What Is Hhs And Dka?

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Hyperosmolar hyperglycemic state is a complication of diabetes mellitus in which high blood sugars cause severe dehydration, increases in osmolarity and a high risk of complications, coma and death. It is diagnosed with blood tests. It is related to diabetic ketoacidosis, another complication of diabetes more often encountered in people with type 1 diabetes; they are differentiated with measurement of ketone bodies, organic molecules that are the underlying driver for DKA but are usually not detectable in HHS. The treatment of HHS consists of correction of the dehydration with intravenous fluids, reduction of the blood sugar levels with insulin, and management of any underlying conditions that might have precipitated the illness, such as an acute infection. This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video

Hyperosmolar Hyperglycemic State

GREGG D. STONER, MD, University of Illinois College of Medicine, Peoria, Illinois Am Fam Physician.2017Dec1;96(11):729-736. Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose and hyperosmolarity with little or no ketosis. Although there are multiple precipitating causes, underlying infections are the most common. Other causes include certain medications, nonadherence to therapy, undiagnosed diabetes mellitus, substance abuse, and coexisting disease. In children and adolescents, hyperosmolar hyperglycemic state is often present when type 2 diabetes is diagnosed. Physical findings include profound dehydration and neurologic symptoms ranging from lethargy to coma. Treatment begins with intensive monitoring of the patient and laboratory values, especially glucose, sodium, and potassium levels. Vigorous correction of dehydration is critical, requiring an average of 9 L of 0.9% saline over 48 hours in adults. After urine output is established, potassium replacement should begin. Once dehydration is partially corrected, adults should receive an initial bolus of 0.1 units of intravenous insulin per kg of body weight, followed b Continue reading >>

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  1. peuleu

    Hi fellow ketoers of Reddit!
    I've been doing Keto for about a month (practice what you preach, eh?) so I'm still a noobie. I've been pretty strict recording everything and keeping carbs <30g. I've noticed the changes as to where I know I've entered ketosis. I've been on (an active) vacation for a week, doing lazy keto. Think I've stayed under 30g a day in food, but might have gone over a bit with alcohol (red wine), though I don't think I've gone over 50g total. The thing I'm finding difficult to figure out is if I can tell if my body is out of ketosis or not. A lot of people here say stuff like they can eat up to 80-100g on an active day and still be in ketosis. I gather this is different for everyone, especially if you're not Keto adapted yet, but my question is: how do you KNOW you're still in ketosis when you eat that many carbs? What happens to your body and how you feel when you go over?
    TL;DR: how can you tell if your body is out of ketosis? What changes do you experience?
    Edit: thanks for all the responses! To clarify: I'm not worried at all! Just curious! I'm on a vacation where I hike all day and visit vineyards. I know I'm not gonna be strict Keto at the moment. I will be when I get back. I just noticed some bodily changes, and wanted to know what people experienced when they're out of ketosis. KCKO!

  2. anbeav

    Most don't, they speculate. If they gain any water weight or feel more hungry than usual, they conclude they are not in ketosis when that's not necessarily true. I wouldn't stress it, avoid the ketosis anxiety and focus on how you feel.

  3. peuleu

    Good to know! Thanks!

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Diabetic Ketoacidosis (dka) And Hyperosmolar Hyperglycaemic State (hhs) - Oxford Medicine

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com).Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use(for details see Privacy Policy ). DKA or HHS? - DKA - HHS - Monitoring DKA and HHS - Complications of DKA and HHS - The next stage - Follow-up - Prevention of DKA/HHS - DKA/HHS in children <18 yrs of age - Summary. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Please subscribe or login to access full text content. If you have purchased a print title that contains an access token, please see the token for information about how to register your code. For questions on access or troubleshooting, please check our FAQs , and if you can't find the answer there, please contact us . Continue reading >>

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  1. ChrisC

    Anyone else catch this? Thought some of the more subtle moments (cutting to a hose shooting after they begin to have sex) were absolutely hysterical in their accuracy on capturing the Lifetime movie 'experience.'

  2. Laura Vanderbooben

    ChrisC said: ↑
    Anyone else catch this? Thought some of the more subtle moments (cutting to a hose shooting after they begin to have sex) were absolutely hysterical in their accuracy on capturing the Lifetime movie 'experience.' Yes. It was played SO straight that it was almost jarring, but there were plenty of ridiculous things, like how her falling about three feet into a lake caused her to not only lose her pregnancy, but her ability to have children altogether.
    Not to mention “I found an unopened box of chocolates today. You know the dangers of diabetic ketoacidosis!”, the uncomfortably long dance scene, and the apparently Lohan-esque antics that come along with being an author of financial advice books.

  3. ChrisC

    Laura Vanderbooben said: ↑
    “I found an unopened box of chocolates today. You know the dangers of diabetic ketoacidosis!”, the uncomfortably long dance scene, and the apparently Lohan-esque antics that come along with being an author of financial advice books. Yes! This one (and the half-bottle of moscato I had drank) had me crying laughing.

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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

Treatment Of Diabetic Ketoacidosis (dka)/hyperglycemic Hyperosmolar State (hhs): Novel Advances In The Management Of Hyperglycemic Crises (uk Versus Usa)

#The Author(s) 2017. This article is published with open access at Springerlink.com Purpose of Review Diabetic ketoacidosis (DKA) and hyper- glycemic hyperosmolar state (HHS) are diabetic emergencies that cause high morbidity and mortality. Their treatment dif- fers in the UK and USA. This review delineates the differ- ences in diagnosis and treatment between the two countries. Recent Findings Large-scale studies to determine optimal man- agement of DKA and HHS are lacking. The diagnosis of DKA is based on disease severity in the USA, which differs from the UK. The diagnosis of HHS in the USA is based on total rather than effective osmolality. Unlike the USA, the UK has separate guidelines for DKA and HHS. Treatment of DKA and HHS also differs with respect to timing of fluid and insulin initiation. Summary There is considerable overlap but important differ- ences between the UK and USA guidelines for the manage- ment of DKA and HHS. Further research needs to be done to delineate a unifying diagnostic and treatment protocol. Keywords Diabetic ketoacidosis .Management .Survey . Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are hyperglycemic emergencies that Continue reading >>

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  1. serpentineeast

    I reached my weight loss goal 2 months ago. At that time I knew that I had to think about what kind of changes I was going to make now that I had lost the initial weight. I got to about 22% bodyfat at my goal weight of 130 and started hitting the gym harder. I had already been going consistently to the gym, maybe 4 days per week, and knew that I would need to slowly introduce calories back in to my life to reach maintenance. This was not easy. I fucked up a lot, overate (typical thing to do once you stop restricting your calories so much) and I cheated on keto. I drank, I grabbed an extra quest bar here and there and it was like when you know you are tripping and falling and you cannot stop it. I was able to pull it back again and go back to eating at a deficit to go back to my goal weight (I had only regained a few lbs)...but I was getting bored and tired in the gym and also depressed. I had a pudge on my belly that would not go away, as if I was always bloated. My muscles began to turn flat. I wasn't happy...
    Now at this point I was around 18-19% BF I decided I workout 6 times a week, I know how to do a depletion workout (I work in the fitness industry) so I decided after much research that I was going to give a carb refeed a try for the reasons that I was struggling, feeling sluggish, suffering in workouts and needed a reboot.
    I set up my macros to maintenance calories at 190C / 108 P / 35F and planned out my day. This was NOT going to be a cheat day, this was going to be a pre-planned carb loading day in which I controlled my intake like anything else.
    I did my workout in the AM (6am) and came home to have a Lenny and Larrys Cookie & a non-fat yogurt (blasphemy!). I ate throughout the day this way, I did not feel gross or sick or bloated. I kept my fats low.
    I woke up the next morning, my muscles were filled out, my veins were noticable and I was looking a lot leaner. I stepped on the scale out of curiosity thinking I might be up 5-10 lbs per usual when I've cheated while intaking all the fat as well...and I was .4lbs heavier (I also chugged some water before I weighed myself...oops). The next day I was the same weight I was before carb refeed.
    The next day I awoke, had a BPC and did some light cardio. I feel better, it worked for me and my belly bump went away. I am amazed it worked and plan to incorporate a refeed day maybe every 2 weeks.
    I am not condoning eating carbs or stuffing your face, this is just my experience with my first carb refeed after reducing bodyfat and training like a bodybuilder. It was an interesting experience. At the end of the day though I will always take bacon, cheese and steak over oats!

  2. ketostoff

    I think the big thing people fuck up on a CKD, is that they do not plan their refeed properly and just go mad with eating carbs. When I started keto dieting I had a friend start it too. I was doing strict SKD, because it is just easier macrowise. My friend was convinced they were doing a CKD. Their "carb refeed" consisted of drinking metric shit tons of beer Friday and Saturday nights, and eating burgers, pizza and fries all weekend. They gave up on keto altogether because "it didn't really do anything".

  3. serpentineeast

    I bet! I've been there before and binged on a bread pudding and a beer, but the issue was that I was still ingesting my 90g of fat that day too. When you combine your high fat with the then carb overload, you are asking for a mess of trouble!!

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