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Ketoacidosis Pathophysiology

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Diabetic Ketoacidosis: A Current Appraisal Of Pathophysiology And Management

This is a current appraisal of new insights into the pathophysiology and management of diabetic ketoacidosis (DKA), including laboratory work-up, monitoring of insulin, and fluid management. This article also discussed the complications of DKA and its treatment, focusing on cerebral edema (CE). The author recommends that fluid deficits be replaced at an even rate over 48 h, not to exceed 4/L/m2/24 h. Regular insulin should be started at 0.1 units/kg/h (no bolus). In general, it is recommended that bicarbonate not be administered unless correction of a pH < 6.9 is necessary. To access this article, please choose from the options below Continue reading >>

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Popular Questions

  1. Heather

    I've been on the diet now for 7 days. Day 1 and 2 I dropped 2 kilos, and since that I haven't budged.
    I check my pee twice a day and am always in the top or second top keto reading...
    Is it possible to be in ketosis, but still doing something wrong ?

  2. Helen

    Ketosis just means that you are burning fat instead of carbs/glucose for energy. If you are having too many calories (or even not enough), you may find that you do not lose weight.
    Also, if you only have a few kgs to lose, then your weight loss will be slower than someone who has a lot of weight to lose. What is your BMI?
    Are you doing a lot of intensive exercise? Sometimes you may be losing fat, but building muscle, so the scales appear to not move.
    Regardless of what diet you follow, you will not lose weight each and every day. 2 kgs in 1 week is a pretty good loss, especially if you don't have a lot of weight to lose.
    Chances are that if you continue to follow the program properly and keep avoiding carbs, you will lose more weight in the next few days. Some call it the "whoosh" effect, lol. Some people lose weight slowly and steadily. Many more of us, lose it in stops and starts. We lose a bit, then a few days of nothing and then another "whoosh".
    Keep at, and you should get results.
    Cheers
    Helen
    [ed. note: Helen (1169825) last edited this post 3 years, 7 months ago.]

  3. Heather

    My Bmi is 30.51. I've got about 15 kilos to lose, but on a bazillion diets I never seem to get past 6 or 7kg.
    I'm not currently exercising because I'm just too tired. I'm hoping to get back to the gym soon though.
    I'll stick it out in hopes for this whoosh hehe. Thanks Helen.

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