Hyperchloremic Metabolic Acidosis Icd 10

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More than 400 million people were living with diabetes as of 2015, according to the International Diabetes Federation. There are three major types of the diabetes: Type 1, Type 2 and gestational diabetes. Of the three, Type 2 is the most common. The Centers for Disease Control and Prevention estimates that 90 percent of people around the world diagnosed with diabetes have Type 2. In Type 2 diabetes, the pancreas makes insulin, but the cells are not able to use the insulin as well as they should. This is what experts call “insulin resistance”. Initially, the pancreas makes more insulin to try to move glucose into the cells. But eventually, it can’t keep up and the sugar builds up in the bloodstream, leading to a high blood sugar level. Many people with Type 2 diabetes are not even aware they have the disease, and this can contribute to various health complications associated with it. This makes it even more important to know the risk factors. There are both non-modifiable as well as modifiable risk factors for Type 2 diabetes. While you cannot do much about the non-modifiable risk factors, there are many that you can control to help prevent yourself from developing this diseas

Hypocitraturia: Overview Of Hypocitraturia, Importance Of Citrate, Risk Factors In Hypocitraturia

Hypocitraturia, a low amount of citrate in the urine, is an important risk factor for kidney stone formation. Citrate in the urine has long been recognized as an inhibitor of calcium salt crystallization. Citrate is the dissociated anion of citric acid, a weak acid that is ingested in the diet and produced endogenously in the tricarboxylic acid cycle. The mean urinary citrate excretion is 640 mg/d in healthy individuals. Hypocitraturia usually is defined as citrate excretion of less than 320 mg per day, but this definition has been challenged as inadequate for recurrent stone formers. Severe hypocitraturia is citrate excretion of less than 100 mg per day, and mild to moderate hypocitraturia is citrate excretion of 100-320 mg per day. Other definitions include a urine citrate level of less than 220 mg per day for both men and women, regardless of age, or less than 115 mg per day in men and less than 200 mg per day in women. These definitions have been called into question by several kidney stone experts and researchers. They feel that these reference range values were selected somewhat arbitrarily from statistical models and large populations of healthy subjects and do not necessar Continue reading >>

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  1. aob233

    Hi, my wife recently complained that my breath is sweet (not in a good way tho) every now and then, most recently the morning after a day in which i exercised very hard and a night in which i drank hard too.
    I know this is a sign of ketoacidosis as a result of high blood sugar levels so am concerned.
    A little about me: I'm type 1 and generally in very good control of my blood sugar. That morning i woke up high (240) but she has smelt it other mornings when i went to sleep and woke up with blood sugar between 80 and 120. Also, I like to exercise really hard (when i get a chance to do it) and also drink a fair amount of coffee (in the morning) and beer (at night).
    Anyone experience something similar? Or have any thoughts?

  2. foxl

    Drinking hard? Well your body is metabolising alcohol, instead of glucose!
    My father was an alcoholic, and I DEFINITELY recall smelling ketone breath on him. You need to cut back on the drinking a bit.

  3. samorgan

    I've never heard that particular word: "sweet"!

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Exercise-induced Rhabdomyolysis A Patient Series

Exercise-induced rhabdomyolysis a patient series Current address: Department of Endocrinology, Morbid Obesity and Preventive Medicine He contributed to the design, data collection, analysis and interpretation, literature search, drafting and revision of the manuscript and has approved the submitted version. Kiarash Tazmini (born 1976), research fellow. The author has completed the ICMJE form and reports no conflicts of interest. He contributed to the design, data collection, obtaining consent, data interpretation, literature search, drafting and revision of the manuscript and has approved the submitted version. Christoffer Schreiner (born 1985), specialty registrar in internal medicine, and assistant professor. The author has completed the ICMJE form and reports no conflicts of interest. She contributed to revision of the manuscript and has approved the submitted version. Sidsel Bruserud (born 1980), specialty registrar in internal medicine. The author has completed the ICMJE form and reports no conflicts of interest. He contributed to revision of the manuscript and has approved the submitted version. Truls Raastad (born 1968), professor of sports physiology and specialist in spor Continue reading >>

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  1. jhinako

    I just wanted to share my experience with breaking my plateau of 5 weeks on low carb by breaking ketosis for a few days. For some info on me, I am 5'7" and started at about 173ish. I pretty effortlessly dropped to 151 lbs in 2 months on low carb, but then I stalled out. I know that wasn't super fast, but please keep in mind that these were very, very stubborn pounds for me to lose on diets past, so I was thrilled to get to 151! It's technically the lowest weight I'd seen as an adult. My goal weight is 135-140, so around 10-15 lbs left. My weight is "technically" in the normal range at this point, but I still seem to have a lot of body fat on me, especially around my stomach.
    Any way, I started low carb about 3.5 months ago, sticking to between 20-40 carbs per day(usually around 30) and it worked so well for me! I was excited, it came off really quickly. Then after 2 months, I stalled out. Just a dead stall. The scale actually went up some(~1-2lbs) some days. I persisted in low carb for the next month though, hoping it would budge, but it didn't. I dropped my carbs even lower in an effort to break it. I ate mostly eggs some day. I tried fat fasting. It wasn't happening. I began to get frustrated because the weight loss had been SO effortless in the beginning and now the scale was actually UP 2 lbs and staying there.
    So I read some stuff on how to break the plateau by changing things up, and found a few articles about temporarily and purposefully breaking ketosis for a short time and then returning to it. It was supposedly to let your hormone levels normalize again and sort of "reset" after being depleted by doing low carb for an extended period of time. I didn't really want to do it. I wanted to stay in ketosis, but then I realized I hadn't lost any weight in nearly 5 weeks, so what did I have to lose if it was gonna take me a few days to get back in to it after this? So I did it. Many articles suggested breaking ketosis with a single meal. Or with a window of 12 hours, and then going back to low carb. But this didnt seem like long enough to "normalize" hormone levels. I wanted to make sure if I was mixing it up and doing this, that there was actually going to be a chance for some change, so I decided on 3 days.
    I broke ketosis on purpose. I was still controlled though, I knew I wanted to stay away from obvious sugars and candies for the most part and I did. But I ate rice, I had some pasta, I had a stromboli & garlic knots. I ate a cadbury scream egg too, which are my favorite, but it was just ok. I had some high carb, but very tasty Oktoberfest craft-type beers(17 carbs a piece!) and those were awesome, only had 1 or 2 though, I'm not a big drinker. I do remember feeling bloated and somewhat uncomfortable after many of these meals and it took several hours for the feeling to go away. I ate "normally", but within reason for 3 days(I didn't splurge, I didn't need too.). I ate when hungry, I ate what I wanted, I ate until I was satiated. Thankfully, I did not experience any urges to go overboard and eat everything in sight. If anything, the idea that i could have anything I wanted was not as appealing as I had thought because there were only a few things that I actually wanted to have and I got them. I found myself actually trying to scour my brain for more things I could eat on this little break that I had really wanted, and it was kinda difficult. Any way after about 3 days, I was actually quite ready to go back on plan so I did.
    On my "break" of 3 days, the scale said I went up 5 lbs--however, I was barely eating more than maintenance levels, so I knew this was false, water weight. It took 4 days for the extra 5 lbs to come off, about a pound a day. According to the keto-strips, it also took me about 4 days to go back into ketosis. Then I held around 153 for a few days(remember, I had gone up 1-2 lbs during the stall). Then, thankfully, it started it's downward trend again! A little bit came off every day, much like it did when I started low carb in the beginning! I am very happy to say today that I feel like my plateau is broken! I had an experiment and I am happy that I did it! I got to eat some things I was wanting for awhile and I learned that I can control myself better than I thought and it wasn't the end of the world.
    I think if I stall out again, I will repeat this. I can see the logic in mixing things up when what you're doing isn't working any more. It also gave me a lot of hope that I will be able to maintain my goal weight easier and helped me understand that a few days of eating some carbs didn't really have much of a negative effect for me, especially since I went back on plan. It actually seemed to help me. I will keep you updated as I continue my trip to 140ish. I completely understand that weight loss slows down as you get closer to your goal weight and I am 100% ok with this. I just want to see SOME progress for my efforts, you know. So I am happy to see a downward trend again.

  2. clackley

    Can't argue with success! Congrats!
    A couple of questions.... how long has it been since you have been back in ketosis? How much below your 153lb. mark have you gotten?
    Thanks for sharing!

  3. Patience

    I am also curious about your age . . . . your rate of loss sounds fast to me.
    I am in my mid-60s and was losing ~ 2 lbs a month for well over a year. My losses came to a crashing halt this summer, eating much the same as before.

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BLOG: https://magnesiumman.squarespace.com/ INSTAGRAM: https://www.instagram.com/magnesium_m... MAGNESIUM I USE: http://magnesiumman.squarespace.com/t... In this video I compare using magnesium oil (spray) and magnesium bath flakes. Both provide the same amazing mineral, but both also have their pros and cons. Magnesium Oil pros: Convenient, quick, easy to travel with, can be used orally and on the skin. Magnesium Oil cons: Can irritate the skin, hard to get a lot of dosage, takes a lot of effort to rub into skin. Magnesium Bath Flakes pros: Can absorb large amounts of magnesium in one bath, very therapeutic and relaxing, can also add essential oils, full body absorption. Magnesium Bath Flakes cons: Takes much more time (bare minimum 15 minutes), need a bath, hard to travel with flakes, need a lot of flakes. I enjoy using both. I think the most effective for getting the most magnesium into your body is the bath flakes. I also find it very relaxing and great to do before bed or after a workout. I order bath flakes in bulk. I try to do 2-3 baths a week, and use the spray regularly each day. The spray bottle is fantastic to travel with and use on the run!

Hypophosphatemia, Lactic Acidosis, Magnesium Decreased: Causes & Diagnoses | Symptoma.com

Phosphate, magnesium, and potassium levels tend to be low in acute liver failure. Frequent supplementation is required. [Guideline] Lee WM, Larson AM, Stravitz RT. [emedicine.medscape.com] CYP 2E1, which is upregulated in chronic alcohol use, generates free radicals through the oxidation of nicotinamide adenine dinucleotide phosphate (NADPH) to NADP. 4 Chronic [clevelandclinicmeded.com] It is relatively contraindicated in patients with advanced liver disease or in binge drinkers because it may predispose to lactic acidosis. [care.diabetesjournals.org] Hypophosphatemia leads to bone demineralization because phosphate is responsible for calcium resorption in the bones. [ehealthwall.com] [] mg/dL, creatinine of 0.6 mg/ dL, sodium 137 mmol/L, potassium 2.3 mmol/ L, chloride 122 mmol/L, bicarbonate 7.9 mmol/ L, random blood sugar 118 mg/dL, calcium 9.0 mg/dL, magnesium [sjkdt.org] A classic example is diarrhea with shock where diarrhea causes non gap acidosis but shock can lead to lactic acidosis which increases the gap so, things can co-exist! [usmleforum.com] The patient had normal biochemical findings and acid-base balance, except for increased serum levels of creatine kinase, lacti Continue reading >>

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  1. quartz75

    potassium on keto

    i read that 2000mg supp was recommended, i've got some tablets which say
    200mg yielding elemental potassium
    1100mg potassium gluconate
    anyone know what the second bit is ? does that mean it's got 1300mg total, and i only need to take 1 a day, instead of 5-10 ? thnx

  2. EvSer

    I was wondering something similar. I started keto also and I bought some potassium pills at the pharmacy. But there 50mg elemental potassium? On the bottle it says to take one a day but the recommended amount of potassium daily is upwards of 2g. I don't get it??

  3. Eileen

    A lot of foods that you'd normally eat on keto, like chard, spinach, avocado, fish, mushrooms etc are naturally high in potassium.
    A handy way to bump your potassium intake is the LoSalt, it replaces some of the sodium with potassium.

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