What Does Ketoacidosis Mean?

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High blood sugars can be very dangerous for diabetics. Let me tell you a little story about the highest blood sugar level I've ever had, the stupidity which caused it and what Hyperglycemia symptoms feel like. What is your highest Blood Glucose reading? and what did you do to cause it? Let me know in the comments down below. Please remember to subscribe to my channel so you don't miss the next video and leave a thumbs up and comment down below. All uploads are my intellectual property. You do not have permission to re-use any part of them without my written consent. Music by: Arman Cekin https://soundcloud.com/armancekin/hol...

High Blood Sugars (ketoacidosis)

Ketoacidosis And Hyperglycemic Hyperosmolar Syndrome Severe high blood sugars, ketosis (the presence of ketones prior to acidification of the blood), and ketoacidosis (DKA) are serious and potentially life-threatening medical problems which can occur in diabetes. High blood sugars become life-threatening in Type 1 or long-term Type 2 diabetes only when that person does not receive enough insulin from injections or an insulin pump. This can be caused by skipping insulin or not receiving enough insulin when large amounts are required due to an infection or other major stress. Ketoacidosis surprisingly occurs almost as often in Type 2 diabetes as it does in Type 1. However, people with Type 2 diabetes also encounter another dangerous condition called hyperglycemic hyperosmolar syndrome, which is roughly translated as thick blood due to very high blood sugars. Here, coma and death can occur simply because the blood sugar is so high. The blood will have ketones at higher levels but does not become acidotic. HHS usually occurs with blood sugar readings above 700 mg/dl (40 mmol) as the brain and other functions begin to shut down. When insulin levels are low, the body cannot use glucose p Continue reading >>

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  1. Frentzke

    I'm curious to hear the experiences of others with distance running while being Keto. I'm in the second week of training for a half marathon in April. I've had no problem running 3 miles fasted for around 22 hours, but I'm interested in the possible need to fuel with fat on longer runs. Last October I completed a 10k after doing a fat fast for 5 days and then the morning of the race ate three eggs fried in a ton of butter. I actually beat my best training time by a decent amount with this plan, but 13.1 miles could require a different strategy. Thanks for any tips and Keto on!

  2. bodwest

    Check this podcast out - it has information that should be very helpful: https://blog.bulletproof.com/102-extreme-endurance-training-and-ketosis-with-ben-greenfield-podcast/

  3. Jacquie

    I think @trekkin1 is a keto long distance runner and @Emacfarland is a shorter keto distance runner. Hopefully, they will chime in soon with lots of good information.

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones stimulate FURTHER production and release of glucose into the blood, causing it to overflow into urine, resulting in excessive LOSS of water and electrolytes. The major DIFFERENCE between HHS and DKA is the ABSENCE of acidosis in HHS. This is because, unlike DKA, the level of insulin in HHS patients is HIGH enough to SUPPRESS lipolysis and hence ketogenesis. This explains why HHS occurs more often in type 2 diabetics, who have more or less normal level of circulating insulin. Reminder: type 2 diabetics DO produce insulin but their cells do NOT respond to insulin and therefore cannot use glucose. Because symptoms of acidosis are NOT present, development of HHS may go UNnoticed until blood glucose levels become EXTREMELY high. Severe dehydration results in INcreased concentrations of solutes in the blood, raising its osmolarity. HyPERosmotic blood plasma drives water OUT of bodys tissues causing cellular dysfunction. Primary symptom of HHS is ALTERED consciousness due to excessive dehydration of brain tissues. This can range from confusion to coma. Emergency treatment consists of intravenous fluid, insulin and potassium similar to those used in DKA.

Diagnosis And Treatment Of Diabetic Ketoacidosis And The Hyperglycemic Hyperosmolar State

Go to: Pathogenesis In both DKA and HHS, the underlying metabolic abnormality results from the combination of absolute or relative insulin deficiency and increased amounts of counterregulatory hormones. Glucose and lipid metabolism When insulin is deficient, the elevated levels of glucagon, catecholamines and cortisol will stimulate hepatic glucose production through increased glycogenolysis and enhanced gluconeogenesis4 (Fig. 1). Hypercortisolemia will result in increased proteolysis, thus providing amino acid precursors for gluconeogenesis. Low insulin and high catecholamine concentrations will reduce glucose uptake by peripheral tissues. The combination of elevated hepatic glucose production and decreased peripheral glucose use is the main pathogenic disturbance responsible for hyperglycemia in DKA and HHS. The hyperglycemia will lead to glycosuria, osmotic diuresis and dehydration. This will be associated with decreased kidney perfusion, particularly in HHS, that will result in decreased glucose clearance by the kidney and thus further exacerbation of the hyperglycemia. In DKA, the low insulin levels combined with increased levels of catecholamines, cortisol and growth hormone Continue reading >>

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  1. Renee McCrory

    Prolonged high blood sugar levels can cause swelling in the brain -- cerebral edema. Children are more susceptible, but adult cases have been documented, according to Elliot J. Crane, MD, Departments of Pediatrics and Anesthesiology, Stanford University Medical Center. Other complications include organ damage from low blood pressure, heart attack and kidney failure.

  2. Phyllis Stewart

    This happens to me frequently. 600 will not kill you. You can go the the ER, and they will push high volumes of IV fluids and give you IV insulin. Doesn’t take long. The sooner you go, the easier it will be on you. Twice in two weeks, my readings were more than 600. You note that 600 is the highest reading available on meters, which is silly. For three days each time, I bolused 25 units in my pump every four hours. The first time, it finally took. The second, I became symptomatic which involved dehydration, lots of urination, etc. I found out that there are certain very simple sugars that will drive my glucose up very rapidly and very high. Now, no more problems

  3. Ryan P. Long

    Coma and death. 600 mg/dL is nearing the threshold of diabetic coma. Anyone in that situation should seek emergency medical treatment at their nearest hospital.

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DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details). Quiz on DKA: http://www.registerednursern.com/diab... Lecture Notes for this video: http://www.registerednursern.com/diab... Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Diabetic Ketoacidosis (dka) - Topic Overview

Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin. When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine. Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis. Ketoacidosis can be caused by not getting enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these things. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes but it can happen with type 2 diabetes, especially children) when their blood sugar levels are high. Your blood sugar may be quite high before you notice symptoms, which include: Flushed, hot, dry skin. Feeling thirsty and urinating a lot. Drowsiness or difficulty waking up. Young children may lack Continue reading >>

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  1. Dr. K.

    DrK99 : Hello, this is Dr K99. Answers are not medical advice and do not constitute a Dr/patient relationship. Please consult your Dr for medical advice.
    DrK99 : Yes these are all symptoms of hypoglycemia or low blood sugar. Likely from the diet.
    DrK99 :
    Symptoms of hypoglycemia include heart palpitation, shakiness, anxiety, sweating, hunger and t
    ingling sensation around the mouth
    DrK99 : Sorry tingling sensation around the mouth. Nausea can also occur
    DrK99 : In addition you may actually be suffering from ketosis due to inadequate carbohydrate intake for your body to perform its natural functions
    sorry what does this mean? Im not diabetic.
    DrK99 : It includes many of the same symptoms.
    DrK99 :
    fatigue and/or insomnia; muscle aches and pains; headaches; nausea; excessive thirst; abdominal pain; and dizziness
    so I stop the diet or continue?
    DrK99 : I am not a fan of the diet. I would stop
    what about the pins and needles in my feet. what could this be?
    DrK99 : It puts your body into a very unnatural state thats very difficult to maintain safely. As evidence by the severe symptoms. The pins and needles can be a sign of neuropathy but most likely from ketosis. Its starvation
    DrK99 : What is your height and weight and what are you trying to accomplish?
    trying to lose weight but only a stone.. 5. 7" and 10 stone 7 pounds. The feet problem has been going on for a few weeks since before the diet which is worrying
    DrK99 : Ok then that may be a sign of neuropathy and something you should see a Dr for. So you just want to lose a small amount of weight in a fairly quick fashion. The best way is meal replacement for 2-3 weeks. Do you have Slim fast there?
    DrK99 : Yes you do. You can lose about 6-8 pounds in a month on this plan. Here is the link. Its meal replacement with shakes and bars for breakfast and lunch and snacks and a portion controlled dinner and it does work.
    DrK99 : http://www.slimfast.co.uk/
    DrK99 : You will not feel sick, though you may be hungry
    this is a diet meal replacement. Just high in fat and protein and low in carbs.. no sugar at all, but berrys and green vegs. Is neuropathy serious. what can be done about it?
    DrK99 : You would first need to have the cause diagnosed because there are so many. Usually can be treated. One common cause to consider is b12 deficiency.
    ok, many thanks it was very scary and i appreciate you input
    DrK99 : Sure and good luck!
    DrK99 : Please click on excellent service and thank you for your business with Just Answer


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