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Treatment For Ketoacidosis

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Diabetic Ketoacidosistreatment & Management

Diabetic KetoacidosisTreatment & Management Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. When treating patients with DKA, the following points must be considered and closely monitored: Correction of fluid loss with intravenous fluids Correction of electrolyte disturbances, particularly potassium loss Treatment of concurrent infection, if present It is essential to maintain extreme vigilance for any concomitant process, such as infection, cerebrovascular accident, myocardial infarction, sepsis, or deep venous thrombosis . It is important to pay close attention to the correction of fluid and electrolyte loss during the first hour of treatment. This always should be followed by gradual correction of hyperglycemia and acidosis. Correction of fluid loss makes the clinical picture clearer and may be sufficient to correct acidosis. The presence of even mild signs of dehydration indicates that at least 3 L of fluid has already been lost. Patients usually are not discharged from the hospital unless they have been able to switch back to their Continue reading >>

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  1. Nili Barrett

    I'm just finishing up my Whole30 tomorrow and am feeling wonderful. I'm planning to continue w30-ing it throughout the end of my pregnancy (10 more weeks!) with the additional restrictions of the autoimmune protocol to work on getting some skin issues cleared up... One Whole30 has not been enough...
    Anyway, I had my 30 week prenatal appointment today and my midwife was concerned about the ketones in my urine. It was a medium purple color on the stick. I was a little surprised to see them that high myself considering that I've been eating plenty of fruit, squash, sweet potatoes, etc. (I had 2 bananas at lunch!). She said this was a sign that I am not eating enough calories and that I should eat more even when I'm not hungry. I am eating plenty (this is the first time in my life I've been told to eat MORE! lol!) and I'm not worried about being in ketosis while pregnant because of a little research I've done on the subject. I don't think she was mean about it or anything... her heart was in the right place. I just think she's has a very conventional view of ketosis and in her mind ketosis equals starvation.
    I haven't lost weight on my first whole30 (I've gained about 3lbs) but I look and feel leaner for sure so I probably have lost a litte fat... and gained a little baby (a good deal in my book!).
    So just wondering if you have any advice on how to deal with my midwife and/or if you have any other thoughts about ketosis during pregnancy... articles and such would also be helpful. Thank you!

  2. jamesjameson

    That's right around the same time I did my whole 30 while pregnant.....with my midwife the keto strips were self monitored and I didn't feel the need to share that I was in ketosis at the time. Perhaps keeping a detailed food journal would ease her mind? Good Luck

  3. ciria

    It seems that traditional obgyns constantly worry that youre gaining too much weight and midwives are more worried about not gaining enough! I would take it with a grain of salt and make sure you're getting plenty of carbs and fats in. Enjoy the remainder of your pregnancy!

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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

How To Treat Ketoacidosis

Fri, 11/19/2010 - 14:57 -- Richard Morris Immediately drink a large amount of non-caloric or low caloric fluid. Continue to drink 8 to 12 oz. every 30 minutes. Diluted Gatorade, water with Nu-Salt and similar fluids are good because they help restore potassium lost because of high blood sugars. Take larger-than-normal correction boluses every 3 hours until the blood sugar is below 200 mg/dl (11 mmol) and ketones are negative. It will take much more rapid insulin than normal to bring blood sugars down when ketones are present in the urine or blood. Often, one and a half to two times the normal insulin dose for a high blood sugar will be necessary. Higher insulin doses than these will be needed if there is an infection or other major stress. If nausea becomes severe or last 4 hours or more, call your physician. If vomiting starts or you can no longer drink fluids, have a friend or family member call your physician immediately, then go directly to an emergency room for treatment. Never omit your insulin, even if you cannot eat. A reduced insulin dose might be needed, but only if your blood sugar is currently low. When high blood sugars or ketoacidosis happen, it is critical that you Continue reading >>

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Popular Questions

  1. tiger_lily5

    Hey ladies, this question is for you. Have any of you noticed a change in your cycle since being on keto? ie heavier or lighter periods, early or late on timing? Just curious if its affected you at all and if it was just a change in the beginning or it kept fluctuating.

  2. strawmama

    My cycle cam early...like 2.5 weeks early my first month, but it has since leveled out to once a month. I have less cramping and stomach problems...big bonus.

  3. LilMamaBear125

    I'm still like a clock on a timer here...

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What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Treatment Of Diabetic Ketoacidosis With Subcutaneous Insulin Aspart

Abstract OBJECTIVE—In this prospective, randomized, open trial, we compared the efficacy and safety of aspart insulin given subcutaneously at different time intervals to a standard low-dose intravenous (IV) infusion protocol of regular insulin in patients with uncomplicated diabetic ketoacidosis (DKA). RESEARCH DESIGN AND METHODS—A total of 45 consecutive patients admitted with DKA were randomly assigned to receive subcutaneous (SC) aspart insulin every hour (SC-1h, n = 15) or every 2 h (SC-2h, n = 15) or to receive IV infusion of regular insulin (n = 15). Response to medical therapy was evaluated by assessing the duration of treatment until resolution of hyperglycemia and ketoacidosis. Additional end points included total length of hospitalization, amount of insulin administration until resolution of hyperglycemia and ketoacidosis, and number of hypoglycemic events. RESULTS—Admission biochemical parameters in patients treated with SC-1h (glucose: 44 ± 21 mmol/l [means ± SD], bicarbonate: 7.1 ± 3 mmol/l, pH: 7.14 ± 0.09) were similar to those treated with SC-2h (glucose: 42 ± 21 mmol/l, bicarbonate: 7.6 ± 4 mmol/l, pH: 7.15 ± 0.12) and IV regular insulin (glucose: 40 Continue reading >>

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  1. Molly_Stevens

    Keto Strips - No Ketones!

    I'm 31 days in and decided to buy some of these at Walgreens http://fw.to/YqxKTWV
    4 because I was curious if I am in ketosis and I have some flex-spending $$ to use up (the strips are an eligible purchase). I had eaten maybe 3-5 net carbs today and plenty of fat, worked out this morning, and had gone from dinner until lunchtime without eating. So, was totally surprised that the urine strip color this evening (about 3 hours since I last ate) indicated zero ketones.

    Any thoughts on why? I'm more curious than anything else.

  2. cashfoley

    The strips aren't accurate once you are fat adapted. When you pee them out, those are excess ketones you aren't burning. When your body gets good at it, it doesn't generate excess. This is actually well known.
    Blood is more accurate but costs a bit. The Ketonix breath analyzer is pricey but is reusable for free.

    It doesn't really seem like you need it to know you are doing well. These things are good at fine tuning to find out what you can get away with or for more detailed health needs.

  3. Jim Russell

    There is also a thread about using a cheap alcohol breathalyzer for testing ketones.
    Test Breath Ketones without a Ketonix (using a cheap breathalyzer)
    I've wanted a ketonix for a while but am not going to fork over hundreds of dollars. So I followed some advice and got myself a cheap breathalyzer on ebay. Apparently they don't distinguish between alcohol and acetone. IT WORKS! Now I can measure easily whether or not I am in ketosis anytime I suspect I may have dropped out. The ketostix stopped working for me a long time ago as my body is very well adapted and I don't excrete a lot of measurable ketones.The breathalyzer is not much good for…

    I bought one and it's been working well.

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