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How To Get Ketoacidosis

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Why Are Doctors In India Rude To Patients?

I think that working in a government setup as a Casualty Medical Officer makes me an authority on this subject. I am not going to deny the fact that sometimes doctors can be absolutely rude to patients and the patients are the victims. However, in many scenarios, the doctors are unnecessarily portrayed in a wrong light, when most of us are courteous, decent and well mannered.Casualty and emergency departments work on the principle of triage, where patients are classified to prioritize the grant of medical attention first to needy/ serious ones and later on to the ambulatory patients. Let me give you a few scenarios to consider before you brand doctors, particularly in government setups as rude and uncouth Scene 1- Casualty at 2 am in morning. By some luck, we had quite a few patients at 2 am in the casualty and there were only two interns to assist me. I was attending a patient who was very serious, in dire need of attention for he had consumed some poison. I had the medicine resident awoken, then got around to attend another emergency patient who came in with diabetic ketoacidosis. Here comes this cocky patient who wants me to attend him first because he was the driver of some hig Continue reading >>

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  1. MrsNoMohren

    So I went to my 14 week check up today and I was having my typical morning sickness but maybe a little bit worse (riding in a car makes it worse and my doctor is a hr drive away). Well when I got in there they freaked out at me puking because they thought I had the flu (I thought they were about to call in hazmat!) but when I told them it was just my normal situation they started asking me question really concerned. I started to feel dumb that I hadn't worried more about how sick I had been but from being on here, reading up, and having preggie buddies that are sick I thought I was normal. Well they ran a bunch of tests on me and hooked me up to 2 bags of IV fluids. I was pretty scared at this point as I felt like the whole office was coming in to look at me. Well I'm 5'8 and was 208 at 3 weeks (the highest I had ever been due to endo flare ups that I was hoping to get down before I conceived. didn't happen). Well today I was down to 192 and they freaked out about that to which I just figured it was because I had been sick and my endo was gone. Well then they told me I have starvation ketosis because I had extremely high level of ketones in my urine. They said all my other vitals looked good and that starvation ketosis is basically like malnutrition and its probably because I haven't been able to eat enough due to feeling sick. They told me my baby had a strong heartbeat and was fine- not to worry because baby will get the first of everything.
    Now, I've gotten home, told my family and they're being SO MEAN about it. Saying how could I possibly be starving if I look like a do (ill attach a photo to prove I'm not a beached whale or anything! geewhiz!) and that they think my doctor is blowing this out of proportion. It hurts to feel like they aren't taking this serious and even making fun of me in the process. THEN I made the mistake of googling the situation and it said that high levels of ketones CAN hurt the baby- even lowering their IQ. I know this sounds ridiculous but this is something that really bothers me because my husband is a Dr. of Mechanical Engineering and in Mensa and I feel like I'm carrying this baby that has a chance to really make an impact and I'm screwing it up! I just want to know why the doctor didn't tell me that this situation is dangerous to baby. I just feel so alone and was hoping there is someone out there that may know more info on this on a personal level.
    Below: me at my current state

  2. Augie

    AWWWW. Family can be SO mean sometimes!!! I know it's SO hard, but try not to worry about the baby. I'm sure that everything will be just fine.

  3. MeowPurr32

    You are stunning and I don't think it's possible you weight anywhere near 192 lbs.? (Confused.) You don't look like it at ALL; you look amazing! Your family must not understand the serious nature of what you told them. I hope you can find some support from at least one or two of them. Anyone with a medical background in your family or group of friends who you can talk to? Perhaps they just need to be more educated about it. You could print out information for them to read. I'd tell them they hurt my feelings, and explain why, and give them the information. Glad you're getting good medical care now. Don't worry about those who aren't supportive, hon. Focus on your health and your baby.

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If Society Started Collapsing Due To A Global Pandemic Killing More Than Half Of The World's Population Within A Year Or Two, What Would You Do When You Realized What Was Really Happening?

I teach disaster preparedness for the American Red Cross (national society) so this is a topic of particular interest for me. Here's a scary statistic that Kevin Reeve (who has taught the Navy SEALs and other Special Forces teams urban survival skills) shared with me: In the greater Los Angeles county, there are, between Federal, State, County and City agencies, about 25,000 law-enforcement sworn officers. In the same region, there are about 250,000+ known gang members, all operating within their own established chains of command with communication equipment, access to weapons, and organizational strength. If civil society breaks down and there is a showdown between law-enforcement personnel and gang members, who do you think will win? Even with their superior equipment and training, they are outnumbered 10x, and many cops under such duress will break and run with what gear they have on them, which means their true numerical strength is closer to 15k. The 2011 film Contagion (2011 Movie) explored some of the issues that this question raised. The fictional disease in the movie had a lethality ratio of around 15% and the subsequent chaos that resulted when the public hears about the Continue reading >>

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  1. 13nay

    Hi all, first post here. I've been LCHF for a few weeks now, and the idea that we perhaps need to reduce the amount of fat that we are actually consuming has been told to me, so that our body actually uses the fat we have stored as it's fuel rather than all of that good fat that we are consuming first and foremost. My macros are showing my carbs as being below 20 everyday, and my fat is usually sky high also because I like to flavour my foods with cheeses and butter, but don't feel that any weight has actually been shifted (even though yes I understand that I may need to wait for this to happen).

    So I'm just wondering is when is there actually too much fat in our diet? Do I need to pull back on the added fats to my meals if I want to try and shift some weight?










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    Does Eating Extra Fat Make You Fat? - Diet Doctor dietdoctor.com

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    2 Keto Dudes - Ketogenic Lifestyle Podcast 2KetoDudes.com

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  2. Fiorella

    Hi Renee...welcome to the forum
    It looks like you have a great start!
    The concept behind keto is that you eat to fat to satiety. So, that eliminate the need to track and limit fat.
    Since your goal is to lose weight, you are doing the right thing by starting out with keeping your carbs at 20 gram limit. The other thing is to keep your protein levels moderate, too. The general amount is to eat 1 gram protein per kg of lean body mass. This means that you need to find out what your lean body mass is -- have you figured out what that is yet? And then with fat there is no limit...you can eat fat to satiety.
    If you provide us with a list of your typical daily meals and snacks, we can help you further with more advice.

    Hope this helps!

  3. Sascha_Heid

    If you want to loose fat you need to burn it. You do that by cutting carbs to get into ketosis, by cutting fat to use up your body-fat and by exercise to increase your number of mitochondria (which have a limited ability to burn fat thus you need as many as possibly).

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How Do You Get Abs?

Short Answer: Watch what you eat! Detailed answer: All types of fat don’t actually make you fat. If you have a belly that you’re finding hard to get rid of, despite a low-fat diet; chances are, you’re consuming a lot of carbohydrates. Lemme break it down. There are two types of carbohydrates. Simple carbs – Composed only of sugar (glucose and fructose) which break down much faster in the body leading to fast and increased blood sugar levels. Complex carbs – Carbs that have a more complex sugar structure - contain fiber, vitamins and mineral which take a longer time to digest which means, the rise in blood-sugar is slower and gradual. When we eat, Insulin is released from our pancreas, signalling that the body has just been fed. It travels in the blood stream and opens up the cells (in various muscles and tissues) in our body to transport the required amounts of glucose (blood-sugar) to them. At this point, our body starts using the nutrients that we’ve just consumed and stops burning the stored fat. These cells need only a certain amount of glucose and cannot store everything that has been consumed. Once these cells fill up, the transport is stopped and all of the remai Continue reading >>

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  1. Equinox

    Hello, I am on day 17 of the Whole30, which I started in an attempt to get my rosacea under control. I am also interested in weight loss. Anyway, I can say that my pants are fitting a little looser since I started and my rosacea is better than it has been in a long time. So far I have tried to be as compliant as possible and my only two slips were accidental. I ate a sausage that had red wine on the ingredient list (I forgot that wine isn't allowed as I don't drink alcohol at all so I didn't register that part of the book as applying to me and just skimmed over it!). I also accidentally grabbed my daughter's glass instead of mine and got a small sip of lime-ade before I could spit it out. Those were in the first week though. I didn't bother starting again on Day 1 with these as I plan to be on the Whole30 for more than 30 days and counting things annoys me.
    On the other hand, my menstrual cycle (which arrived about 10 days in) was both heavier and longer than normal and I had terrible insomnia for a week beforehand. After my cycle began this eased off somewhat but I still have trouble falling asleep, staying a sleep and also with waking up too early. I feel like a zombie and I'm averaging about 5 hours of poor quality sleep a night. I've had to stop my regular exercise routine as I'm just too tired. I should mention that I'm usually a good sleeper, except when my daughter wakes me up in the night, which unfortunately happens a couple of times a week these days. And that happened more than the usual number of times in the past two weeks so my sudden insomnia has been all the worse. This is seriously the worst quality sleep I have ever gotten in my life that was not caused by some external factor (like having a newborn). I just toss and turn and feel really anxious over nothing at all.
    It seems that some other people have experienced this with the Whole30 as well. I'm wondering if I've entered into ketosis, which I read was associated with insomnia in some people, especially women. I just weighed myself to see if I had any sort of profound weight loss that might explain it and it seems I've lost 4 lbs, which is more than usual for me but certainly not beyond the pale. So, assuming that I have not been eating enough starch (I've been trying to eat a starchy vegetable once a day and eating a banana once a day also), how long will it take to get out of ketosis if I start adding a starchy vegetable to each of my three meals? I should add that even though I maybe haven't been getting enough starch, I haven't been hungry at all and I didn't experience any cravings at all until the sleep deprivation started to kick in. Also, has anyone had success with melatonin?
    I just really want to get a good night's sleep.

  2. missmary

    I would not recommend melatonin as a long-term solution because it interferes with your bodies ability to produce melatonin on it's own. Magnesium is a great supplement that can help with sleep.
    If you already have included starchy veggies and bananas every day, ketosis is very unlikely. Regardless, starchy veggies can certainly help with sleep and anxiety issues, especially when consumed at meal #3. How is your fat intake? Make sure you keep that at least to the minimum recommended 1-2 thumbs per meal (don't rely on cooking fat alone, since much of that stays in the pan).
    Eating within an hour of waking and also getting sunlight right away in the morning (go outdoors for 15 minutes) can really help with getting cortisol in the right rhythm which will help with sleep. In the same vein, avoiding bright light and screens at night will also help keep circadian rhythms in proper order. Some people use amber glasses or software like f.lux to reduce blue light at night for a similar effect.
    Good luck. I hope you get some better sleep soon!

  3. Tom Denham

    I am one of those people who needs starchy veggies every day to keep me sleeping good. I've also had a great experience with taking magnesium. I used to take Natural Calm, but it provoked diarrhea for me. I switched to magnesium aspartate supplements - 200 to 300 mgs per night. It is working very well. Actually, when I first saw a functional medicine doctor, she gave me an injection of magnesium and I enjoyed great sleep that night and for the next several nights.

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