Sodium Bicarbonate And Metformin

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Diabetes & Sodium Bicarbonate

Diabetics who poorly manage their disease might develop a life-threatening condition called diabetic ketoacidosis, which is characterized by nausea or vomiting, dry mouth, fruity breath, deep rapid breathing and abdominal pain. Diabetic ketoacidosis occurs when fat and protein is used as the body’s main energy source. As a result, ketones, which are poisonous in large quantities, accumulate and acidify body fluids, which can be neutralized by sodium bicarbonate therapy. Sodium bicarbonate is available in various forms, such as solutions, powders, tablets, capsules and granules. Video of the Day Diabetes affected 25.6 million Americans 20 years of age and older in 2010, accordng to the National Diabetes Information Clearinghouse. There are two main types of diabetics: insulin resistant, or type 2 diabetics; and insulin dependent, or type 1 diabetics. Insulin-resistant diabetics produce insulin but do not respond to it. Insulin-dependent diabetics do not produce insulin and must self-administer the hormone via an insulin pump or daily injections. Diabetes, which was previously regarded as an adulthood disease, has been increasingly diagnosed in children and adolescents. According t Continue reading >>

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  1. [deleted]

    I got my annual medical checkup for my Chinese visa today, and I have a 'mild fatty liver' apparently. Checked it up on Wikipedia:
    "Two known causes of fatty liver disease are an excess consumption of alcohol, and a prolonged diet containing foods with a high proportion of calories coming from lipids."
    This sounds very much like eating a keto died has damaged my liver, as I am a lifelong teetotaller (thanks dad).
    I AM going to get follow up tests done by a doctor, of course, but I wanted to get r/keto's opinion on this development too.

  2. blade_raver

    Ketoer here since 11/3/12. Lost about 40 lbs. Had a fatty liver for a long time along with high amounts of triglycerides.
    After 2-3 months on Keto, my triglyceride levels dropped.
    I'd say go keto and get yourself checked after 2-3 months. See if it helps.

  3. jessicaraeee

    what is your diet like? do you use vegetable oils, eat nuts, seeds, drink coffee, eat artificial sweetners?
    whats helped my liver the most is focusing on animal based fats, fatty cuts of meat, lots of greens, butter, coconut oil as the only non animal based fat, omega 3's, lots of dandelion, burdock root and peppermint tea, green tea instead of coffee. also lots of sulfur and choline foods like egg yolks and garlic. and lots of seaweeds.

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Lactic Acidosis Secondary To Metformin Overdose: A Case Report

Lactic acidosis secondary to metformin overdose: a case report We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Lactic acidosis secondary to metformin overdose: a case report Simon Timbrell, Gary Wilbourn, [...], and Alan Liddle Metformin is a commonly used treatment modality in type 2 diabetes mellitus, with a well documented side effect of lactic acidosis. In the intensive care setting lactate and pH levels are regularly used as a useful predictor of poor prognosis. In this article we highlight how high lactate levels are not an accurate predictor of mortality in deliberate metformin overdose. We present the case of a 70-year-old Caucasian man who took a deliberate metformin overdose of unknown quantity. He had a profound lactic acidosis at presentation with a pH of 6.93 and a lactate level of more than 20mmol/L. These figures would normal Continue reading >>

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Sodium Bicarbonate Drug Interactions

A total of 372 drugs (3167 brand and generic names) are known to interact with sodium bicarbonate . 5 major drug interactions (19 brand and generic names) 279 moderate drug interactions (2692 brand and generic names) 88 minor drug interactions (456 brand and generic names) Show all medications in the database that may interact with sodium bicarbonate. Check for interactions with sodium bicarbonate Type in a drug name and select a drug from the list. The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Do not stop taking any medications without consulting your healthcare provider. Disclaimer: Every effort has been made to ensure that the information provided by Multum is acc Continue reading >>

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  1. nurseprnRN

    The hypokalemia comes when the patient gets treated with insulin, driving the glucose and K+ into the cells. The kidneys can't (and won't) move so much out through urine with the excess glucose to make for hypokalemia.

  2. Esme12

    There can be a brief period of hypoglycemia in the early stages of an elevated blood sugar (polyuria)....but by the time "ketoacidosis" sets in the Serum potassium is elevated but the cellular potassium is depleted (all that shifting that goes on)
    Diabetic ketoacidosis

  3. April2152

    So pretty much what we would observe clinically is hyperkalemia because the osmotic duiresis does not move serum potassium significantly?

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