Jan 7. Copyright 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See for details. This article has been cited by other articles in PMC. In the emergency department, hyperglycemic patients are screened for diabetic ketoacidosis (DKA) via a urine dipstick. In this prospective study, we compared the test characteristics of point-of-care -hydroxybutyrate (-OHB) analysis with the urine dipstick. Emergency-department patients with blood glucose 250 mg/dL had urine dipstick, chemistry panel, venous blood gas, and capillary -OHB measurements. DKA was diagnosed according to American Diabetes Association criteria. Of 516 hyperglycemic subjects, 54 had DKA. The urine dipstick had a sensitivity of 98. Continue reading >>

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Popular Questions

  1. Nissa

    I'm just at the end of my 14 day Induction and in the first week I dropped 3kgs and I could really feel my body working hard but in the second week I haven't lost anything and I don't seem to feel the effects of entering ketosis anywhere near as much. Is that normal?? I did note that some days my carb levels have barely hit 13-15 whereas other days are up at 18-20, could that have anything to do with it? I started at 61kgs and have dropped to 58 but still 4kgs off my goal weight. Should I stay in Induction since my weight loss has slowed or should I move on to OWL? A little confused... :S

  2. Marcel

    Pretty much in the same situation. I lost 4kg in my first week of induction and then only 300 g in my second. Now I'm doing another two weeks of induction. It could be "normal" with this new Atkins. I'd been on the original Atkins ten years ago and it worked like magic.

  3. Georgia

    Hi Guys,
    The scale is the least reliable source of information regarding fat loss. Take your measurements with a tape measure once a week to see if you are losing inches.
    If you are, it means that your fat cells are shrinking and the scale is bound to catch up eventually.
    Assuming that you are doing Atkins properly, recognize that there may not be a problem at all. Different people will respond to Atkins differently; some consistently lose weight while others do so in stages. Don't compare yourself to others and become overly concerned with short-term results. Certain medications, activity level, hormonal status and age can cause differences in weight loss. Also, make sure your expectations of weight loss are realistic. It is impossible to predict the rate of weight loss because there are so many variables.
    Here is a check list;
    Are you drinking enough water? At least 64oz daily.
    Eating all your veggies? Meaning at least 12-15 net carbs from veggies daily.
    Try 4 veggie net carbs at breakfast, 5.5 veggie net carbs at lunch, 5.5 veggie net carbs at dinner.
    Eating only from the Acceptable Food List?http://www.atkins.com/Program/Phase1/WhatYouCanEatinthisPhase.aspx
    Check for hidden carbs and sugars in the foods you are consuming. (i.e. corn syrup, fructose)
    Consume no more than 3 teaspoons (3 packets) of artificial sweeteners a day? Completely stop the Diet Sodas.
    Make sure you are not consuming too few or too many calories. Plan for between 1500 calories for women and 1800 calories for men daily.
    Too few as well as too many can retard weight loss. No need to count on a daily basis, just do a spot check.
    Do a spot check on calorie consumption at www.fitday.com.
    Are you sedentary? Move your body...Walk at least 30 minutes a day to start.
    Are you on any medications that could be impeding your weightloss? Talk to your doctor.
    Make sure not to eat more than 2 Atkins products a day.
    Before you get discouraged and lose your commitment to long-term healthy eating habits, understand that plateaus occur in any slimming-down process. Stick with the program and your weight loss will kick in again. You may stay at one weight for a month, and then suddenly drop three pounds.
    Don't forget to check out our AU Carb Counter : http://au.atkins.com/uploads/docs/2013%20ANZ%20Carb%20Counter%20booklet.pdf which will help you keep informed on your daily carb count
    Hope this helps,
    Atkins Customer Support Specialist

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Ketosis Vs. Ketoacidosis: What You Should Know

Despite the similarity in name, ketosis and ketoacidosis are two different things. Ketoacidosis refers to diabetic ketoacidosis (DKA) and is a complication of type 1 diabetes mellitus. It’s a life-threatening condition resulting from dangerously high levels of ketones and blood sugar. This combination makes your blood too acidic, which can change the normal functioning of internal organs like your liver and kidneys. It’s critical that you get prompt treatment. DKA can occur very quickly. It may develop in less than 24 hours. It mostly occurs in people with type 1 diabetes whose bodies do not produce any insulin. Several things can lead to DKA, including illness, improper diet, or not taking an adequate dose of insulin. DKA can also occur in individuals with type 2 diabetes who have little or no insulin production. Ketosis is the presence of ketones. It’s not harmful. You can be in ketosis if you’re on a low-carbohydrate diet or fasting, or if you’ve consumed too much alcohol. If you have ketosis, you have a higher than usual level of ketones in your blood or urine, but not high enough to cause acidosis. Ketones are a chemical your body produces when it burns stored fat. S Continue reading >>

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  1. rosieleavy

    Hi! I'm a 21 y/o female (former youth professional football player with Arsenal FC) so come from a huge sporty background and used to be fit as a fiddle. Long story short during a game I was tackled to the ground and the cartilage in my right knee essentially split into two. 2 operations, years of physio etc later agony has increased as my spine has begun to twist. I can't do any physical exercise apart from swimming (which I aim to do 3 hours of a week) but can barely even stand for more than 15 mins or so without pain. I also suffer from IBS and find Keto is fab for curing the symptoms! I like the diet (as long as I get a few breaks here and there) but was just wondering if keto would aid me to lose weight even without intense exercise to boot? I'm a Biomedical Scientist so understand the biomechanics behind it but it's a little out of my field- thoughts on keto without exercising? Thanks guys!

  2. CarnivoreForLife

    I lost about 100lbs before thinking about exercise. Losing the weight made exercise easier, not the other way around, as so many people seem to think.

  3. Gaiacreation

    I think many people think that way because for them it in fact does work that way. By exercising from the start I have not had any cravings or temptations to cheat, and while the lbs don't come off as fast the body fat is absolutely melting away. To each their own though, there is no one rule that works for everyone! Congrats on your loss btw!

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South Indian Diabetic Breakfasts

Diabetic Ketoacidosisworkup

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis is typically characterized by hyperglycemia over 250 mg/dL, a bicarbonate level less than 18 mEq/L, and a pH less than 7.30, with ketonemia and ketonuria. While definitions vary, mild DKA can be categorized by a pH level of 7.25-7.3 and a serum bicarbonate level between 15-18 mEq/L; moderate DKA can be categorized by a pH between 7.0-7.24 and a serum bicarbonate level of 10 to less than 15 mEq/L; and severe DKA has a pH less than 7.0 and bicarbonate less than 10 mEq/L. [ 17 ] In mild DKA, anion gap is greater than 10 and in moderate or severe DKA the anion gap is greater than 12. These figures differentiate DKA from HHS where blood glucose is greater than 600 mg/dL but pH is greater than 7.3 and serum bicarbonate greater than 15 mEq/L. Laboratory studies for diabetic ketoacidosis (DKA) should be scheduled as follows: Blood tests for glucose every 1-2 h until patient is stable, then every 4-6 h Serum electrolyte determinations every 1-2 h until patient is stable, then every 4-6 h Glaser NS, Marcin JP, Wootton-Gorges SL, et al. Correlation of clinical and biochemical findings wit Continue reading >>

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Popular Questions

  1. boobear

    Hi everyone, I've done keto/low carb on/off last few years. Got really keto serious three weeks ago. On the whole last week my husband pretty much wanted to puke every time I spoke near him as he said my breath was soooo bad. I drink tons of water, chew gum etc. It was making me so self conscious that I went off the next day. It's been two days off and Breath is better but I really hate the way I feel eating carbs. Is there any tips for the keto breath, will it pass, and if so after how long??? It is literally the only thing that stops me from going back! Thanks in advance!

  2. Jessica

    They say that burning fat can cause bad breath due to chemicals released in the process. It's metabolic and not hygiene related. It doesn't usually last forever! Don't let it discourage you! Keep drinking lots of water

  3. boobear

    I'm trying really hard not too! I'm going to get back on tomorrow and keep ketoing but I hate being paranoid about my breath :(.

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