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Starvation Ketosis In Pregnancy Treatment

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In this video I discuss what are hormones, and how do hormones work. I also cover the types of hormones, water soluble hormones, and fat soluble hormones, what is glucagon, as well as the functions of hormones. Transcript (partial with notes) What are hormones, and what do hormones do? Hormones are messengers that are released mainly by glands, and they travel in the bloodstream through all parts of the body to targeted cells. Hormones then tell these cells what to do. How do hormones work? Types of hormones. Water soluble hormones bind to receptors on the surface of cells, and the message is delivered, and the cell does its duty. Fat soluble hormones actually enter cells and bind to receptors once inside. Again, message is delivered and the cell does its duty. What do hormones do? What is glucagon? For example glucagon is a hormone produced by the pancreas. After we eat, carbohydrates are broken down into glucose. The liver sends some of this glucose into the bloodstream to cells throughout the body. The cells use glucose as energy. The liver takes any extra glucose and stores it as glycogen, or as fat. As this glucose in the bloodstream gets used up by the cells, the liver needs to release more, and this is where glucagon comes in. The pancreas releases glucagon hormones which attach to receptors on liver cells. Glucagon tells the liver cells, we need more glucose, and the liver cells convert the stored glycogen into glucose, and releases it to keep those hungry cells fed. Functions of hormones. There are many different hormones in the body that have many different functions. There are hormones that help with blood pressure regulation, development of white blood cells, in response to stress, regulation of water retention in the kidneys, and I could go on and on and on, but I think you get the picture, they are kind of important in the body.

Hormones.gr

The ketonebodies, acetoacetate (AcAc), acetone and 3--hydroxybutyrate acid (3HB), arecatabolic products of free fatty acids, produced in the absence ofcarbohydrates or insulin.1 Quantitativeassay of 3HB measurement in blood is a more precise marker of insulindeficiency than urine dipstick detection of AcAc, as blood levels of 3HBincrease rapidly in the case of sudden insulin deficiency, while urinaryexcretion of AcAc is delayed as it is dependent on glomerular filtration andtherefore on renal function and degree of hydration. The measurement of AcAc inurine is a semi-quantitative assay and the result can be influenced by thepresence of certain food and drugs.2 Thus, measurement of 3HB in blood can be used for diagnosis andmonitoring of diabetic ketoacidosis (DKA).1 Positiveurine ketone readings are found in up to 30% of first morning urine samplesfrom pregnant women (with or without diabetes) during starvation and after hypoglycemia.1Indeed, ketonuria is not uncommon in normal pregnancy.3 After anovernight fast, maternal ketone body concentrations are about threefold greaterin pregnant than in non-pregnant women.4 However, it is unclear ifstarvation ketosis is associated with decr Continue reading >>

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  1. MrsNoMohren

    So I went to my 14 week check up today and I was having my typical morning sickness but maybe a little bit worse (riding in a car makes it worse and my doctor is a hr drive away). Well when I got in there they freaked out at me puking because they thought I had the flu (I thought they were about to call in hazmat!) but when I told them it was just my normal situation they started asking me question really concerned. I started to feel dumb that I hadn't worried more about how sick I had been but from being on here, reading up, and having preggie buddies that are sick I thought I was normal. Well they ran a bunch of tests on me and hooked me up to 2 bags of IV fluids. I was pretty scared at this point as I felt like the whole office was coming in to look at me. Well I'm 5'8 and was 208 at 3 weeks (the highest I had ever been due to endo flare ups that I was hoping to get down before I conceived. didn't happen). Well today I was down to 192 and they freaked out about that to which I just figured it was because I had been sick and my endo was gone. Well then they told me I have starvation ketosis because I had extremely high level of ketones in my urine. They said all my other vitals looked good and that starvation ketosis is basically like malnutrition and its probably because I haven't been able to eat enough due to feeling sick. They told me my baby had a strong heartbeat and was fine- not to worry because baby will get the first of everything.
    Now, I've gotten home, told my family and they're being SO MEAN about it. Saying how could I possibly be starving if I look like a do (ill attach a photo to prove I'm not a beached whale or anything! geewhiz!) and that they think my doctor is blowing this out of proportion. It hurts to feel like they aren't taking this serious and even making fun of me in the process. THEN I made the mistake of googling the situation and it said that high levels of ketones CAN hurt the baby- even lowering their IQ. I know this sounds ridiculous but this is something that really bothers me because my husband is a Dr. of Mechanical Engineering and in Mensa and I feel like I'm carrying this baby that has a chance to really make an impact and I'm screwing it up! I just want to know why the doctor didn't tell me that this situation is dangerous to baby. I just feel so alone and was hoping there is someone out there that may know more info on this on a personal level.
    Below: me at my current state

  2. Augie

    AWWWW. Family can be SO mean sometimes!!! I know it's SO hard, but try not to worry about the baby. I'm sure that everything will be just fine.

  3. MeowPurr32

    You are stunning and I don't think it's possible you weight anywhere near 192 lbs.? (Confused.) You don't look like it at ALL; you look amazing! Your family must not understand the serious nature of what you told them. I hope you can find some support from at least one or two of them. Anyone with a medical background in your family or group of friends who you can talk to? Perhaps they just need to be more educated about it. You could print out information for them to read. I'd tell them they hurt my feelings, and explain why, and give them the information. Glad you're getting good medical care now. Don't worry about those who aren't supportive, hon. Focus on your health and your baby.

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Acute Starvation In Pregnancy: A Cause Of Severe Metabolic Acidosis

We report a case of starvation-induced metabolic ketoacidosis in a previously healthy 29-year-old, nulliparous woman at 32 weeks of gestation. She was admitted to hospital with mild preeclampsia associated with persistent nausea and vomiting that progressed to severe preeclampsia requiring urgent control of hypertension before caesarean delivery. Prolonged and severe vomiting limited oral caloric intake and led to starvation ketoacidosis, characterised by ketonuria and a raised anion gap metabolic acidosis that required intensive care support. Despite significant metabolic derangement the patient appeared clinically well. Intravascular volume was replenished. Fluid restriction used as part of our preeclampsia treatment regimen delayed the therapeutic administration of sufficient dextrose, which rapidly corrected her metabolic derangement when commenced after delivery. Electrolyte supplementation was given to prevent re-feeding syndrome. Both mother and baby were discharged without sequelae. Do you want to read the rest of this article? ... Among the 10 reported nondiabetic starvation ketoacidosis cases, [1][2][3][4][5][6][7]only 3 patients [5][6][7]experienced reversal of severe a Continue reading >>

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  1. MrsNoMohren

    So I went to my 14 week check up today and I was having my typical morning sickness but maybe a little bit worse (riding in a car makes it worse and my doctor is a hr drive away). Well when I got in there they freaked out at me puking because they thought I had the flu (I thought they were about to call in hazmat!) but when I told them it was just my normal situation they started asking me question really concerned. I started to feel dumb that I hadn't worried more about how sick I had been but from being on here, reading up, and having preggie buddies that are sick I thought I was normal. Well they ran a bunch of tests on me and hooked me up to 2 bags of IV fluids. I was pretty scared at this point as I felt like the whole office was coming in to look at me. Well I'm 5'8 and was 208 at 3 weeks (the highest I had ever been due to endo flare ups that I was hoping to get down before I conceived. didn't happen). Well today I was down to 192 and they freaked out about that to which I just figured it was because I had been sick and my endo was gone. Well then they told me I have starvation ketosis because I had extremely high level of ketones in my urine. They said all my other vitals looked good and that starvation ketosis is basically like malnutrition and its probably because I haven't been able to eat enough due to feeling sick. They told me my baby had a strong heartbeat and was fine- not to worry because baby will get the first of everything.
    Now, I've gotten home, told my family and they're being SO MEAN about it. Saying how could I possibly be starving if I look like a do (ill attach a photo to prove I'm not a beached whale or anything! geewhiz!) and that they think my doctor is blowing this out of proportion. It hurts to feel like they aren't taking this serious and even making fun of me in the process. THEN I made the mistake of googling the situation and it said that high levels of ketones CAN hurt the baby- even lowering their IQ. I know this sounds ridiculous but this is something that really bothers me because my husband is a Dr. of Mechanical Engineering and in Mensa and I feel like I'm carrying this baby that has a chance to really make an impact and I'm screwing it up! I just want to know why the doctor didn't tell me that this situation is dangerous to baby. I just feel so alone and was hoping there is someone out there that may know more info on this on a personal level.
    Below: me at my current state

  2. Augie

    AWWWW. Family can be SO mean sometimes!!! I know it's SO hard, but try not to worry about the baby. I'm sure that everything will be just fine.

  3. MeowPurr32

    You are stunning and I don't think it's possible you weight anywhere near 192 lbs.? (Confused.) You don't look like it at ALL; you look amazing! Your family must not understand the serious nature of what you told them. I hope you can find some support from at least one or two of them. Anyone with a medical background in your family or group of friends who you can talk to? Perhaps they just need to be more educated about it. You could print out information for them to read. I'd tell them they hurt my feelings, and explain why, and give them the information. Glad you're getting good medical care now. Don't worry about those who aren't supportive, hon. Focus on your health and your baby.

  4. -> Continue reading
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What is CONGENITAL DISORDER? What does CONGENITAL DISORDER mean? CONGENITAL DISORDER meaning - CONGENITAL DISORDER definition - CONGENITAL DISORDER explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. A congenital disorder, also known as a congenital disease, deformity, birth defect, or anomaly, is a condition existing at or before birth regardless of cause. Of these disorders, those characterized by structural deformities are termed "congenital anomalies" and involve defects in a developing fetus. Birth defects vary widely in cause and symptoms. Any substance that causes birth defects is known as a teratogen. Some disorders can be detected before birth through prenatal diagnosis (screening). Birth defects may be the result of genetic or environmental factors. This includes errors of morphogenesis, infection, epigenetic modifications on a parental germline, or a chromosomal abnormality. The outcome of the disorder will depend on complex interactions between the pre-natal deficit and the post-natal environment. Animal studies indicate that the mother's (and likely the father's) diet, vitamin intake, and glucose levels prior to ovulation and conception have long-term effects on fetal growth and adolescent and adult disease. Animal studies have shown that paternal exposures prior to conception and during pregnancy result in increased risk of certain birth defects and cancers. This research suggests that paternal food deprivation, germ line mutations, alcohol use, chemical mutagens, age, smoking habits and epigenetic alterations can affect birth outcomes. However, the relationship between offspring health and paternal exposures, age, and lifestyle are still relatively weak. This is likely because paternal exposures and their effects on the fetus are studied far less extensively than maternal exposures. Birth defects are present in about 3% of newborns in USA. Congenital anomalies resulted in about 632,000 deaths per year in 2013 down from 751,000 in 1990. The type with the greatest numbers of deaths are congenital heart disease (323,000), followed by neural tube defects (69,000).

Life-threatening Ketoacidosis In A Pregnant Woman With Psychotic Disorder

Obesity is an increasingly common problem in pregnancy. It poses a number of challenges for physicians caring for pregnant women. One of the biggest issues is that of increased insulin resistance. This is evidenced by the increasing prevalence of gestational diabetes mellitus (GDM) and the number of women requiring oral hypoglycaemic agents or insulin during pregnancy. Pregnancy is also a time at which mental health may deteriorate, and psychiatric disorders are an important cause of maternal death in the UK.1 Newer classes of antipsychotics, in particular the ‘atypical’ or second-generation antipsychotics, are increasingly being used. Olanzapine, a commonly used atypical antipsychotic, is known to be associated with significant metabolic disturbances in the non-pregnant population, in particular weight gain and type 2 diabetes mellitus.2,3 Of concern is also the reported association of olanzapine use and unheralded diabetic ketoacidosis, which has been fatal in a number of cases.4 Ketoacidosis is most commonly seen in pregnancy in the setting of diabetes mellitus, but a number of cases of ketoacidosis with euglycaemia have also been reported following short periods of starvati Continue reading >>

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Popular Questions

  1. MrsNoMohren

    So I went to my 14 week check up today and I was having my typical morning sickness but maybe a little bit worse (riding in a car makes it worse and my doctor is a hr drive away). Well when I got in there they freaked out at me puking because they thought I had the flu (I thought they were about to call in hazmat!) but when I told them it was just my normal situation they started asking me question really concerned. I started to feel dumb that I hadn't worried more about how sick I had been but from being on here, reading up, and having preggie buddies that are sick I thought I was normal. Well they ran a bunch of tests on me and hooked me up to 2 bags of IV fluids. I was pretty scared at this point as I felt like the whole office was coming in to look at me. Well I'm 5'8 and was 208 at 3 weeks (the highest I had ever been due to endo flare ups that I was hoping to get down before I conceived. didn't happen). Well today I was down to 192 and they freaked out about that to which I just figured it was because I had been sick and my endo was gone. Well then they told me I have starvation ketosis because I had extremely high level of ketones in my urine. They said all my other vitals looked good and that starvation ketosis is basically like malnutrition and its probably because I haven't been able to eat enough due to feeling sick. They told me my baby had a strong heartbeat and was fine- not to worry because baby will get the first of everything.
    Now, I've gotten home, told my family and they're being SO MEAN about it. Saying how could I possibly be starving if I look like a do (ill attach a photo to prove I'm not a beached whale or anything! geewhiz!) and that they think my doctor is blowing this out of proportion. It hurts to feel like they aren't taking this serious and even making fun of me in the process. THEN I made the mistake of googling the situation and it said that high levels of ketones CAN hurt the baby- even lowering their IQ. I know this sounds ridiculous but this is something that really bothers me because my husband is a Dr. of Mechanical Engineering and in Mensa and I feel like I'm carrying this baby that has a chance to really make an impact and I'm screwing it up! I just want to know why the doctor didn't tell me that this situation is dangerous to baby. I just feel so alone and was hoping there is someone out there that may know more info on this on a personal level.
    Below: me at my current state

  2. Augie

    AWWWW. Family can be SO mean sometimes!!! I know it's SO hard, but try not to worry about the baby. I'm sure that everything will be just fine.

  3. MeowPurr32

    You are stunning and I don't think it's possible you weight anywhere near 192 lbs.? (Confused.) You don't look like it at ALL; you look amazing! Your family must not understand the serious nature of what you told them. I hope you can find some support from at least one or two of them. Anyone with a medical background in your family or group of friends who you can talk to? Perhaps they just need to be more educated about it. You could print out information for them to read. I'd tell them they hurt my feelings, and explain why, and give them the information. Glad you're getting good medical care now. Don't worry about those who aren't supportive, hon. Focus on your health and your baby.

  4. -> Continue reading
read more

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