Ketoacidosis Combining Form

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS 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... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Emergencies, Diabetic Ketoacidosis In Adults, Part 3

Clinical Management Treatment consists of rehydration with intravenous fluids, the administration of insulin, and replacement of electrolytes. General medical care and close supervision by trained medical and nursing staff is of paramount importance in the management of patients with DKA. A treatment flowchart (Table 1.3) should be used and updated meticulously. A urine catheter is necessary if the patient is in coma or if no urine is passed in the first 4 hours…. Replacement of water deficit Patients with DKA have severe dehydration. The amount of fluid needing to be administered depends on the degree of dehydration (Table 1.4). Fluid replacement aims at correction of the volume deficit and not to restore serum osmolality to normal. Isotonic solution NaCl (0.9%) (normal saline; osmolality 308 mOsm/kg) should be administered even in patients with high serum osmolality since this solution is hypotonic compared to the extracellular fluid of the patient. 10 The initial rate of fluid administration depends on the degree of volume depletion and underlying cardiac and renal function. In a young adult with normal cardiac and/or renal function 1 L of normal saline is administered intrave Continue reading >>

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  1. Emacfarland

    I'm confused about what defines being in nutritional ketosis based on blood levels. The Diet Doctor website says 1.5 is considered ketosis while I've heard on Keto Talk from Doc Nally that fit and active people can be in ketosis at levels of .3 or .4 and that higher levels don't necessarily mean better. So I'm not sure what the heck I'm aiming for! If I get readings below 1.5 am I doing something wrong? I am fit and active and Doc Nally has said this can make blood ketone level readings lower because an active persons body is using the ketones more efficiently. Should I be aiming for higher levels?

  2. BillJay

    It seems that the longer someone is keto-adapted, the more their body produces just the right amount of ketones and what we measure in the blood is only what's not actually being used, therefore it seems not only possible, but likely that people are in ketosis even with lower betahydroxybutyrate (BHB) levels - the ketone in the blood that these meters measure.
    This is somewhat frustrating for me since I'd like for there to be an objective measurement of being in ketosis, but that seems to be elusive.
    Therefore, a better indication is your level of carbs since it is HIGHLY unlikely that anything over 50 carbs is in ketosis and more likely that keeping carbs under 20 grams is a safe bet. Another indication is keeping protein at moderate levels which is 1.0 to 1.5 grams per kilogram of lean body weight.
    Once the macro-nutrients are in the proper range, I think that signs of keto-adapation are more poignant and below is a post from Mark Sisson on Dr. Mercola's site that explains many of the signs of being keto-adapted.

    What Does It Mean to Be Fat Adapted?

  3. richard

    Dr Phinney invented the term so he gets to define it.
    In his book "The art and science of low carbohydrate living" he gives the range from 0.5 to 3.0 mmol/l
    But recently he mentioned that some of Dr Volek's very athletic subjects were clearly in ketosis at 0.2 mmol/l.
    My personal range is from 0.2 to 0.8 mmol/l, and I have been in ketosis for almost 3 years. Prof Tim Noakes is also normally in the same range 0.2-0.8.
    I suspect when we first start we aren't good at using them so we make too many and use too little so we end up with a lot left in our blood. After we become better adapted we end up in whatever physiological range our bodys feel best ensures our survival. And people who are trained and good fat burners may be able to get away with less because they can make it easily.
    When I fast for 3 days and then do 3 hours of exercise my ketones can go as high as 3.5. But I know people who regularly get up to 7.
    It's worth pointing out that Dr Nally has mentioned in his most recent podcast that he eats exogenous ketones 3 times a day. And he sells them.

    Personally I wouldn't be worried. I think you are doing fine.

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DKA (Diabetic Ketoacidosis) Vs HHNS (Hyperosmolar Hyperglycemic Nonketotic Syndrome) Tables From Step Up to Medicine (3rd Edition, Agabegi) Here is the link for the Quick Hits =) http://imgur.com/TnJPBmu

Diabetic Ketoacidosis And Hyperglycemic Hyperosmolar Syndrome After Renal Transplantation In The United States

Abstract The incidence and risk factors for diabetic ketoacidosis (diabetic ketoacidosis) and hyperglycemic hyperosmolar syndrome (hyperglycemic hyperosmolar syndrome, previously called non-ketotic hyperosmolar coma) have not been reported in a national population of renal transplant (renal transplantation) recipients. We performed a historical cohort study of 39,628 renal transplantation recipients in the United States Renal Data System between 1 July 1994 and 30 June 1998, followed until 31 Dec 1999. Outcomes were hospitalizations for a primary diagnosis of diabetic ketoacidosis (ICD-9 code 250.1x) and hyperglycemic hyperosmolar syndrome (code 250.2x). Cox Regression analysis was used to calculate adjusted hazard ratios for time to hospitalization for diabetic ketoacidosis or hyperglycemic hyperosmolar syndrome. The incidence of diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome were 33.2/1000 person years (PY) and 2.7/1000 PY respectively for recipients with a prior diagnosis of diabetes mellitus (DM), and 2.0/1000 PY and 1.1/1000 PY in patients without DM. In Cox Regression analysis, African Americans (AHR, 2.71, 95 %CI, 1.96–3.75), females, recipients of cadaver k Continue reading >>

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  1. hkcool

    Got a quick call today from my doctor since I had a routine physical and got bloodwork and urine tests done.
    He said everything was normal except for really low vitamin D levels and oddly enough, ketones in my urine. He explained that typically it's a sign of uncontrolled diabetes but my blood sugar is fine. He ordered an a1c done at the time that I got all of my bloodwork done just to be thorough. I don't have the results in front of me but I could request a hard copy of them. Anyway, he assured me that I'm not diabetic.
    I'm a 20 y/o college student.
    Is ketones in the urine a precursor to diabetes? I did read that fasting or starvation can lead to temporary high ketone levels. As a full-time college student, let's just say that my sleeping schedule is rather...irregular. I had to fast for the blood test that morning so my last meal was dinner that evening. I didn't sleep until 7 am that morning and my appointment was at 9 am, so...yeah...
    The doctor said the next step would be a 24 hr urine test since they double-checked my results to make sure I actually had ketones in my urine and I did. But he also said there's no rush at all. I can't get the test till I'm actually back home so I'm just wondering now what it could be

  2. labrat

    Did you know the volume of ketones in your urine? Was it slight or high?
    Slight to moderate ketones can occur with exercise. Did you work out or do some strenuous physical activity before your appointment?
    People on low carbohydrate diets go into ketosis (usually preferably). These are things to consider if your testing does rule out Diabetes.
    Plus, this was a one time test. Without other symptoms or clinical presentations to preclude a diagnosis, it may be easier to simply repeat a urine sample next time, too. Shouldn't need to be a fasting sample, either.

  3. sweetthing

    Most likely caused by dehydration. Young people often do not get enough to drink. I would just make sure you have lots of water before your next test. You said you had been fasting since supper the night before? If you were a bit dry then and didn't drink anything, you could very easily have been dehydrated.

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LET ME KNOW WHO I SHOULD BUST NEXT. There are a lot of obvious targets out there, but I don't want to be an obvious boy. ya feel me? Thanks for watching! BROOOFEEEISTTT SnackDubbbz Food Review: https://youtu.be/xw1zU2sUAEg __ Remember to hit the "like" button, if you enjoyed it. It helps my ego! SUBSCRIBE http://www.youtube.com/subscription_c... Main Channel https://www.youtube.com/user/iDubbbzTV Second Channel https://www.youtube.com/channel/UC-ts... Gaming Channel https://www.youtube.com/channel/UCVhf... Website http://www.idubbbz.com/ Instagram https://instagram.com/idubbbz/ Twitter https://twitter.com/Idubbbz Facebook http://www.facebook.com/IDubbbz Twitch http://www.twitch.tv/idubbbz _ Content cop is a satirical series that has memes and jokes. I'm like 75% serious most of the time. I'm just trying to clean up the streets. INTRO MUSIC BY OTIS MCDONALD: http://www.otismacmusic.com/

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Pediatric Diabetic Ketoacidosis: An Outpatient Perspective On Evaluation and Management Abstract Diabetic ketoacidosis is a common, serious acute complication in children with diabetes mellitus. Diabetic ketoacidosis can accompany new-onset type 1 diabetes mellitus or it can occur with established type 1 diabetes mellitus during the increased demands of an acute illness or with decreased insulin delivery due to omitted doses or insulin pump failure. Additionally, diabetic ketoacidosis episodes in children with type 2 diabetes mellitus are being reported with greater frequency. Although the diagnosis is usually straightforward in a known diabetes patient with expected findings, a fair proportion of patients with new-onset diabetes present in diabetic ketoacido- sis. The initial management of children with diabetic ketoacidosis frequently occurs in an emergency department. Physicians must be aware that diabetic ketoacidosis is an important consideration in the differential diagnosis of pediatric metabolic acidosis. This review will acquaint emergency medicine clinicians with the pathophysiology, treatment, and potential complications of this disorder. Author William Bonadio, MD Atten Continue reading >>

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Popular Questions

  1. FunkeeSapien

    Hey everyone, took all your suggestions from the last post to bring you a better keto calculator. Last thread here.
    Major Changes:
    1. Adjusted Protein Levels - everyone seems to like .8 grams so that's the new default!
    2. Revamped Activity Levels - original ones were far too broad so came up with more realistic options.
    3. Forecast Added - you can now quickly check your predicted weight loss.
    Other than that just some minor UI tweaks. Again, hope you all like it!

  2. Triabolical_

    Have you thought about expressing the fats as a range?
    We have a continuous stream of people new to keto who think that they have to get their full fat macro in, when in fact they can eat a lot less fat than that.
    It might also be nice to express this as "limit, goal, limit" under the values for carbs, protein, fats.

  3. FunkeeSapien

    Haven't thought about doing a range (since it gives you exactly how much deficit you want to do, and if you want to lose faster you can just choose a lower deficit), but including "goal, limit, limit" would be a nice addition.
    You're right it might help newer people, I'll experiment with that thanks.

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