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Is Ketoacidosis Treatable

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Kidney Specialist Surgeon Sanjeev Gulati giving precautions of Kidney Transplant Patient and Kidney Donor. For more info log onto http://www.kidneyklinic.com/home.php

What Are The Symptoms Of Diabetes & What Precautions Should Be Taken By Diabetic Patients?

Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia). Fast facts on diabetes Here are some key points about diabetes. More detail and supporting information is in the main article. Diabetes is a long-term condition that causes high blood sugar levels. In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology). Type 1 Diabetes - the body does not produce insulin. Approximately 10% of all diabetes cases are type 1. Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type. Gestational Diabetes - this type affects females during pregnancy. If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a Continue reading >>

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Popular Questions

  1. visvavasu

    Hello, I've been on the keto diet for about 3 months now, and have been fairly strict about it. In the last several weeks, I've been noticing excessive dandruff and scalp itching, and my hair is thinning overall (no receding of the hairline). I'm not prone to balding, so I know this is an effect of the diet. Some sources suggest that low carb diets may increase susceptibility to fungal/yeast infections:
    http://cavemanforum.com/diet-and-nutrition/fungal-infection-(tmi-warning)/
    http://perfecthealthdiet.com/2011/10/jimmy-moore%E2%80%99s-seminar-on-%E2%80%9Csafe-starches%E2%80%9D-my-reply/
    Has any of you faced this before? Please help.

  2. [deleted]

    I quit using shampoo. I still wash my hair, just with only water.
    At first, my hair was greasy/waxy. After a month or so, it is back to normal and my scalp issues have subsided.
    I believe that when you shampoo, your scalp produces more sebum. So it takes awhile for the glands to settle down when you stop.

  3. visvavasu

    Thanks, I've been using a cheap-ass shampoo and that probably is part of the problem. I'll try Nizoral, and after that try getting off shampoo altogether.

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What Is The Nursing Intervention For Diabetic Ketoacidosis?

My response will be geared towards the emergent presentation amd treatment. 90+ % of the time the blood sugar will be above 500 on your glucometer. Do not let this fool You! Even if it's over 2000 (my highest treated fingerstick glucose was 2042 which wasn't even this patients personal highest) you don't need to worry about administering insulin for about 1–2 hour. You first need great IV access. Being a soon to be ICU admit, I tried my best to give them at least an 18 g and a 20 g preferably not in the AC but access is better than an inconvenient location. These patients are dehydrated so get ready to administer 2 up to 4 liters of fluid. Truthfully Lactated ringers is coming en vogue as NS can worsen the acidosis by raising the chloride levels. With labs pending (electrolytes are the important labs and either an ABG or a VBG… yes a venous gas gives equally treatable results and causes much less pain). If the potassium is above the recommended value you will be able to start an insulin drip and in case you are too in the moment to remember — giving IV insulin will tank a potassium within 30 min or less so replace potassium before administering insulin in this situation!! The Continue reading >>

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  1. AshSimmonds

    From Amazon:
    Quote
    The Ketonix product can measure your body production of ketones (fat burn process) in your breath and is an excellent alternative to other methods such as urine strips or blood samples.
    ??The Ketonix is a one time cost and is simple to use. It has never been easier to see if you produce ketones!?
    Whats the advantage to use Ketonix instead of urine strips and blood ketone meters?
    * Urine strips indicates the excess concentration of acetoacetate in the urine. Ketonix indicates the acetone in your breath (indirectly from the concentration of acetoacetate in blood). Units are not the same, the concentration in fluid is higher due to less volume (higher density) and is measured typically in mmol/l. The concentration in gas(air) is lower due to much more volume (lower density) and is measured in nmol/l. Again, urine strips measures acetoacetate in urine, blood meters measures beta-hydroxybutyrate in blood and Ketonix measures acetone in breath (air).
    * Urine strips can only be used once. Ketonix is reusable and can be used over and over again.
    * Urine strips show a historical value of the excess production. Ketonix shows a real-time value of whats in the blood right now!
    * Urine strips tests need urine and somewhere to do the test. You can perform tests using Ketonix wherever you can access a powered USB port. We don't recommend using Ketonix in vehichles (or in any motion).
    * Urine strips need to be disposed. Ketonix should be stored in the bag that was included with the product.
    * Urine strips cost per test. Ketonix is a one-time investment!
    * Blood ketone meters measures beta-hydroxybutyrate in blood, not acetoacetate or acetone.
    * Blood ketone measure requires strips which are expensive
    * Blood ketone measure sometimes fail and cost you twice!
    * Blood ketone meter values differ between devices, even when it is the same model and brand.
    * Blood ketone meter values is measured in mmol/l, and Ketonix values in nmol/l. This is ofcourse due to the higher density of blood than air. Therefore the blood ketone concentration if beta-hydroxybutyrate is not the same as the concentration of acetone in breath. Just as the concentration of acetoacetate in urine is not the same as concntration of beta-hydroxybutyrate in blood.
    As always, we do not take any responsibility for your usage of Ketonix. You should always consult your doctor/dietician before changing/experimenting with your diet!
    In AppStore you could download the Ketonix app to calculate your ketogenic diet ratio!

  2. AshSimmonds

    Got mine delivered this week, landed is about $100 bucks.
    Interesting little device, it was only mid last year that the idea of such a thing becoming commercially available was really gaining traction - now all of a sudden there's this one which seems to be first to market.
    It has four LEDs, each one representing a range of acetone/ketones on your breath:
    Blue - none or trace: 0-150 nmol/L
    Green - low: 150-400 nmol/L
    Yellow - medium: 400-930 nmol/L
    Red - high: 930+ nmol/L
    There Are Four Lights
    When I first plugged it in it took over half an hour before it was ready to take a reading, I emailed the manufacturer and they said initial "burn in" time for the sensor can vary depending on stuff (climate/etc). Subsequent plug-ins have had the device ready to rock within a minute or so - often within 20 seconds.
    I've been blowing a consistent green-yellow for the last couple days, except for today as last night we watched The Wolf Of Wall Street and I had some popcorn/prawn crackers/beer/wine so am currently not particularly ketogenic until my glucose/glycogen disspates again somewhat.
    For the moment I'm content with these coloured ranges, as when you test blood ketones you take that decimal number and end up just categorising it as low/med/high to yourself anyhoo.
    As of right now though there's a dearth of data about breath ketones and the correlation with serum ketones, so throughout February I'm looking at doing my own extensive testing and recording to add a little N=1 anecdata to the shallow pool.
    Here it is - later I'll chuck up a vid of it in action (I went to the movies and drank beer/wine ate popcorn/prawn crackers last night so I'll wait for any residual carbs/glycogen to diminish).

  3. AshSimmonds

    The only paper I know of comparing breath ketones to blood and urine, and sadly it's only a 12 hour study and it only measures the very low end of ketosis:
    http://ajcn.nutrition.org/content/76/1/65.full
    Quote
    Breath acetone is a reliable indicator of ketosis in adults consuming ketogenic meals
    ...
    The objective was to determine which index, breath acetone or urinary acetoacetate, is more strongly related to the plasma ketones acetoacetate and ?-hydroxybutyrate.
    ...
    After fasting overnight for 12 h, 12 healthy adults consumed 4 ketogenic meals over 12 h. Blood, breath, and urine samples were collected hourly. Blood was analyzed for plasma acetoacetate and ?-hydroxybutyrate, breath for acetone, and urine for acetoacetate.
    ...
    Plasma acetoacetate was best predicted by breath acetone ... Plasma ?-hydroxybutyrate was equally predicted by breath acetone and urinary acetoacetate
    Quote
    Mean (±SEM) changes in breath acetone, plasma acetoacetate (AcAc), plasma ?-hydroxybutyrate (?-HBA), and urinary acetoacetate. n = 12 subjects per time point. *Significantly different from 0 h (fasting), P < 0.05. The vertical dashed lines indicate the time points at which a ketogenic meal was consumed.

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What Are The Most Important Things To Know Before Writing A Character Who Has Diabetes?

Writing as a type 1 diabetic ( not to be taken as medical opinion or advice): Whilst one would need to be careful of copyright: the scenes in the movie ‘Panic Room’ where Jodie Foster’s character as a mother of daughter played by Kirsten Stewart, shows the tension created when they fortify themselves in a panic room after criminals break into the house. The daughter who is diabetic has taken her insulin but has little food and is slipping into a state of low blood sugar.(hypoglycaemia or ‘hypo’). The best acted hypoglycaemic episode I have ever seen was by Julia Roberts in ‘Steel Magnolias’ - which opens with her playing the soon-to-be married daughter - someone who has had a long history of diabetes. In my 50 years as a diabetic the following has happened to me or are thoughts that I have had: ( and are not copyrighted !) we were carrying canoes down a mountain to the river below for a week long canoe trip through inhospitable terrain - the drum carrying my insulin and syringes/needles rolled down the mountain and was not found til the next day. Fortunately I had distributed spare kits to others before the descent. ( the glass vials containing the insulin were padded Continue reading >>

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Popular Questions

  1. zackly

    Diabetic eating low carb but not losing weight

    I've been reducing carbs since last summer but have been really trying to eat a maximum of 75 or less grams daily since Jan. I. I've done this to get better control of my out of control Type 2 diabetes. I've done well dropping my A1C from almost 9 to about 6.5. My endocrinologist is pleased with my progress. What has surprised me is that I have't lost weight. Oh, maybe a couple of pounds in the first few weeks but that's all. I'm not that disappointed because getting my diabetes under control was and will continue to be Job#1 but I see all these claims of dramatic weight loss on low carb diets. I do not count calories or limit portion size. The calories from reduced carbs have been replaced by more protein & fat. Why am I not losing weight? I take a considerable amount of insulin and live a fairly sedentary life. Is it still all about calories or am I missing something? Thanks for your help!

  2. linguafood

    Hm. Good question. I know when I first jumped on the low-carb wagon, back in 04 or whenever that South Beach diet was all the rage, I lost nothing. Zip. Zilch. While friends around me were dropping poundage like crazy, I'd lose a couple one week and then gain them back the next. Drove me positively nuts, as I was following that idiotic induction phase to the tee and was eating scrambled eggs for breakfast every goddamn day.
    So I understand your frustration.
    For some reason, when I cut out starches again a couple of years ago (but also cutting down on portion sizes), I lost about 16-18 lbs. over the course of a year.
    Not fast, but effectively gone. Maybe it just takes longer than you thought it would?

  3. zackly

    I've never been good @ eating a lesser amount of food than what satisfies me. There's a point where, if I eat one mouthful more or less, I feel uncomfortably stuffed or famished. Are all people wired this way? It seems that some people's appetites shut off @ a point that cause them to store minimal fat while other people are not sated until they eat an amount that causes them to store a lot of fat?

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