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’t tend to burn much fat at a time, so small amounts of ketones can usually be broken down and burned off along with glucose. It’s necessary to have enough glucose in the body cells so there is a fuel source, and we also need to have insulin to move the glucose into the cells, where it can be used for energy. If there is no insulin, the glucose can’t get inside the cells. The cells are then forced to burn fat as an energy source, and this causes large amounts of ketones to be produced. Although some ketones will be eliminated through the urine, there will be too many ketones in the bloodstr Continue reading >>
Is A Ketogenic Diet Effective?
The short answer to your question, is yes, a ketogenic diet is safe and effective for most people. Of course, as with any major change in diet or exercise, you should consult with your doctor so that he or she can help you understand whether this diet is safe for YOU. And especially if you are a Type 1 diabetic, I would be concerned about you starting keto without being under close supervision by a doctor because you could go into ketoacidosis which is a dangerous condition. (Ketoacidosis is different than ketosis, which is a safe metabolic condition that your body enters when you cut carbs and raise your fat levels. It’s important not to confuse the two because while ketoacidosis is very dangerous, ketosis is healthy and is actually the goal for most people on the keto diet. Check out this research for the science behind ketosis vs. ketoacidosis.) Basically, a ketogenic diet is very low carb, moderate protein, and high fat. On keto, you should start out eating less than 20 net carbs per day - which is usually what everyone focuses on. But you also need to focus on your protein and fat levels. Women should eat between 50 and 75 grams of protein per day and men should stay between 100–125 grams of protein per day. And then for the fun part of keto - the FAT - your fat should be between a 1:1 and 1:2 ratio of protein to fat. Which means that if I eat 50 grams of protein a day, I should be eating between 50 and 100 grams of fat per day. And this is the yummy kind of fat - saturated fat is great on keto. So eat that bacon and slather on the butter because eating all that fat will help you lose weight and get healthy - as long as you have cut the carbs. And the fat helps you feel full so you won’t get hungry as often and you won’t feel deprived. And don’t worry tha Continue reading >>
With What Diet Can I Lose A Lot Of Weight Fast?
Look, almost any diet will make you lose weight. But what are you going to do when you’re finished with them? If you’re like most people, you’ll fall back on your old habits—the same ones that made you fat in the first place. That’s why most diets end in failure. It’s not that they’re ineffective—although some are complete rubbish; it’s that they’re a temporary answer to a semi-permanent problem. Here’s what you need to find out: what’s the healthiest form of food consumption you can enjoy for the rest of your life? Maybe you like veganism? Or paleo, or keto, or whatever. Perhaps you don’t end up in any diet camp and instead create your own habits. That’s great too. But here’s what matters for right now: if you want to lose weight, then you must consume food at a caloric deficit. This means eating less calories than you burn. I lost eighty pounds a number of years ago. About fifty to sixty pounds of that came without any exercise; I simply ate at a caloric deficit and tracked everything on MyFitnessPal—an online food journal with a mobile app. Similar stories can be found daily on forums like Reddit’s /r/loseit. You can literally achieve this eating junk food. (although I don’t recommend it!) A professor at Kansas State University lost 27lbs in 2 months eating Twinkies, chips, Oreos, and other junk. More recently, I lost 6lbs after eating exclusively at gas stations for 30 days. I traveled across 9 states and visited more than 200 stores—all in an effort to prove that you can “eat out” and still be healthy. But to be fair, the convenience store industry is working hard to make healthful food available on-the-go. Finding fruit, veggies, and good made-to-order options was easier than I thought it would be. So here’s the point: d Continue reading >>
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Ketoacidosis Versus Ketosis
Some medical professionals confuse ketoacidosis, an extremely abnormal form of ketosis, with the normal benign ketosis associated with ketogenic diets and fasting states in the body. They will then tell you that ketosis is dangerous. Testing Laboratory Microbiology - Air Quality - Mold Asbestos - Environmental - Lead emsl.com Ketosis is NOT Ketoacidosis The difference between the two conditions is a matter of volume and flow rate*: Benign nutritional ketosis is a controlled, insulin regulated process which results in a mild release of fatty acids and ketone body production in response to either a fast from food, or a reduction in carbohydrate intake. Ketoacidosis is driven by a lack of insulin in the body. Without insulin, blood sugar rises to high levels and stored fat streams from fat cells. This excess amount of fat metabolism results in the production of abnormal quantities of ketones. The combination of high blood sugar and high ketone levels can upset the normal acid/base balance in the blood and become dangerous. In order to reach a state of ketoacidosis, insulin levels must be so low that the regulation of blood sugar and fatty acid flow is impaired. *See this reference paper. Here's a table of the actual numbers to show the differences in magnitude: Body Condition Quantity of Ketones Being Produced After a meal: 0.1 mmol/L Overnight Fast: 0.3 mmol/L Ketogenic Diet (Nutritional ketosis): 1-8 mmol/L >20 Days Fasting: 10 mmol/L Uncontrolled Diabetes (Ketoacidosis): >20 mmol/L Here's a more detailed explanation: Fact 1: Every human body maintains the blood and cellular fluids within a very narrow range between being too acidic (low pH) and too basic (high pH). If the blood pH gets out of the normal range, either too low or too high, big problems happen. Fact 2: The Continue reading >>
How Does A Ketogenic Diet Change Your Life?
The ketogenic diet has changed many people’s lives in different ways: from weight loss to reversing diabetes to improving multiple health factors. Eating a diet high in fat, moderate in protein, and very low in carbohydrates, such as the ketogenic diet (or commonly known as “keto”), puts your body into a state of ketosis, a natural metabolic state in which your body is no longer using glucose as its main source of fuel, and instead it begins using ketones to get its energy. Ketones are produced when your body is burning fat because no glucose is available. It is important not to confuse ketosis, a completely harmless and normal metabolic state, with ketoacidosis, a dangerous condition that occurs mostly in type 1 diabetics when they create high levels of both glucose and ketones at the same time. On the ketogenic plan, blood glucose usually drops, so this is not a danger for most people. However, if you are a type 1 diabetic, check with your doctor before switching to the ketogenic way of eating. So being in ketosis simply means that you have switched from being a sugar-burner to a fat-burner. Ketones are created when you are metabolizing fat, whether it is from the fat in the foods you eat or from the fat around your belly. The ketogenic diet also is an anti-inflammatory way of eating. Chronic inflammation has been shown to be a significant contributor to metabolic syndrome, which includes obesity, insulin resistance, high blood pressure, and high cholesterol levels. Keto avoids foods that can cause inflammation, notably grains, sugar, and starchy carbohydrates such as potatoes and rice. Reducing inflammation may also improve leptin function in the body. Leptin is a hormone that sends signals to the brain that you have enough energy stored and that you are satiat Continue reading >>
Diabetic Ketoacidosis: What It Is And How To Prevent It
What is diabetic ketoacidosis? Diabetic ketoacidosis (say: key-toe-acid-OH-sis), or DKA for short, happens when your body has high blood sugar (also called glucose) and a build-up of acid. If it isn’t treated, it can lead to coma and even death. It mainly affects persons with type 1 diabetes. But, it can happen with other types of diabetes, including type 2 diabetes and diabetes during pregnancy. What causes DKA? The main cause of DKA is not having enough insulin. This raises the blood glucose levels, but stops the body from using the glucose for energy. To get calories, the body starts to burn fat. This causes a build-up of acid in the body. A high level of blood glucose can cause excessive urination, which leads to a lack of fluids in the body (dehydration). What are triggering factors? The most common triggering factors are “skipping” insulin doses and illnesses, especially infections that raise your body’s need for insulin. How can I prevent DKA? You should work with your doctor to have a plan if your blood glucose level gets too high. Make sure that you know how to reach your doctor in an emergency. Careful monitoring is needed, especially if you are sick. What should I do? Check your blood glucose level at least every three to four hours if you are sick. Check your glucose level every one to two hours if you have critical blood glucose values. Ask your doctor what your critical level should be. Most patients should watch their glucose levels closely when they are higher than 250 mg per dL. Keep testing at least every four hours during the night. Test your urine for ketones or your blood for beta-hydroxybutyrate every four hours or if your blood glucose is over 250 mg per dL. If you are not eating, do NOT stop your insulin completely. Your body needs insuli Continue reading >>
What Are The Best New Products Or Inventions That Most People Don't Know About?
This list contains 25 of them. take few minutes and be amazed. 1. Hourglass Traffic Lights 2.Easy-to-pack Shoes 3. Toothpaste Squeezer 4. Fence Window 5. Mirror Wiper 6. Drivemotion LED Car Sign 7. Pizza Scissors 8. Onion Holder 9. Rotating Bench That Guarantees a Dry Place to Sit 10. Faucet Thermometer 11. Citrus Spritzer 12. Ironing Board Mirror 13. Scooter Stroller 14. Lego Key Holder 15. Baby Bath Visor 16. Spaghetti Fork 17. Word Search Wrapping Paper 18. Lockable Mug 19. Umbrella with a Cupholder 20. Laser Bike Lane 21. Ice Cream Lock 22. Meat Scanner 23. Zipper Sneakers 24. Leftover Vegetable/Fruit Seal 25. Nightlight with Portable Glowing Orbs Source: Here Are 25 Incredibly Brilliant Inventions You Didn’t Even Know You Needed. #1 Changes Everything! UPDATE 1 Here are few more but from India this time. These are the finest of examples of what we in India call Jugaad Technology ;) Source:: 10 Pictures That Prove Indians Are One Of The Most Innovative People In The World 1. Probably the best load carrier for manual labour ever created. Vikram Dinubhai Panchal of The National Institute of Design (NID), created this masterpiece and priced it at a miniscule cost of Rs. 300. 2. We charge our mobile phones using Peepal Leaves. Unbelievable? Yes. Does it work? Yes. Astonishingly innovative? Absolutely! 3. We made a Rickshaw Powered-Lighting System. Now this is called "Man-power." Literally. 4. And here's a people carrier that blurs the fine line between mode of transportation and circus act. Although the thing looks a little dicey, you can't help but marvel at the guy's ingenuity. 5. We came up with the "Mitti-Cool" village fridge. Here's a fridge for the common man that doesn't require electricity. Indian inventor Mansukhbhai Prajapati poses with his "Mitti-Cool (Mud Continue reading >>
Can You Die Of Starvation With Large Amounts Of Adipose Tissue?
This paper gives an numbers based answer, and by extrapolation, it would seem the more adipose tissue you have, the longer you can without food: “Anaverage human of 165 pounds has roughly 33 pounds of fat…and 26 pounds of protein suspended in 132 pounds of lean body mass, mostly muscle. Practicallyall of the body fat is expendable without serious adverse effects. In contrast, only one-half of the body’s protein can be mobilized and used as fuel before death occurs. Theconversion of 6 kg of protein to glucose results in the formation of only 3.4 kg of glucose. If the brain oxidizes 100–145 g of glucose daily, the average human could starve for only 23–34 days. The fact that the brain can derive two-thirds of its energy from ketone bodies, synthesized mostly from fat, allows humans to survive total starvation for 60–90 days.”1 1. Owen OE. Ketone Bodies as a Fuel for the Brain during Starvation. Biochemistry And Molecular Biology Education. 2005. Vol. 33, No. 4, pp. 246–251, 2005. Continue reading >>
Why Do We Throw Up When We Are Hung-over?
1. The Body’s Reaction to Toxins An area of the brain, known as the vomiting center, alerts your body at once if any toxic substance enters your system. The vomiting center can be triggered by signals received from different parts of the body, such as the stomach, intestines, the balancing system and the blood stream. Alcohol ingestion is one of the triggers that can result in activation of the vomiting center. If the toxic level of alcohol is reached, the vomiting center will try to expel the excessive alcohol by making you throw up. 2. Gastroparesis Why do you throw up after drinking? Maybe the reason is gastroparesis. Alcohol intake causes the slowdown of the digestion in stomach (gastroparesis), which will lead to delayed stomach emptying. Since the digestion is slow, the proteins remaining in stomach will start to rot. The by-products of rotting are quite toxic and can trigger vomiting. 3. Alcohol Poisoning Alcohol poisoning is a potentially life-threatening result of alcohol drinking. Drinking excessive amounts of alcohol over a short span of time can exert adverse effects on gag reflex respiration, heart rate and body temperature. Coma and even death can occur if prompt treatment is not given. Except from vomiting, the signs and symptoms of alcohol poisoning also include delirium, seizures, low breathing rate (less than 8 breathes in a minute), pale or blue skin, cold extremities and fainting. 4. Alcoholic Ketoacidosis Why do you throw up after drinking? Alcoholic ketoacidosis may be one of the culprits. The cells need glucose and insulin to function well. Alcohol intake may cause the pancreas to cease the production of insulin. Then cells will start burning fats to obtain energy, which will generate by-products called ketones. Ketones are acidic in nature and Continue reading >>
How Long Can A Person With Type 1 Diabetes Live With No Treatment?
This will depend a great deal on two things: Is the person still in the honeymoon period? A person who is newly diabetic usually retains some insulin production. This can last for months or even years. Is the person aware that they are out of insulin? There are methods for mitigating (a little) the lack of insulin if one is aware of it. If a person is a long term diabetic with 0 insulin production and they are unaware that they are out of insulin so they continue to eat and drink like normal, they can fall into DKA (diabetic keto-acidosis) within 24 hours and without treatment death is likely within a few days. If said person still has SOME insulin production, then as soon as they stop consuming more carbs than their body can deal with, their situation may stabilize and while death is still likely, it can take months, or even a year or two. If a person has 0 insulin production and is AWARE of the lack of insulin, they will immediately stop consuming carbohydrates and begin drinking water in copious quantities. They will also begin exercising. Exercising will help reduce blood sugar to some extent, and drinking lots of fluids can help flush the ketones that cause DKA out. The person won’t be able to stave off death forever, but they will extend the amount of time it takes to fall into DKA and then die; but even then, you are probably talking about a matter of a week or three. If the person is in the honeymoon phase and still producing 10% or 20% of a normal person’s insulin, they may well be able to survive for years by radically reducing their carbohydrate intake and exercising regularly. But as their production of insulin drops, they will gradually have greater and greater problems until they too die. Continue reading >>
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Ketoacidosis During A Low-carbohydrate Diet
To the Editor: It is believed that low-carbohydrate diets work best in reducing weight when producing ketosis.1 We report on a 51-year-old white woman who does not have diabetes but had ketoacidosis while consuming a “no-carbohydrate” diet. There was no family history of diabetes, and she was not currently taking any medications. While adhering to a regimen of carbohydrate restriction, she reached a stable weight of 59.1 kg, a decrease from 72.7 kg. After several months of stable weight, she was admitted to the hospital four times with vomiting but without abdominal pain. On each occasion, she reported no alcohol use. Her body-mass index (the weight in kilograms divided by the square of the height in meters) was 26.7 before the weight loss and 21.7 afterward. Laboratory evaluation showed anion-gap acidosis, ketonuria, and elevated plasma glucose concentrations on three of the four occasions (Table 1). She had normal concentrations of plasma lactate and glycosylated hemoglobin. Screening for drugs, including ethyl alcohol and ethylene glycol, was negative. Abdominal ultrasonography showed hepatic steatosis. On each occasion, the patient recovered after administration of intravenous fluids and insulin, was prescribed insulin injections on discharge, and gradually reduced the use of insulin and then discontinued it while remaining euglycemic for six months or more between episodes. Testing for antibodies against glutamic acid decarboxylase and antinuclear antibodies was negative. Values on lipid studies were as follows: serum triglycerides, 102 mg per deciliter; high-density lipoprotein (HDL) cholesterol, 50 mg per deciliter; and calculated low-density lipoprotein (LDL) cholesterol, 189 mg per deciliter. The patient strictly adhered to a low-carbohydrate diet for four Continue reading >>
How To Avoid Diabetic Ketoacidosis
Diabetic ketoacidosis (DKA) is a possible complication of diabetes caused by extreme hyperglycemia, or high blood glucose. It is a serious and potentially life-threatening complication, one that you should work hard to avoid when you have diabetes. Diabetic ketoacidosis mainly affects people with type 1 diabetes, but it is a very rare possible complication for people with type 2 diabetes. Your doctor and certified diabetes educator will teach you how to recognize and manage diabetic ketoacidosis. It's critical to know and recognize the signs and symptoms of DKA, as well as how to treat it. What Is Diabetic Ketoacidosis? Diabetic ketoacidosis happens when your blood glucose level gets too high—usually higher than 300 mg/dL. Because people with type 1 diabetes do not have the insulin to process this extra glucose, their body cannot break down this glucose to create energy. To create energy for itself, the body starts to aggressively break down fat. Ketones or ketoacids are a byproduct of this process. Your body can handle a small amount of ketones circulating in your blood. However, the sizeable amounts from DKA are toxic. Diabetic Ketoacidosis Causes Illness, infections, stress, injuries, neglecting diabetes care (not properly taking your insulin, for example), and alcohol consumption can cause DKA. Diabetic Ketoacidosis Symptoms Initial symptoms of DKA include a stomach ache, nausea, and vomiting. One problem with DKA is that people could mistake it for an illness that typically gets better over time like the flu or food poisoning. Other symptoms of diabetic ketoacidosis include: fruity breath (when fat is broken down by the body, it creates a chemical called acetone that smells fruity) fatigue frequent urination intense thirst headache If you feel any of these sympto Continue reading >>
How Do People Die From Diabetes?
Diabetes is amongst the foremost leading cause of deaths in most of the countries. Today, the disease is widespread like an epidemic and the several complications which diabetes leads to often make people wonder #Can you Die from Diabetes?”. Well, although the answer to the above question cannot be a straight “Yes”, there is no denying of the fact that diabetes can, in fact, turn out to be a deadly disease. As per a report circulated by Diabetes UK, the life expectancy of a type 1 diabetes patient can be reduced by 20 years, while the same can be reduced by 10 in the case of a type 1 diabetes patient. This, of course, can be controlled by adopting a healthy lifestyle and controlling your blood sugar levels. Some of the ways in which you can die from diabetes include the following: High Blood Glucose Levels: The leading cause of death in diabetic patients is the inability to keep the blood glucose levels under control. Lipid Disorders: With diabetes comes a host of various other complications such as heart diseases, kidney disorders, amongst others. The leading cause of these complications is the disorder of the lipids in a diabetic patient. Diabetes Ketoacidosis: The high sugar level in the blood which is a characteristic of diabetes often leads to the high amount of ketone cells in the body. These ketones could be extremely deadly, causing deaths in patients. Complications: Diabetes is known to cause several complications in patients which adversely affect the functioning of the heart, kidney, eyes, and even nerves of different body parts. Any of these complications can become serious and lead to the death of the patient. Hence, can you die from diabetes? Well, yes you can. However, with proper care, regular exercise, following a proper diet, and taking timely me Continue reading >>
How Can Diabetics Have Diabetic Emergencies? (see Details)
You evidently have no idea what diabetes is, and what complications can occur. Diabetes is much, much more than just a high blood sugar. Roughly speaking, type I diabetes is due to people developing auto-antibodies against their own pancreatic islet beta cells that produce insulin causing insulitis, thus destroying these islets, so after some time there is an absolute lack of insulin, without which no sugar can be metabolized to produce energy in the form of ATP. In the days before insulin was invented they all quickly died, Banting and Best first used a rough pancreas extract to save the life of a 14 yo boy in 1922 see The Discovery of Insulin and were awarded the Nobel Prize for that. It is hard to exactly dose the insulin right, giving too much in relationship to food intake (which will make blood sugar rise) and exertion (which will make blood sugar go down) will cause people to develop such a low blood sugar that the brain, which needs sugar in the form of glucose to function to lose consciousness, a hypoglycemic coma, which if very severe might rarely lead to death, this needs to be treated by giving glucose often by intravenous injection. If too little, blood sugar will rise, with no immediate adverse results, but in the longer term associated with all kinds for terrible complications like serious nerve damage, impotence, occluded arteries in the limbs leading to amputations, heart attacks, stroke, blindness, kidney failure leading to dialysis, etc. etc. If no insulin is taken at all after around 1,5 day no glucose can be metabolized, so blood sugar will rise, be excreted into the urine, taking lots of water with it leading to serious dehydration, acute kidney failure, circulatory shock, because fat metabolism needs insulin keto-acids will form so the body become Continue reading >>
Is Keto Healthy? Ketosis Vs Ketoacidosis
Is Keto Healthy? Ketosis vs Ketoacidosis When looking at a ketogenic diet and ketosis, it’s common for some people to confuse the process with a harmful, more extreme version of this state known as diabetic ketoacidosis. But there are a lot of misconceptions out there about ketosis vs ketoacidosis, and it’s time to shed some light on the subject by looking at the (very big) differences between the two. An Overview of Ketosis A ketogenic, or keto, diet is centered around the process of ketosis, so it’s important to understand exactly what ketosis is first before we get into whether or not it’s safe (spoiler: it is): Ketosis is a metabolic state where the body is primarily using fat for energy instead of carbohydrates. Burning carbohydrates (glucose) for energy is the default function of the body, so if glucose is available, the body will use that first. But during ketosis, the body is using ketones instead of glucose. This is an amazing survival adaptation by the body for handling periods of famine or fasting, extreme exercise, or anything else that leaves the body without enough glucose for fuel. Those eating a ketogenic diet purposely limit their carb intake (usually between 20 and 50 grams per day) to facilitate this response. That’s why the keto diet focuses on very low carb intake, moderate to low protein intake, and high intakes of dietary fats. Lower protein is important because it prevents the body from pulling your lean muscle mass for energy and instead turns to fat. Ketone bodies are released during ketosis and are created by the liver from fatty acids. These ketones are then used by the body to power all of its biggest organs, including the brain, and they have many benefits for the body we’ll get into later. But first, let’s address a common mi Continue reading >>