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What Is Dka Protocol?

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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

952: Evaluation Of A Diabetic Ketoacidosis Treatment Protocol Using Subcutaneous Insulin Aspart

Introduction:Insulin therapy is one aspect of managing diabetic ketoacidosis (DKA), and the American Diabetes Association recommends regular insulin by continuous IV infusion as the treatment of choice for all but mild cases of DKA. Several studies, each enrolling a small number of patients, have examined rapid-acting subcutaneous insulin analogs for DKA treatment. Patients in these studies who received subcutaneous insulin analogs were treated outside of the ICU. Hypothesis:A DKA treatment protocol that uses subcutaneous insulin aspart, with weight-based doses administered every two hours, is safe and effective. Methods:This study was a retrospective chart review. Adult patients who received insulin aspart for treatment of DKA at Rush University Medical Center between January 2008 and December 2011 were eligible for study inclusion. Efficacy outcomes included time to resolution of DKA-associated laboratory abnormalities, length of stay, time to initiation of basal insulin, and amount of insulin received. The primary safety outcome was hypoglycemic events. Subgroup analyses were conducted for type 1 vs. type 2 diabetes, DKA severity, and whether or not patients received concomitan Continue reading >>

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  1. toyboxx

    jogging on the keto

    I've recently started to jog 4 miles a day, and also lifting 3 days a week,do you think the keto diet will be okay? Or should I add carbs and lower the fat?

  2. Atropa

    No reason why it would not work but it will prob take about 2 weeks for your body to adjust, until then you may feel weak and run down.
    Depends on your reasons for wanting to be on keto I guess.

  3. Zarazen

    Actually, it should take less than a week for your body to start feeling right again. Everyone is different though and some get into ketosis faster than others.

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Feline leukemia symptoms Subscribe My Channel: https://www.youtube.com/channel/UCSQ9... Video Url: https://youtu.be/QBak1aaUc2Q Feline leukemia virus felv is second only to trauma as the leading cause of death in cats, killing 85% of persistently infected felines within three years of diagnosis. The virus commonly causes anemia or lymphoma, but because it suppresses the immune system, it can also predispose cats to deadly infections. Yet, exposure to the feline leukemia virus doesnt have to be a death sentence; about 70% of cats who encounter the virus are able to resist infection or eliminate the virus on their own. How Feline Leukemia Virus Is Transmitted Feline leukemia is a disease that only affects cats -- it cannot be transmitted to people, dogs, or other animals. Felv is passed from one cat to another through saliva, blood, and to some extent, urine and feces. The virus does not live long outside the cats body -- probably just a few hours. Grooming and fighting seem to be the commonest ways for infection to spread. Kittens can contract the disease in utero or through an infected mothers milk. The disease is often spread by apparently healthy cats, so even if a cat appears he

Management Of Feline Diabetic Ketoacidosis - Wsava2013 - Vin

Management of Feline Diabetic Ketoacidosis World Small Animal Veterinary Association World Congress Proceedings, 2013 Pru Galloway, BVSc(Distinction), MANZCVS, FANZCVS, Registered Specialist in Feline Medicine Massey University, Catmed, Lower Hutt, New Zealand Diabetic ketoacidosis (DKA) is a complication of diabetes mellitus with concurrent and often severe metabolic derangements associated with hyperglycaemia, glucosuria, metabolic acidosis, ketonaemia +/- ketonuria. Patients with ketonaemia/ketosis are usually still bright, eating and maintaining their hydration. Those with ketoacidosis are dehydrated, clinically unwell (e.g., anorexia, vomiting, lethargy) and typically require hospitalisation and intensive management. DKA is distinguished from uncomplicated diabetes mellitus (DM) by a relative insulin lack and increased counter-regulatory hormones. The latter are thought to occur secondary to intercurrent disease. Concurrent disease has been documented in approximately 90% of cats with DKA, with the most common being hepatic lipidosis, chronic kidney disease, acute pancreatitis, bacterial or viral infections and neoplasia (Bruskiewicz et al. 1997). Heinz bodies, neutrophilia w Continue reading >>

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  1. fatklr

    I have noticed a few people (myself included) wondering how drinking Bacardi and Diet Pepsi (w/Splenda) would affect being in ketosis. Can anyone out there give me any information on this? I know alcohol is not permitted during induction, but bacardi and diet coke/pepsi is supposed to have 0 carbs. My question is...why wouldn't clear spirits be permitted if they don't have any carbs?

  2. readyfreddy

    A few thoughts:
    1 if you have your bacardi with a diet coke it will be 1 carb, not 0 as you count each diet coke (package of splenda etc) as 1 carb.
    There is no drinking on induction for a number of reasons:
    1. Your body burns alcohol for fuel first. So if you are in ketosis and burning fat (the goal) but you drink, you will stop burning fat until you have burned off all the alcohol.
    2. Alcohol messes with some people's blood sugar, leading to sugar/off plan food cravings after drinking.
    3. Alcohol lowers your inhibitions and makes you more likely to cheat.
    That said, I drink occasionally while on induction but make sure I count it in my carbs. (Ie 5 oz dry white wine = 3, vodka/bacardi silver with soda water = 0)
    You can try it out and see how it makes you feel!

  3. sandyfanny

    Although most alcohols (rum, vodka, gin, etc.) have 0 carbs, they are eventually metabolized as sugar...or at least that's the way I understand it. For most of us, they don't help us lose weight on Induction.

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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

Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a serious, life-threatening complication of diabetes mellitus. DKA is characterized by the triad of hyperglycemia, anion gap metabolic acidosis, and ketonemia. It is part of a spectrum of hyperglycemia on which lies hyperosmolar hyperglycemic state (HHS). Though the two are distinct entities, they do share some commonalities. DKA is caused by the reduced effect of insulin, either due to deficit or reduction of levels, with concomitant elevation of counter regulatory hormones (glucagon, catecholamines, cortisol, and growth hormones), generally due to a precipitating stress. Increased gluconeogenesis, glycogenolysis, and decreased glucose uptake by cells leads to hyperglycemia, while insulin deficiency leads to mobilization and oxidization of fatty acids leading to ketogenesis. Although DKA may be the initial manifestation of diabetes, it is typically precipitated by other factors. It is critical for a clinician to identify and treat these factors. Infection can be found in 40-50% of patients with hyperglycemic crisis, with urinary tract infection and pneumonia accounting for the majority of cases. DKA is a life-threatening medical emergency with a mor Continue reading >>

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  1. ScrillaKeith

    Re-entering Carb Diet after CKD

    I've read a few different views on how to reintroduce carbs after being on a ketogenic diet. What I would like to discuss is the ways to do it
    a) after a short (3-6 week) CKD bout, and
    b) after a longer stint (12 weeks+)
    I'm pretty well versed in diet and nutrition, but this has been my first time actually trying a ketogenic diet (CKD) myself and would like to hear feedback from the more experienced keto gurus.
    I found this on John Berardi's site, but I'm assuming that's playing it extra safe after only a few weeks of keto.

    Originally Posted by John Berardi
    Coming off of a ketogenic diet
    Q: I've been following a ketogenic diet for nearly a year now. I would love to come off the diet because it has killed my sex drive and my progress in the gym has all but halted. I lost a good amount of fat on it for the first couple of months, but then my progress stopped. The problem is that when I try to go off the diet and eat normally again, I blow up. Help!
    A: Buddy, you're not alone. Although the ketogenic diet works very well for some individuals, the majority of weight trainers have the same problems that you mentioned. But they're too afraid to go off the diet because it appears that they'll rapidly gain back a lot of fat and end up where they started. And they're too afraid to get help. Remember the old saying� the first step toward getting help is admitting you have a problem.
    There are several reasons why people blow up and gain a lot of weight when trying to come off ketogenic diets. They include:
    Carbohydrate intolerance: While on a ketogenic diet, the body becomes more efficient at using fat for energy and therefore "forgets" how to process carbohydrates. So for a few weeks after you start eating normally again, you'll be storing those carbs and getting fatter. Sure, a lot of it will go to muscle glycogen, but a much larger amount than expected will go to fat stores. It takes a few weeks for the body to "remember" how to process carbohydrates.
    Insulin Resistance: Ketogenic diets decrease insulin sensitivity. In fact, in people coming off ketogenic diets, the symptoms are similar to those seen in type-2 diabetics! The likelihood of gaining fat due to this insulin resistance is high.
    Stimulants: Most dieters abuse caffeine and ephedrine. Both of these substances decrease insulin sensitivity as well and can induce diabetic like symptoms when reintroducing carbohydrates into the body.
    Water Gain: Ketogenic diets, because of their effects on fluid balance, can induce mild dehydration. Although this makes you look lean and "dry", it negatively impacts performance. Once you start eating normally again, the body hyperhydrates, causing massive water retention. Although sometimes uncomfortable, this typically leads to big gains in strength in the gym. However, all this water retention does make the physique "blurry." So most people mistake this water gain for fat gain. Unless you have body fat measures done regularly, it'll be hard to know whether it's fat or water.
    So now that you know why you blow up, let me tell you how to avoid it:
    The first step is to plan a flexible 6-week transition period in which you'll taper off the ketogenic diet. The most effective way to transition here is to use the insulin and carbohydrate sensitivity measures discussed in part 2 of my Massive Eating Article. Now listen up� this is important. During this time you'll be supplementing with insulin sensitizing supplements. I recommend 600 mg of alpha-lipoic acid per day, lots of fish oils (at least 6g of DHA and EPA), glucosol (colosolic acid) at about 50 mg per day, and inzitol (d-pintol) at about 50 mg per day. Remember to take the ALA, glucosol, and inzitol during separate carbohydrate meals. Don't take them with a carbohydrate free meal or together. In addition, do your cardio. About 30 min 4x per week, separate from weight training, does wonders for increasing insulin sensitivity and carbohydrate tolerance.
    Have an OGTT and a fasted blood insulin and glucose sample taken at the beginning of the transition week (again, see part 2 of the Massive Eating Article).
    During weeks 1 and 2, gradually reintroduce carbohydrates into the diet. Try replacing 10% of your fat with high fiber, low glycemic and insulin index carbohydrates (if your diet is 60% fat, 40% protein change it to 50% fat, 40% protein, 10% carbohydrate). Some good carbohydrate sources are oatmeal, vegetables, nuts, beans, and fruits. This is easier said than done, though, because most often, when reintroducing carbohydrates into the diet, carbohydrate cravings go through the roof! So be prepared and be strong.
    At the start of week 2, have another OGTT and a fasted blood insulin and glucose sample taken. Your insulin sensitivity should be improved due to the supplementation. If not, stay on 10% carbohydrate 'till it is.
    For weeks 3 and 4, decrease your fat intake and increase your carbohydrate intake to about 20% of the diet, again using high fiber, low GI and II carbohydrates (now you will be at 40%fat, 40% protein, 20% carbohydrate). Follow this for 2 weeks while remaining on the recommended supplements.
    Again, at the start of week 4, have another OGTT and a fasted blood insulin and glucose sample taken. Your insulin sensitivity should be improved due to the supplementation. If not, stay on 20% carbohydrate 'till it is.
    For weeks 5 and 6, decrease your fat intake and increase your carbohydrate intake to about 30% of the diet, again using high fiber, low GI and II carbohydrates (now you will be at 30% fat, 40% protein, 30% carbohydrate). Once you get to this point, you should be home free.
    So will this approach prevent all fat gain? No, but it will definitely minimize it. Just keep in mind that you'll probably gain some water and that this is a good thing. But this water does scare most people as they mistake it for fat gain. Just hang in there and the body will normalize over the 6-week period and you'll end up just fine.
    Remember, this program requires a lot of effort and discipline, but it's very effective. Don't waste a year of dieting by indiscriminately changing your eating plan. You'll only get fat and/or frustrated. Or you'll never go off the diet that's making you unhappy.

    Any input appreciated!
    -Keith

  2. johnnyironboard

    Don't eat flour and sugar and limit starches. Donuts,frosted flakes, and french fries are an invitation to disaster.

  3. ScrillaKeith

    Here is an example of a different approach I am thinking of:
    Weeks 1-2: Carbs only on workout days: ~50g complex carbs pre-workout
    and 50-100g simple carbs post-workout.
    Weeks 2-4: Same as week one but 50-100g carbs/day depending on
    bodyweight and carb intake during keto diet, but around .5g/lb
    of bodyweight) on non-workout days
    Weeks 4-6: Upping carb intake anywhere from 50g carbs a day to 1.5g/lb
    Weeks 6+: Continue above until carb ratio that is most effective for the
    individual is reached.
    This way energy levels and fat/muscle gains could be monitored every 2 weeks to get back to a higher level of carbs (35-60%), while letting the body readjust to using glycogen for fuel.
    Has anyone tried an approach similar to this? I just pulled it off the top of my head so obviously some adjustments could be made...
    Thanks!
    -Keith

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