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Starvation Acidosis Symptoms

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Alcoholic Ketoacidosis

Alcoholic ketoacidosis is a metabolic complication of alcohol use and starvation characterized by hyperketonemia and anion gap metabolic acidosis without significant hyperglycemia. Alcoholic ketoacidosis causes nausea, vomiting, and abdominal pain. Diagnosis is by history and findings of ketoacidosis without hyperglycemia. Treatment is IV saline solution and dextrose infusion. Alcoholic ketoacidosis is attributed to the combined effects of alcohol and starvation on glucose metabolism. Alcohol diminishes hepatic gluconeogenesis and leads to decreased insulin secretion, increased lipolysis, impaired fatty acid oxidation, and subsequent ketogenesis, causing an elevated anion gap metabolic acidosis. Counter-regulatory hormones are increased and may further inhibit insulin secretion. Plasma glucose levels are usually low or normal, but mild hyperglycemia sometimes occurs. Diagnosis requires a high index of suspicion; similar symptoms in an alcoholic patient may result from acute pancreatitis, methanol or ethylene glycol poisoning, or diabetic ketoacidosis (DKA). In patients suspected of having alcoholic ketoacidosis, serum electrolytes (including magnesium), BUN and creatinine, glucose, Continue reading >>

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Popular Questions

  1. Shakim28

    I started on Monday, I've been eating less than 1500 calories a day and I have been hitting all my macros. I haven't had a day where I went over 5 grams of net carbs. The flu hasn't hit and I don't think I have keto breath or keto pee yet! Someone please explain how I am supposed to know?

  2. DownhillYardSale

    Did you just start?
    Did you eat less than 100g of carbs in the past 24 hours?
    Yes?
    Are you dead?
    No?
    Congratulations, you are in ketosis.
    Something that is interesting here is that there are 2 definitions for what ketosis is on this subreddit.
    Clinically ketosis is having beta-hydroxybutyrate levels in your blood over 0.2 mmol/L.
    Few here test that so we don't technically know whether they are in ketosis or not.
    The ketosis most people refer to here is that their body is primarily burning FAT for fuel instead of GLUCOSE.
    In this sense... if you eat 20g of carbs, you'll be in ketosis.
    Without measuring your blood we cannot state emphatically/clinically what your state of ketosis is.

  3. bidnow

    You trust us and save your money from not buying ketostix and buy bacon or Kerrygold butter instead.

  4. -> Continue reading
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