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Starvation Ketoacidosis Symptoms

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Lactation Ketoacidosis: An Unusual Entity And A Review Of The Literature

Perm J 2016 Spring;20(2):71-73 CASE PRESENTATION A 31-year-old woman who was 10 months postpartum and was breastfeeding presented to the Emergency Department with nausea, fatigue, vertigo, malaise, and 1 episode of emesis. She had been well until 20 hours earlier when her symptoms began somewhat suddenly and progressed in severity such that she sought treatment in the Emergency Department. She denied having fever, chills, or diarrhea and reported having consumed nothing out of the ordinary; no one else in her household was ill. She had not ingested or used any illicit substances, alcohol, or over-the-counter or prescription medications in the days preceding her presentation. Her medical history included mild asthma, for which she took no medications on a regular basis. She had an ectopic pregnancy 6 years earlier and hyperemesis gravidum 7 years ago when pregnant with her first child. She was breastfeeding her second child, a 10-month-old daughter. She had 2 hospital admissions in the preceding 3 months, with symptoms similar to those at current presentation. In each case, she was given intravenous fluids, her symptoms quickly resolved, and she was discharged from the hospital the Continue reading >>

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  1. metalmd06

    Does acute DKA cause hyperkalemia, or is the potassium normal or low due to osmotic diuresis? I get the acute affect of metabolic acidosis on potassium (K+ shifts from intracellular to extracellular compartments). According to MedEssentials, the initial response (<24 hours) is increased serum potassium. The chronic effect occuring within 24 hours is a compensatory increase in Aldosterone that normalizes or ultimatley decreases the serum K+. Then it says on another page that because of osmotic diuresis, there is K+ wasting with DKA. On top of that, I had a question about a diabetic patient in DKA with signs of hyperkalemia. Needless to say, I'm a bit confused. Any help is appreciated.

  2. FutureDoc4

    I remember this being a tricky point:
    1) DKA leads to a decreased TOTAL body K+ (due to diuresis) (increase urine flow, increase K+ loss)
    2) Like you said, during DKA, acidosis causes an exchange of H+/K+ leading to hyperkalemia.
    So, TOTAL body K+ is low, but the patient presents with hyperkalemia. Why is this important? Give, insulin, pushes the K+ back into the cells and can quickly precipitate hypokalemia and (which we all know is bad). Hope that is helpful.

  3. Cooolguy

    DKA-->Anion gap M. Acidosis-->K+ shift to extracellular component--> hyperkalemia-->symptoms and signs
    DKA--> increased osmoles-->Osmotic diuresis-->loss of K+ in urine-->decreased total body K+ (because more has been seeped from the cells)
    --dont confuse total body K+ with EC K+
    Note: osmotic diuresis also causes polyuria, ketonuria, glycosuria, and loss of Na+ in urine--> Hyponatremia
    DKA tx: Insulin (helps put K+ back into cells), and K+ (to replenish the low total potassium
    Hope it helps

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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 b

Diabetic Ketoacidosis - An Unusual Case History

Summarized from Joseph F, Anderson L, Goenka N, Vora J. Starvation-induced true diabetic euglycemic ketoacidosis in severe depression. J Gen Intern Med 2009; 24: 129-31 Diabetic ketoacidosis (DKA) is a life-threatening acute metabolic disturbance that results from absolute or relative insulin deficiency. It is usually precipitated by intercurrent illness and is a relatively common complication of type 1 diabetes but only rarely occurs in those suffering type 2 diabetes. The cardinal features of DKA are hyperglycemia (blood glucose usually greater then 15.0 mmol/L and often much higher) with resulting glycosuria, metabolic acidosis (reduced arterial pH and bicarbonate) and ketosis (presence of ketones in blood and urine). Although moderate-to-severe hyperglycemia is an almost invariable finding in patients with DKA, there are rare reports of ketoacidosis occurring in diabetics with normal or near-normal blood glucose. The diagnosis of euglycemic diabetic ketoacidosis is applied to such patients and there is now consensus that blood glucose of less than 11.1 mmol/L (200 mg/dL) is required for such a diagnosis. A recently published case history describes DKA occurring in a patient wit Continue reading >>

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  1. RCFletcher

    This is a general and interesting article which explains how ketosis works. the bit which alarmed me was about drinking if in ketosis. It also explains why people appear to get drunk quicker - it seems they're not drunk but their brains are short of fuel!
    If the moderators would like to move this post please do. I thought it was of such general interest that it should be here.
    Enjoy!
    http://www.sun.ac.za/med_physbio/med_physiology/dept/ketosis.htm
    DO NOT DRINK ALCOHOL IF YOU ARE KETOTIC!
    Alcohol is a powerful inhibitor of gluconeogenesis. In fact, it forces part of the gluconeogenic metabolic process into reverse. This means that if all the glucose in the blood is being derived from gluconeogenesis then the consumption of alcohol will inevitably cause the blood glucose level to fall. Worse still, the alcohol also stops ketone body production, thus leaving the brain entirely without fuel.
    A person who is ketotic is 100% reliant on gluconeogenesis to maintain adequate levels of glucose in the blood. If, under these circumstances alcohol is taken, the person will become disorientated and might lose consciousness, not just from the alcohol, but from low blood sugar. Needless to say, this could be very dangerous, and even fatal.
    Alcohol does not have these effects if the glycogen stores in the liver are normal. Under these circumstances the blood glucose level in the blood is maintained by the breakdown of liver glycogen, a process that is not influenced by alcohol. If a person becomes confused under these circumstances it is due simply to the pharmacological effects of the alcohol!

  2. kimberlyw

    OK - but there's a difference between slamming down shots of vodka and having a glass or two of wine.
    I mean - I personally have never noticed a difference - but then I don't drink much.
    Thanks for the article :D
    ~Kimberly

  3. BigJ

    Ehh.. It just means I'm a cheaper drunk. Getting loaded is hard on the brain cells no matter what :)
    Thanks for the article though!

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Subscribe for videos on becoming superhuman: https://goo.gl/TSDCuv Lowering your caloric intake and doing intermittent fasting has a ton of health benefits on both your body and your mind. Herman Hesse said in his novel, Siddhartha: Everyone can perform magic, everyone can reach his goals, if he is able to think, if he is able to wait, if he is able to fast. Numerous studies have shown that caloric restriction increases the lifespan and youthfulness of almost all species, starting with fruit flies and ending with rhesus monkeys. In humans, there is no definite anti-aging proof but fastings been shown to improve biomarkers, reduce inflammation, promote stem cell growth, boost the immune system and make you burn a ton of fat. However, the key to successfully gaining these health benefits comes from avoiding malnutrition and starvation. Theres a hugedifference between fasting, starvationand caloric restriction, but it doesn't mean you can't be starving while intermittent fasting or consuming fewer calories. This video tells you how to avoid starvation mode while fasting and gain the longevity benefits More In-Depth video on autophagy: https://www.youtube.com/watch?v=_2kW_... Read the

Starvation Ketoacidosis – A Rare But Significant Metabolic Condition

Diabetic ketoacidosis and pregnancy related ketoacidosis are the most common forms of ketoacidosis seen in acute medical units. We describe here two rare cases of starvation ketoacidosis. Case 1: 63 years old gentleman with no history of diabetes, presented with persistent vomiting for 48 hours. His admission bloods revealed Serum Bicarbonate of 8, pH 7.19, pCO2 2.7, base excess of -17.8, plasma glucose 5.2 mmol/l and serum alcohol <100. Serum ketones were 3.4 mmol/l. He was managed with iv fluids mainly with dextrose infusions. His symptoms, serum ketones and pH levels normalised while his blood glucose remained stable over 3 days and was discharged home. Case 2: 67 years lady with past history of COPD, excess alcohol intake and osteoporosis, presented with feeling unwell, since she stopped eating after she had an argument with her son 5 days ago. Her bloods revealed Serum Bicarbonate of 14, pH 7.43, pCO2 3.5, base excess of -4.7, plasma glucose 6.7 mmol/l and serum alcohol <100. Serum ketones were 3.4 mmol/l. She was managed with iv fluids mainly with dextrose infusions with iv Vitamin B complex. Her symptoms, serum ketones and pH levels normalised while her blood glucose remaine Continue reading >>

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  1. abdada

    I printed your chart out and peed on it and it didn't turn purple :(

  2. Bdi89

    I laughed way harder at this than i should've. Out loud in a coffee shop. When i reread it back to my friends they just looked concerned.

  3. Rpizza

    Then u may or may not be in ketosis.
    Lol
    Stop peeing on things. It's not gonna get u into ketosis

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