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Short Term Prevention Of Ketoacidosis

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Diabetic Ketoacidosistreatment & Management

Diabetic KetoacidosisTreatment & Management Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. When treating patients with DKA, the following points must be considered and closely monitored: Correction of fluid loss with intravenous fluids Correction of electrolyte disturbances, particularly potassium loss Treatment of concurrent infection, if present It is essential to maintain extreme vigilance for any concomitant process, such as infection, cerebrovascular accident, myocardial infarction, sepsis, or deep venous thrombosis . It is important to pay close attention to the correction of fluid and electrolyte loss during the first hour of treatment. This always should be followed by gradual correction of hyperglycemia and acidosis. Correction of fluid loss makes the clinical picture clearer and may be sufficient to correct acidosis. The presence of even mild signs of dehydration indicates that at least 3 L of fluid has already been lost. Patients usually are not discharged from the hospital unless they have been able to switch back to their Continue reading >>

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  1. tk421

    Sorry if this doesn't belong in this part of the forum, but it seems better here than the other places in the forum.
    I am having trouble finding a solid answer to this. Everywhere I look online tells me something different. I see some say around 50 mg/dl which I would think is totally hypoglycemic. So I don’t really believe that. I see others saying as long as you are below about 97 mg/dl. I see others that say in the 80s. Some say other things. I just want a straight answer. So I need some advice from a successful keto person.
    What is proper blood glucose levels for someone who is in ketosis? I got this blood glucose monitor and I think it may be defective or just a crappy brand. Yesterday my fasting blood glucose (after a 14 hour fast) was 83 mg/dl. Today (again after a 14 hour fast) was 97. I couldn’t believe it so I took my blood glucose again and it said 92. Then I ate exactly 3 pieces of bacon and a piece of cheese, and two hours later my blood glucose was 102. I thought WTF, so I immediately took it again and it said 109.
    So maybe I have a defective monitor (the Nova Max Plus), but regardless, there is probably at least a little bit of truth to it. But I seriously eat 25 grams or less of carbs per day. Usually less.
    Could someone please explain glucose levels to me in regards to ketosis.

  2. JBean

    In the absence of dietary carbohydrates, your body will break down fats and proteins to maintain your blood glucose in the normal range. Here's an explanation:
    https://en.m.wikipedia.org/wiki/Gluconeogenesis

  3. tk421

    Originally posted by JBean
    In the absence of dietary carbohydrates, your body will break down fats and proteins to maintain your blood glucose in the normal range. Here's an explanation:
    https://en.m.wikipedia.org/wiki/Gluconeogenesis Very interesting. Thanks for the info, that helps me a lot!!
    Cheers

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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. Skie

    Can You Use Ketone Sticks to "Diagnose"?

    I'm not on a low carb diet as far as I know, so having these in the urine would be a possible diabetes sign, right? Is it a safe idea to get a package and see what my results are? Or is this just a silly idea? I'm still working out arrangements to go see a doctor and get tested, but in the mean time while I figure that out with my friends, I figure something like this might be useful to get an idea of where I stand in the matter... Course I wish I could borrow a meter too, but alas... Don't know anyone who'd let me...

  2. Shanghaied Guy

    I think your blood sugars have to be extremely high before ketones would show up in your urine if you have not been on ketogenic diet (very low carb) for several days.
    You can get a free meter here: https://www.onetouchgold.com/simplestart/, but you will still need to buy the strips.
    Where do you live? If you live in Shanghai, I will buy you a cup of coffee some morning and test your BG. We diabetics are always curious about the blood sugar of other people and sometimes try to cajole our family and friends into testing their morning fasting blood sugar. If you want to disclose where you live, maybe somebody here at DD can help you out with the use of a meter.
    Tell us a bit about yourself. Do you have a family history of diabetes? How old are you? Are you overweight? Have you ever had high blood glucose on a test? What symptoms do you have that lead you to suspect diabetes?
    Be well.

  3. hannahtan

    i wouldn't dx yourself with just a ketostix... if there are sugar and ketones in the urine... it is a sign of diabetes... if ketones alone... i'm not sure... that is why i will not simply just assume i'm a diabetic based on a ketostix result...
    if you can't borrow a meter... can you just go to a pharmacy and get a simple finger bg test done? if it is high... and from the ketostix result which shows ketones as positive... please go see a doc immediately... but if bg is good...i wouldn't worry a lot... but still see a doc to get a proper diagnosis

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Short Term Complications

Tweet Short term complications occur if blood glucose levels go too low or too high for the body to function properly in the present state. Short term complications can present immediate danger and therefore need to be treated quickly to avoid emergencies. What are the short term complications of diabetes? The most common short term complications of diabetes are the following: Hypoglycemia Hypoglycemia is a state of having blood glucose levels that are too low. Hypoglycemia is defined as having a blood glucose level of below 4.0 mmol/l. Symptoms include tiredness, weakness, confusion and a raised pulse rate. If you take blood glucose lowering medication such as insulin, sulfonylureas and post prandial glucose regulators, it is important to treat hypoglycemia immediately to prevent blood glucose levels from going dangerously low. Hypoglycemia can also occur in people that do not take diabetes medication but in this case, the body should low blood sugar levels naturally and treatment is not normally needed unless you have a condition known as reactive hypoglycemia or will be carrying out a dangerous task such as operating machinery or driving. Read about hypoglycemia Ketoacidosis Ket Continue reading >>

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Popular Questions

  1. FrankUnderWood

    Hi,
    I have started out for the third and final time on Keto on Monday.
    My weight has dropped 3 pounds in 4 days, but the Keto sticks are not changing colour (only started yesterday using them).
    How long does it take the average person to get into Ketsosis, I know there are a lot of variables to consider but I was wondering what people’s experience is?
    Before when I did this, the sticks were changing colour after 3 days.
    Thanks

    F

  2. VLC.MD

    Focus on the process and the results will happen. Test your urine 2/week

  3. Jacob4Jesus

    FrankUnderWood:
    How long does it take the average person to get into Ketsosis, I know there are a lot of variables to consider but I was wondering what people’s experience is?
    The average person (someone who is insulin sensitive) could be in ketosis when they get up every morning.
    I started casually and it took about 2 days for me to get the first symptoms of carb withdrawal.

    –Jacob

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