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What Is Ketoacidosis And Why Does It Happen?

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Sect. 2; Clip 2: Dr. Sean Bourke, of JumpstartMD, interviews author Jeff Volek, Ph.D., R.D. & Stephen Phinney, MD, Ph.D. - focusing on ketoacidosis versus ketosis and why misunderstandings about ketones persist. For more weight loss information go to www.jumpstartmd.com or check out our blog at http://www.jumpstartmd.com/category/b...

How Dka Happens And What To Do About It

Certified Diabetes Educator Gary Scheiner offers an overview of diabetic ketoacidosis. (excerpted from Think Like A Pancreas: A Practical Guide to Managing Diabetes With Insulin by Gary Scheiner MS, CDE, DaCapo Press, 2011) Diabetic Ketoacidosis (DKA) is a condition in which the blood becomes highly acidic as a result of dehydration and excessive ketone (acid) production. When bodily fluids become acidic, some of the body’s systems stop functioning properly. It is a serious condition that will make you violently ill and it can kill you. The primary cause of DKA is a lack of working insulin in the body. Most of the body’s cells burn primarily sugar (glucose) for energy. Many cells also burn fat, but in much smaller amounts. Glucose happens to be a very “clean” form of energy—there are virtually no waste products left over when you burn it up. Fat, on the other hand, is a “dirty” source of energy. When fat is burned, there are waste products produced. These waste products are called “ketones.” Ketones are acid molecules that can pollute the bloodstream and affect the body’s delicate pH balance if produced in large quantities. Luckily, we don’t tend to burn huge Continue reading >>

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  1. armaniqueen

    Hello everyone. I am having a bit of confusing on the mixed information I have found on getting my body to reach ketosis stage. Some say Mayo, sour cream and cheeses are allowed some say No! Which is it? Does anyone out there truly know the correct information to this. Also can anyone recommend a good whey protein w/out carbs or very little carbs? This is to be used in conjuction with the foods allowed for the ketosis stage. So far I have a pretty good idea of what is and isn't allowed but I'd like to know a little more.
    Also does anyone know the average weekly weight I can expect to lose once I am under this stage? My goal weight to lose is 20 lbs.
    Lookng forward to some great advice! Thanks!

  2. Maiden69

    From my experience. Mayo, Chesse, Suor Cream are good on Keto, ON MODERATION. You have to strive to keep the net amount of carbs lower than 30g a day if possible. Some people can go higher and stay in ketosis. I was eating 100g a day and I still had traces of ketones when tested with the stix. As far as whey protein, I'm taking UN Ultra Whey Pro. Very good taste, but any one with almost no carbs should do you good. Weight loss is also an individual thing. The first week you can lose quite a bit of weight, I lost 8 lbs. After that I think that 2 lbs a week is good weight loss, any more and you might be losing muscle, unless you have a big amount of fat to lose.

  3. AFTazz06

    Originally Posted by armaniqueen
    Hello everyone. I am having a bit of confusing on the mixed information I have found on getting my body to reach ketosis stage. Some say Mayo, sour cream and cheeses are allowed some say No! Which is it? Does anyone out there truly know the correct information to this. Also can anyone recommend a good whey protein w/out carbs or very little carbs? This is to be used in conjuction with the foods allowed for the ketosis stage. So far I have a pretty good idea of what is and isn't allowed but I'd like to know a little more.
    Also does anyone know the average weekly weight I can expect to lose once I am under this stage? My goal weight to lose is 20 lbs.
    Lookng forward to some great advice! Thanks! I believe Mayo, sour cream and cheeses are ok on keto ONLY on your cheat meals. As far as the actual diet is concerned, those things all contain empty carbs and they will kick you out of ketosis. So i say yes they're ok, but only on your cheat meals. As far as how much weight you'll loose, the average lbs you'll loose (assuming your doing everything correctly) is about 1-3lbs a week. When i did it there were a few of the first couple of weeks i would loose 5lbs but i'm pretty sure it was probably water weight. I used to weigh myself about every 2 weeks, no need to depend on the scale, i prefer the mirror cause it wont lie to you. Also on the protein, you can send me a PM and i'll let you in on which is best.

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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 blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Ketoacidosis Symptoms

What is diabetic ketoacidosis? Diabetic ketoacidosis, also referred to as simply ketoacidosis or DKA, is a serious and even life-threatening complication of type 1 diabetes. DKA is rare in people with type 2 diabetes. DKA is caused when insulin levels are low and not enough glucose can get into the body's cells. Without glucose for energy, the body starts to burn fat for energy. Ketones are products that are created when the body burns fat. The buildup of ketones causes the blood to become more acidic. The high levels of blood glucose in DKA cause the kidneys to excrete glucose and water, leading to dehydration and imbalances in body electrolyte levels. Diabetic ketoacidosis most commonly develops either due to an interruption in insulin treatment or a severe illness, including the flu. What are the symptoms and signs of diabetic ketoacidosis? The development of DKA is usually a slow process. However, if vomiting develops, the symptoms can progress more rapidly due to the more rapid loss of body fluid. Excessive urination, which occurs because the kidneys try to rid the body of excess glucose, and water is excreted along with the glucose High blood glucose (sugar) levels The presen Continue reading >>

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Popular Questions

  1. 3Bliss

    So long story short, being on Keto caused some eating disorder behavior, so I had to stop (at least stop until I could approach it as a lifestyle and not as a diet.) Things got bad, weight was gained. I have metabolic syndrome x/PCOS and my doctor put me on Metformin to help with it.
    I had an immediate mood/energy/mental power boost when I started. It was great. I felt euphoric. But then all the crappy side-effects kicked in (awful GI stuff, nausea so bad I had to take my last sick day, etc.)
    The side effects were so bad. But they reminded me something: ketosis feels like this. Ketosis feels like having all that mental energy, all that daily operating energy. It feels like not being depressed. Because I have an element of insulin resistence, carbs have literally sent me into a depression. Metformin cleared that depression, but Ketosis did, too.
    So I've decided to try this Keto path again, but I plan to be more careful, more gentle. I think I can do it from a healthy place.
    I just thought it was wild that a medication that levels bloodsugar felt like Ketosis. More proof to me that Keto is the best.

  2. zraii

    I had some level of obsessive hyper vigilance about food when I was doing keto. I find the "some carbs but not too much" thing too hard to do on a regular basis without obsessing about it. It can also become overly restrictive.
    I've found for me that an all meat approach removes all my carb stress. Meat is simply a complete food and I don't have to worry about everything else (though it does seem restrictive). For me it was the realization that vegetables are not some ideal thing that I need to obsess about. I made a post about it if you're interested. Eating stress really is difficult. I wish you the best. My solution may be very different than yours, but I feel compelled to share since this way helped me so much.

  3. 3Bliss

    It is so helpful to hear that. I feel like what you did was find a way to make it a lifestyle and not a diet. That's sort of how I am hoping to do it, too. I think when I find recipes that I love, I don't think about what's in them. So if I can find enough tasty Keto take-to-work recipes, I'll be just fine.
    Also, thanks for sharing that post!

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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 spontaneous decomposition of acetoacetic acid. It is often described as smelling like fruit or nail polish remover. Ketosis may also smell, but the odor is usually more subtle due to lower concentrations of acetone. Treatment consists most simply of correcting blood sugar and insulin levels, which will halt ketone production. If the severity of the case warrants more aggressive measures, intravenous sodium bicarbonate infusion can be given to raise blood pH back to an acceptable range. However, serious caution must be exercised with IV sodium bicarbonate to avoid the risk of equally life-threatening hypernatremia. Three common causes of ketoacidosis are alcohol, starvation, and diabetes, resulting in alcoholic ketoacidosis, starvation ketoacidosis, and diabetic ketoacidosis respectively. In diabetic ketoacidosis, a high concentration of ketone bodies is usually accompanied by insulin deficiency, hyperglycemia, and dehydration. Particularly in type 1 diabetics the lack of insulin in the bloodstream prevents glucose absorption, thereby inhibiting the production of oxaloacetate (a crucial molecule for processing Acetyl-CoA, the product of beta-oxidation of fatty acids, in the Krebs cycle) through reduced levels of pyruvate (a byproduct of glycolysis), and can cause unchecked ketone body production (through fatty acid metabolism) potentially leading to dangerous glucose and ketone levels in the blood. Hyperglycemia results in glucose overloading the kidneys and spilling into the urine (transport maximum for glucose is exceeded). Dehydration results following the osmotic movement of water into urine (Osmotic diuresis), exacerbating the acidosis. In alcoholic ketoacidosis, alcohol causes dehydration and blocks the first step of gluconeogenesis by depleting oxaloacetate. The body is unable to synthesize enough glucose to meet its needs, thus creating an energy crisis resulting in fatty acid metabolism, and ketone body formation.

Diabetic Ketoacidosis

Print Overview Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process produces a buildup of acids in the bloodstream called ketones, eventually leading to diabetic ketoacidosis if untreated. If you have diabetes or you're at risk of diabetes, learn the warning signs of diabetic ketoacidosis — and know when to seek emergency care. Symptoms Diabetic ketoacidosis signs and symptoms often develop quickly, sometimes within 24 hours. For some, these signs and symptoms may be the first indication of having diabetes. You may notice: Excessive thirst Frequent urination Nausea and vomiting Abdominal pain Weakness or fatigue Shortness of breath Fruity-scented breath Confusion More-specific signs of diabetic ketoacidosis — which can be detected through home blood and urine testing kits — include: High blood sugar l Continue reading >>

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Popular Questions

  1. swt_tease

    My very sweet, supportive DH broke the news to me today that my breath stinks since going on this liquid diet.
    Is this a common thing?
    I didn't have bad breath before.
    ::: Help ::: (Keeping my mouth covered with my hand!)
    Kimberly

  2. Andie

    I didn't do the "liquid diet" except post op....and yes my breath STANK!!! It has something to do with Ketosis...and your body burning the fat and expelling it through your mouth. Wish I could help ya...I bought stock in sugar free mints and sucked on em like crazy and brushed my teeth and used mouth wash any time I went potty. Hang in there...things will get back to normal eventually!!

  3. katzz87

    I didn't have a pre-op diet...but let me tell you post-op I could have taken paint off of the walls! It tastes sickly sweet and stinky at the same time...KETOSIS! But it tells you that you're losing weight...and it gets better, I promise!
    The first month is bad, then it slowly fades after time (unless we just get used to it and I'm still having stinky breath and don't know it...)
    Cathy

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