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Ketoacidosis Treatment

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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 Ketoacidosis

As fat is broken down, acids called ketones build up in the blood and urine. In high levels, ketones are poisonous. This condition is known as ketoacidosis. Diabetic ketoacidosis (DKA) is sometimes the first sign of type 1 diabetes in people who have not yet been diagnosed. It can also occur in someone who has already been diagnosed with type 1 diabetes. Infection, injury, a serious illness, missing doses of insulin shots, or surgery can lead to DKA in people with type 1 diabetes. People with type 2 diabetes can also develop DKA, but it is less common. It is usually triggered by uncontrolled blood sugar, missing doses of medicines, or a severe illness. Continue reading >>

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Popular Questions

  1. shfO

    Hello! I'm about to start keto. I read all about "induction", "keto flu" etc... So, what's the fastest way to get into ketosis? "Fat fasting"? Very low protein? Strictly no carbs? Lots of coffee (or no at all - there are different opinions)?
    I'm about 6'2" and 240lbs. Last time I remember being slim was at like 170-180lbs.

  2. WillowWagner

    Start by reading the FAQ.

  3. ketowow

    There's nothing you can do to speed it up. Just eat 20g net carbs or less and within a day you'll be in ketosis.

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Original Contribution Utility Of Initial Bolus Insulin In The Treatment Of Diabetic Ketoacidosis

Abstract Current guidelines for treatment of diabetic ketoacidosis (DKA) recommend administration of an intravenous bolus dose of insulin followed by a continuous infusion. This study was designed to investigate whether the initial bolus dose is of significant benefit to adult patients with DKA and if it is associated with increased complications. This was a non-concurrent, prospective observational cohort study of adult patients who presented with DKA in a 12-month period. Charts were divided into two groups depending on whether they received an initial bolus dose of insulin. Data on glucose levels, anion gap (AG), intravenous fluid administration (IVF), and length of stay (LOS) were collected. Primary outcome was hypoglycemia (need for administration of 50% dextrose). Of 157 charts, 78 received a bolus of insulin and were designated the treatment group, the remaining 79 formed the control group. Groups were similar at baseline and received equivalent IVF and insulin drips. There were no statistically significant differences in the incidence of hypoglycemia (6% vs. 1%, respectively, p = 0.12), rate of change of glucose (60 vs. 56 mg/dL/h, respectively, p = 0.54) or AG (1.9 vs. 1.9 Continue reading >>

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Popular Questions

  1. jahoony

    could keto diet be dangerous to some?

    I am a male who has been doing weight lifting for several years. and I have used cycles of 9month of buffing and 3month of cutting. for this cutting process I have used keto, atkins, very low carb diet. it is by far the best and fastest way to lose fat. I have girl friend who has been gaining weight past year. She became interested in keto diet as I magically lose all my fat in so short time. I made menu for her and she has started keto diet.
    For her diet I planned for net carb to be 25g. on the first day she said she lost 1 lb. I was glad for her. but starting second day she said she start feeling bad, tired, and get sugar craving. I told her thats normal and her body will adjust within two weeks and start using keto which will give her more energy and concentration. but this morning which is 3rd day. she called me and she throw up can not move arms and leg for minutes she had to rush to fridge to eat banana and water melon to be ok. she said there is no way she can eat meat anymore. I was surprised. I have done keto diet for 3 years and never experienced this. I was just feeling little dizzy, tired. Is not everybody fit for keto diet? I am worried if she should continue or not. I have made new plan for 40g carb per day. if she still feel like dying I was gonna keep her out of keto and just low carb diet.
    Does anyone have insite to what I should tell her?

  2. sacooper93

    I know when I first started I was running to the bathroom every 45 minutes because of GI issues, but nothing near as severe as you described during an induction phase. It did happen about 6 weeks in once though. I did a 1 day carb up, and went right back in and was ok.
    Is she a diabetic? Because if so keto has potential to be really really bad.
    Also, it could have just been something in the food or some virus. I'd say try again, and if it happens again, keto isn't for her.

  3. jahoony

    naw she not diabetic.
    I wonder if its because she never changed eating style in her life.
    So do you think 40g net carb could still get her in to keto?
    also I assigned her some meat like a sausage and burger pattie but now she says she cant handle that much meat.
    What could I replace half of her meat by? tofu, egg? I never had problem coz I was eating meat fine.

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In this video we cover pretty much everything related to Growth Hormone 1. Function on Liver, Adipose, Muscle 2. Also the effects of Insulin Like Growth Factor (IGF) on Organs and bones (chrondrocytes) 3. Regulation of Growth Hormone and IGF by PItuitary and Hypothalamus (Somatostatin and GHRH), Ghrelin, Thyroxine 5. Mechanism of Action - JAK2/Stat Pathway 5. Arginine Stimulation Test 6. Stimulated by Arginine and Stress 7. Inhibited by Glucose, FFA, Cortisol, REM Sleep, GH, IGF 8. High Growth Hormone: Gigantism and Acromegaly 9. Low GH: Dwarfism, Hypoglycemia

Treatment Of Insulin-resistant Diabetic Ketoacidosis With Insulin-like Growth Factor I In An Adolescent With Insulin-dependent Diabetes

INSULIN plays a central part in the regulation of carbohydrate, fat, and protein metabolism. Severe insulin resistance, in which treatment with large doses of insulin does not result in adequate metabolic control, is uncommon. Such resistance occurs in the presence of circulating insulin or insulin-receptor antibodies,1 , 2 insulin-receptor abnormalities,3 and episodically in patients with previously typical insulin-dependent diabetes mellitus (IDDM).4 The therapeutic options in patients with severe insulin resistance have been limited, since insulin has been the only available hormone with insulin-like metabolic effects. Recombinant human insulin-like growth factor I (IGF-I), which shares considerable sequence homology as well as biologic properties with insulin,5 has recently become available and has been used in treating patients with Mendenhall's syndrome.6 We describe the use of IGF-I in the treatment of a 16-year-old girl with IDDM complicated by severe episodic insulin resistance. Administration of massive doses of insulin (more than 1000 U per hour) during these episodes failed to achieve glycemic control or reverse ketoacidosis. Treatment with IGF-I rapidly reversed the hy Continue reading >>

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Popular Questions

  1. Garlic

    Yes, I know about ketosis breath, but I think maybe I am beyond that.... I brought this up before and some people said it will pass or lessen, but it hasn't. I would say it is as bad or worse than ever. I brush 2 or 3x a day. I use Listerine a couple times a day. I sometimes use SF mints. Nothing helps. I have even gargled with water and baking soda....
    Is there a product I can buy to help? And this is not a dental issue. I had a checkup a couple weeks ago and had no issues.

  2. Avy

    Eating parsley can help. Googling some all natural remedies for you!
    1. Drink more water.
    2. Supplement with Zinc.
    3. Drink stinging nettle tea daily.
    4. Take probiotics.
    5. Organic Mint
    6. Organic Sage
    7. Organic Fresh Parsley
    8. Tea Tree Oil
    9. 3% Hydrogen Peroxide
    10. Chewing gum (Sugarless)
    Specifically for Ketosis breath, from Mark's Daily Apple:
    Drink more water: try 8 glasses per day to see if this helps, and then you can experiment from that point.
    Natural breath fresheners to try include mint, parsley or other greens, cloves, cinnamon, and fennel seeds.
    Some people swear by breath capsules, which are usually made from parsley oil (e.g. Mint Assure) for keto-breath. Others find they do not help.
    Sugar-free mints or gum can be tried, but watch the carbs in them.
    And another keto blog:
    Mint
    Chew mint, or put a few drops of mint oil on your toothbrush and go to town. Mint smells great, plus it naturally cools your mouth. Be warned, though – the mint oil is intense stuff.
    Ginger
    Reader E M suggests ginger. I love ginger, but had never tried it as a breath freshener. I can safely report that it does cut through bad breath – provided you like the smell of ginger in the first place (which I do).
    Citrus
    Chewing on a lime or lemon wedge can freshen the breath in a pinch.
    Chlorophyll
    For bad breath caused by gut issues, chlorophyll is said to help.
    Various Chewables
    Try chewing parsley, fennel, or anise seeds to take care of superficial bad breath.
    As long as you’re eating Primal foods, you shouldn't have any systemic issues causing the bad breath and the above methods should take care of any temporary problem.

  3. Moss11

    I had this years ago which stopped me continuing :-(. However this time I have avoided it by drinking loads of water and limiting protein whilst increasing fat. Good luck.

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