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Starvation Ketosis Pregnancy

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I struggled to find Vlogs about topics i faced during my pregnancy so i hope this video helps spread some positivity to mothers going through the same things as i did and gives you light at the end of the tunnel. Leo & Theo Born at 34 WEEKS Todays Vlog I will be sharing with you my pregnancy story carrying and naturally giving birth to Monochorionic Diamniotic (MCDA) identical twin boys. What does MCDA mean? When two babies share a single placenta with a single outer membrane and two inner membranes. My pregnancy with identical twins was pretty eventful and I am going to share it all with you from Twin to Twin Transfusion Syndrome known as TTTS which is what my twins developed. What is TTTS? Read about it here: https://en.wikipedia.org/wiki/Twin-to... I will also be discussing a few other things I faced during my 8 weeks spent in Queenslands Royal Brisbane and Womens Hospital which were Gestational Diabetes, Amnioreduction Procedure, MCDA Twins, TTTS Twins, Twin To Twin Transfusion Syndrome Laser Surgery, Ultrasound, Amniotic Fluid, Amniotic Sac, Pessaries, Metformin, Insulin, Steroid Injections & tips to staying POSITIVE throughout your pregnancy. Being pregnant with identical twins was a tough, exciting, fun, emotional & crazy experience, yes there were ups and downs but I am so blessed having twins and I wouldnt change it for the world. REMEMBER STAY POSITIVE !! if you are going through this, here is a really good Facebook Group for support & advice https://www.facebook.com/groups/20349... Id like to do a huge shout out to everyone at the RBWH for taking such good care of me and my babies! In particular the wonderful Jo, Renuka and Lorna at MFM, really looked forward to seeing u guys each week. To Dr. Manuzo and her team for supporting me through it all and to all the midwives who helped me to keep smiling each and every day. Love to my husband Jacob & all my friends & family xxxx the support was incredible, couldn't have done it without you, i am so very blessed :) Stay tuned for more videos of Kat, Jacob & the newborn twin brothers Leo & Theo. My name is Kat and I am a Vlogger, here you can follow the life of a crazy fun loving mum of identical twin boys! My channel will cover all of my loves including Lifestyle | Homewares | Fashion | Travel | Family | Twin Birth | Twin Labour | Twin Delivery | Pregnancy Vlog & Food! Come along on this journey with me :) Email Me & Say Hello :) [email protected] Find us at... Facebook: http://www.facebook.com/KlashLife Instagram: http://www.instagram.com/klash.life

Case Of Nondiabetic Ketoacidosis In Third Term Twin Pregnancy | The Journal Of Clinical Endocrinology & Metabolism | Oxford Academic

We provided appropriate management with fluid infusion after cesarean delivery. The patient and her two daughters survived, and no disabilities were foreseen. Alcohol, methanol, and lactic acid levels were normal. No signs of renal disease or diabetes were present. Pathological examination revealed no abnormalities of the placentae. Toxicological tests revealed a salicylate level of less than 5 mg/liter, an acetaminophen level of less than 1 mg/liter, and an acetone level of 300 mg/liter (reference, 520 mg/liter). We present a case of third term twin pregnancy with high anion gap metabolic acidosis due to (mild) starvation. Starvation, obesity, third term twin pregnancy, and perhaps a gastroenteritis were the ultimate provoking factors. In the light of the erroneous suspicion of sepsis and initial fluid therapy lacking glucose, one wonders whether, under a different fluid regime, cesarean section could have been avoided. Severe ketoacidosis in the pregnant woman is associated with impaired neurodevelopment. It therefore demands early recognition and immediate intervention. A 26-yr-old patient was admitted to our hospital complaining of rapid progressive dyspnea and abdominal disco 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

Four Case Studies Of Severe Metabolic Acidosis In Pregnancy

Summarized from Frise C, Mackillop L, Joash K et al. Starvation ketoacidosis in pregnancy. Eur J Obstet Gynecol 2012. Available online ahead of publication at: Arterial blood gas analysis in cases of metabolic acidosis reveals primary decrease in pH and bicarbonate, and secondary (compensatory) reduction in pCO2. The most common cause of metabolic acidosis is increased production of endogenous metabolic acids, either lactic acid, in which case the condition is called lactic acidosis, or keto-acids, in which case the condition is called ketoacidosis. Ketoacidosis most commonly occurs as an acute and life-threatening complication of type I diabetes, due to severe insulin deficiency and resulting reduced glucose availability for energy production within cells (insulin is required for glucose to enter cells). Keto-acids accumulate in blood as a result of metabolism of fats mobilized to fill the energy gap created by reduced availability of glucose within cells. Starvation is also associated with reduced availability of (dietary) glucose and potential for ketoacidosis, although compared with diabetic ketoacidosis, starvation ketoacidosis is rare, usually mild and not life-threatening. E 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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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 blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

A Rare Cause Of Metabolic Acidosis: Ketoacidosis In A Non-diabetic Lactating Woman

Gordon Sloan1, Amjad Ali1 and Jonathan Webster1[1] Department of Diabetes and Endocrinology, Sheffield Teaching Hospital, Sheffield, UK Summary Ketoacidosis occurring during lactation has been described infrequently. The condition is incompletely understood, but it appears to be associated with a combination of increased metabolic demands during lactation, reduction in carbohydrate intake and acute illness. We present a case of a 27-year-old woman, 8 weeks post-partum, who was exclusively breastfeeding her child whilst following a low carbohydrate diet. She developed gastroenteritis and was unable to tolerate an oral diet for several days. She presented with severe metabolic acidosis on admission with a blood 3-hydroxybutyrate of 5.4 mmol/L. She was treated with intravenous dextrose and intravenous sodium bicarbonate, and given dietary advice to increase her carbohydrate intake. She made a rapid and full recovery. We provide a summary of the common causes of ketoacidosis and compare our case with other presentations of lactation ketoacidosis. Learning points: Ketoacidosis in the lactating woman is a rare cause of raised anion gap metabolic acidosis. Low carbohydrate intake, starvat 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
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