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Starvation Ketoacidosis Pdf

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Chapter 220. Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is an acute, life-threatening complication of diabetes mellitus. The incidence and prevalence of diabetes are rising; as of 2005, an estimated 7% of the U.S. population had diabetes. In patients age 60 or older, the prevalence is estimated to be 20.9%.1 DKA occurs predominately in patients with type 1 (insulin-dependent) diabetes mellitus, but unprovoked DKA can occur in newly diagnosed type 2 (non–insulin-dependent) diabetes mellitus, especially in blacks and Hispanics.2 Between 1993 and 2003, the yearly rate of ED visits for DKA per 10,000 U.S. population with diabetes was 64, with a trend toward an increased rate of visits among the black population compared with the white population.3 Europe has a comparable incidence. A better understanding of pathophysiology and an aggressive, uniform approach to diagnosis and management have reduced mortality to <5% of reported episodes in experienced centers.4 However, mortality is higher in the elderly due to underlying renal disease or coexisting infection and in the presence of coma or hypotension. DKA is a response to cellular starvation brought on by relative insulin deficiency and counterregulatory or cat Continue reading >>

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Popular Questions

  1. Breimann

    Hi everyone! I'm back on keto! ... again! Yay. However, while I am kinda hefty (5'7, 207lb as of six days ago), my weight is not the main factor for the change.
    A few weeks ago I had my checkup with my primary care doctor. For the second visit in a row my blood pressure was high. 160/90 to be exact. He mentioned the idea of a mild blood pressure medication.
    Folks, my mother takes a friggin pill cocktail twice a day. Blood pressure, cholesterol, heart meds, insulin, you name it. My pops isn't much better.
    "Doc" I said, "I'm 28 man, I can't depend on a medication this soon unless it's life threatening. Please, you've known me 20 years, trust me enough to turn it around. If I can't, then we can talk the possibility of meds."
    He agreed. He suggested cutting back on caffeine and sodium. So I did. From two large iced coffees from Dunkin full of caramel swirly shit to one medium with cream and one Sweet n Low. Eggs and Turkey for breakfast instead of a hungry man (3 eggs, bacon ham sausage and potatoes on a hero for the unfamiliar).
    I WAS MISERABLE FOR DAYS. My work was suffering (i do light construction) and felt like death at the gym. Then one of my coworkers, who I converted to Keto a while back simply suggested i cut out the carbs again. Duh, water retention.
    So here I am, with a wife who is baffled by the fact that my single meal today was two cans of tuna, three eggs, half a block of cheddar, two scoops of peanut butter and some pork rinds. I already feel better overall - more energy at work, moving better at the gym... I have yet to weigh myself or check my blood pressure. I go back for a checkup in three weeks and I'm actually really excited to see what results may come.
    It feels good to be back. <3

  2. xanderbitme

    8 months ago I was on the maximum dose of Tenormin. Two weeks ago I was finally able to eliminate it. 50 lbs loss was all it took (still have 30 to go).

  3. bidnow

    Mine went from
    150/100 > 120/84
    39.2 BMI > 27.8 BMI
    27.8 BMI is 177 lbs for you. Good luck

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