Ketosis Acidosis

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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

Print Overview Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process produces a buildup of acids in the bloodstream called ketones, eventually leading to diabetic ketoacidosis if untreated. If you have diabetes or you're at risk of diabetes, learn the warning signs of diabetic ketoacidosis — and know when to seek emergency care. Symptoms Diabetic ketoacidosis signs and symptoms often develop quickly, sometimes within 24 hours. For some, these signs and symptoms may be the first indication of having diabetes. You may notice: Excessive thirst Frequent urination Nausea and vomiting Abdominal pain Weakness or fatigue Shortness of breath Fruity-scented breath Confusion More-specific signs of diabetic ketoacidosis — which can be detected through home blood and urine testing kits — include: High blood sugar l Continue reading >>

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  1. GreyhoundGuru

    So, prior to starting my weight loss journey, I was always warm. I kept the heat set to about 65 degrees all day, and then down to 60 degrees at night.
    Since I've been on the weight loss program (about 4 1/2 weeks), I notice that I am always getting cold and hiking up the thermostat.
    I keep my calorie intake at least 1200 a day, plus I'm trying to work out at least an hour a day. I drink about ten to twelve 8oz glasses of water a day. Over the previous 3 1/2 weeks, I've lost 7lbs (hopefully more this week when I weigh in on Wednesday).
    I'm just wondering if this is normal.
    You'd think with the extra activity, I would be warmer than I was before.
    Just makes me scratch my head and go "huh?"
    Any ideas?

  2. elsinora

    Totally normal! What you describe is EXACtLY what happens to me when I start losing weight. Eventually you acclimatise x

  3. TuscanySun

    Ever since i dropped 125#, I'm freaking freezing all the time and its been 2 years since I started the weight loss...havent gotten used to it yet!

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Which is the best weight loss diet? Ketogenic diet vs low carb diet vs atkins vs paleo? Which one of these meal plans is best to burn fat? FREE 6 Week Challenge: https://gravitychallenges.com/home65d... Fat Loss Calculator: http://bit.ly/2O70G4m Isn't the ketogenic diet and low carb diet essentially the same thing? How about Atkins and paleo aren't all of these diets just a fancy way of saying keep your carbs low. Well it's definitely safe to say that you are limiting your carb intake in all of these diet plans but each plan calls for a slightly different approach to burning fat. Most ketogenic diets require you to keep your carbs under 30 grams a day and the most carbs that I've ever seen on a keto plan was 50 grams a day. Usually this will account for 5% of your total daily intake. Then you would have somewhere between 75 to 80 percent of your calories from fat. And finally 15 to 20 percent of your calories from protein. With ketogenic it's clear that the carbs are very limited at only 5 percent per day and the reason why carbs are so limited is because the ketogenic diet is trying to put you into ketosis. To sum it up simply ketosis is a state in which you're going to burn more fat and produce Ketone bodies in your liver for use as energy when carbohydrates are really low. Low-carb diets on the other hand don't require an exact number of carbohydrates the way that keto does. Obviously since it's low carb you wouldnt expect to have more than 20 to 30 percent of your calories coming from carbs but even at 20 percent it's a huge difference from the five percent that you get with keto. So with low carb we can consider the exact number of carbs undefined whereas with Keto that number is very defined with exact numerical values. What about atkins? When taking a closer look at Atkins you see that Atkins is different from keto and low-carb as well. With Atkins the General accepted split is 30% protein 10% carbs and 60% fat. Again this is higher in carbs than the 5 percent we see with keto which Keto dieters would not support because they would say that having a higher level of carbs would take you out of ketosis. But Atkins at certain points dies definitely put you into ketosis. The plan takes you through four phases and a lot of these phases match up with the keto structure. In Phase 1 of Atkins you have to limit your totally daily carb intake to only 20 grams per day. This is as low if not even lower than keto. Then you progress to phase 2 where you still keep carbs really low but you add in certain vegetables berries nuts and seeds back into the diet. Then in Phase 3 which you only start once you're about 10 pounds from your weight loss goal, but once your there you start to add 10 grams of carbs to your diet each week. And finally in phase four you enter maintenance which allows you to eat anywhere from 45 to 100 grams of carbs per day. Phase one and two sound just like the ketogenic diet and I'm sure when your in those two phases you will be in a state of ketosis but when you enter into phase 3 and phase 4 you're going to be moving more towards a general low carb diet which as ive already mentioned is very different from keto. Now how about paleo, where does paleo fit in all of this. Well paleo once again elicits fat loss by keeping the list of approved carbs short but the paleo plan is different because it only allows Foods that were believed to be eaten by our caveman ancestors. The best paleo macronutrient split as defined by the perfect health diet and paleo leap.com is around 20 percent carbohydrates 65 percent fat and 15 percent protein. Again this is slightly different from what we've seen with low carb and Atkins but it's very different from keto. Even though paleo and Keto are both low in carbohydrates Keto is significantly lower than paleo again keto totals only at 5% of total daily intake. The Paleo diet is also very specific with what foods you can and cannot eat. Even though you can do this diet with regular produce it's highly recommended that all your meat products are grass-fed wild caught and pasture-raised. You're allowed to eat any fresh vegetables except for potatoes and any nuts except for peanuts. Also eggs, healthy oils like olive oil, and fresh fruit especially berries are allowed on the plan. Grains, bread, cereals, any processed food, legumes, beans, and Dairy are completely off the plan. Dairy is a big part of the ketogenic diet for many people. A lot of people get the massive amount of fat required on keto with options like cheese. Cheese would be forbidden on the Paleo diet but on paleo you would actually be able to eat things like pumpkin squash and yams. With keto it would be almost impossible to eat these things because you would easily exceed you're 5% carb allowance. Most of these diets matchup in their efforts to limit grains

Ketoacidosis Associated With Low-carbohydrate Diet In A Non-diabetic Lactating Woman: A Case Report

Go to: Case presentation A 32-year-old white woman presented to our county hospital with a history of nausea, vomiting, heart palpitations, trembling and extremity spasms. She had started a strict LCHF diet, with an estimated carbohydrate intake of less than 20g per day, 10 days before admittance, lost 4 kilograms and had felt growing malaise. She was breastfeeding her son of 10 months of age. She continuously denied any alcohol or drug intake. She had a past medical history of hypothyreosis and had a family history of high blood pressure but not for diabetes. She took acetaminophen occasionally but no other medications. The initial examination in the emergency department revealed an unaffected woman with respiratory rate of 12 breaths per minute, oxygen saturation 96% on room air, body temperature 36.3°C, pulse 102 beats per minute and blood pressure of 110/80mmHg. Nothing abnormal was revealed on examination of her heart, lungs, abdomen and thyroid gland. An arterial blood gas was taken. It revealed pH 7.20, base excess (BE) −19, partial pressure of carbon dioxide (pCO2) 2.8 kPa, glucose 3.8mmol/l and lactate 1.0mmol/l. Her blood ketones were 7.1mmol/l (reference 0 to 0.5mmol/ Continue reading >>

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  1. Ketosis & Sucralose

    Has anyone ever seen sucralose interfere with ketosis? I'm 55 and I started low carbing about 7 weeks ago. It started off very strong and I lost 15 pounds in record time. But I still have 45 to lose. I got a blood ketone meter, was at .4 mmol/L, and decided to cut a bit of protein. Ketones climbed, weight stayed the same. This week I decided to repeat 'induction' and dropped to 20 carbs per day. BUT, for the first time I started using some of the low carb shakes and bars from the company named after the guy who started the low carb movement. I had 1 shake and 1 bar 2 days ago and the same yesterday. My blood ketones have plummeted to .2 and the ketostix show absolutely nothing. Has the sweetener in the the bars and shakes ever had this effect on anyone?
    Another possible complication is I have 2 weeks to prepare for a trip where I'll be walking many miles every day and my physical activity has gone up quite a bit. But I've either fallen asleep too many times while reading or the increase in exercise could have reasonably been expected to increase my blood ketones.
    I'm not in danger of giving up low carb, just frustrated and mystified. No more bars or shakes for me until I get this sorted out.

  2. Unregistered

    "No more bars or shakes for me until I get this sorted out."
    You answered your own question.
    Stay far, far away from those bars and shakes.
    BTW- The ketosis thing is misunderstood.
    You do NOT want to stay in ketosis. You want to go past that and be keto-adapted. If you are doing low carb right, you see signs of ketosis for a few weeks, then as you adapt, you see stix show normal. This means you are on track. Now your body adapted itself to burning fat for fuel, the way it was meant to be, Congrats.

  3. Unregistered

    I had read that the stix would stop showing ketones (as a waste product) but I thought that the blood ketones would still be there...
    I feel like I have read until my eyes are ready to bleed but it looks like I'm not finished yet!
    I would consider tossing the stix in the trash. They seem like more worry than they are worth.
    I have been at this since 2008 and have never done a keto stix.
    I know I minimize carbs. I can't think of anything a keto stix is going to tell me that I am not already doing.

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Ketoacidosis Versus Ketosis

Some medical professionals confuse ketoacidosis, an extremely abnormal form of ketosis, with the normal benign ketosis associated with ketogenic diets and fasting states in the body. They will then tell you that ketosis is dangerous. Testing Laboratory Microbiology - Air Quality - Mold Asbestos - Environmental - Lead emsl.com Ketosis is NOT Ketoacidosis The difference between the two conditions is a matter of volume and flow rate*: Benign nutritional ketosis is a controlled, insulin regulated process which results in a mild release of fatty acids and ketone body production in response to either a fast from food, or a reduction in carbohydrate intake. Ketoacidosis is driven by a lack of insulin in the body. Without insulin, blood sugar rises to high levels and stored fat streams from fat cells. This excess amount of fat metabolism results in the production of abnormal quantities of ketones. The combination of high blood sugar and high ketone levels can upset the normal acid/base balance in the blood and become dangerous. In order to reach a state of ketoacidosis, insulin levels must be so low that the regulation of blood sugar and fatty acid flow is impaired. *See this reference pap Continue reading >>

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  1. spage_rn

    I have smelled sinus infections like that, but I would definitely keep the appt with the doctor!
    Quote from spage_rn
    Nurses...I am so glad I found this web site (thanks Jeeves!). Anyway, my husband's breath smells like moth balls. Yes, it is disgusting. I am making him an appt at the internist tomorrow. This has been going on since Thursday...poor guy has brushed, flossed, scrubbed and used listerine like crazy. He feels fine.
    I guess I am asking if you all can think of some reason for this!! I have looked and looked on line and in the Merck Manual. All I find is acetone smelling breath for ketosis. And his breath smells like an old man...reminds me of my father in law (66, had prostate cancer 5 years ago). Help!! My husband has no s/sx of diabetes. I have even done finger sticks...always less than 110.
    He had this happen about a year ago but we can't remember what or when it went away.
    thanks for any help or insight.

  2. CDN_NPtobe

    Any problems with urination? Sometimes kidney failure will cause people to be malodorous because its a way for the body to try and rid itself of toxins. He also may have a pharygeal pouch or something that is filling with food that could cause the odor.
    Just ideas--I would agree that he should keep his appointment. Let us know how he makes out...

  3. LydiaGreen

    There are many possibilities so the appointment should definitely be kept. Could be a sinus infection. Does he have any trouble sleeping? Excessive snoring, periods where he stops breathing? My daughter has enlarged adenoids (possible T&A surgery this month) and it doesn't matter how often she brushes, flosses, gargles - she still has bad breath (although, she isn't aware of it - we've never told her. She's seven and the poor kid has more than enough to worry about with the lack of sleep.)

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