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Diabetic Ketoacidosis: Evaluation And Treatment

Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to 50 years of age, and 36 percent in persons younger than 30 years. The case fatality rate is 1 to 5 percent. About one-third of all cases are in persons without a history of diabetes mellitus. Common symptoms include polyuria with polydipsia (98 percent), weight loss (81 percent), fatigue (62 percent), dyspnea (57 percent), vomiting (46 percent), preceding febrile illness (40 percent), abdominal pain (32 percent), and polyphagia (23 percent). Measurement of A1C, blood urea nitrogen, creatinine, serum glucose, electrolytes, pH, and serum ketones; complete blood count; urinalysis; electrocardiography; and calculation of anion gap and osmolar gap can differentiate diabetic ketoacidosis from hyperosmolar hyperglycemic state, gastroente Continue reading >>

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Popular Questions

  1. Tresmemphis

    I have a question. Im having a difficult time consuming my 1080 calories a day. Im getting between 600-800. But they are in the percentage of 70-80 percent fat, 15 percent protein and 5 percent carb. My question is due to low calories can I get knocked out of ketosis?

  2. mummydee

    It is What you eat , not how much that puts you into ketosis. Your body will burn sugars first for energy and by removing all sugars in every form your body then moves into using fat for energy.
    If you are on Atkins induction you still must eat 20 net grams of carbs but only from veggies creams and cheeses.
    You will get knocked out of ketosis the moment you eat any sugars.
    If it is a plant, eat it, if it comes from a plant, don't!

  3. k9gold

    If your on induction and on Atkins 20 you should be eating 20 NC with 12-15 of them coming from foundation veggies. You should be having 4 to 6 oz of protein with each of the three meals. The cheese limit is 4oz a day and some people find to lose they need to consume less than 4oz. Calories for women are 1500-1800. The Atkins site has the list of foods for all phases. If you eat to little calories your body goes into starvation mode and holds on to everything. Hope this helps

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