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What Is Ketoacidosis And Why Does It Happen?

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Why Does Ketoacidosis Only Happen To People With Diabetes?

Insulin, normally made in the pancreas, suppresses lipase, which is an enzyme that causes fat breakdown. In type 1 diabetes (DM1), there is no insulin, so the enzyme is overproduced and it causes stored fat cells to breakdown into fatty acids (acetoacidic and betahydroxybutyric) which are converted to ketones. This condition is called ketoacidosis. These ketones filter from the blood to the urine and cause a fruity smell to the urine. In type 2 diabetes (DM2), the problem is not *absence* of insulin but instead is insulin resistance (insulin is present but the cells cannot use it very well), so most DM2 patients do NOT develop ketoacidosis. Both DM1 and DM2 cause elevated blood glucose levels and the sugar passes into the urine and drags water with it, so there is increased urination. The resulting dehydration stimulates thirst. Therefore, both types have polyuria (increased urination) and polydipsia (thirst), but only DM1 will have ketoacidosis. The only other thing that causes fat breakdown is starvation. If a normal person starves him or herself, lack of carbs will cause decreased insulin levels and then lipase will cause fat breakdown. BUT, there will NOT be sugar in the urine. Continue reading >>

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  1. maeamaezing

    Good morning lovely keto ladies,
    I am two weeks into starting keto and today I have the worst period cramps ever. I haven't had period cramps since I got the Mirena IUD inserted 4 years ago so I am a little baffled. Especially when I'm reading how keto fixes bad period cramps. What am I doing wrong here? Any advice is appreciated because I love keto and would like to KCKO. :)

  2. NerdfighterEngineer

    This happens to so many of us. It's completely normal. The first 1-3 periods on keto are pretty bad. Something about hormonal changes.
    It will get better, each period will get a little bit better. For me, I was back to normal by my 4th keto period.

  3. brittneydean21

    I second this! It's kind of like starting a new birth control, give it 3 months then evaluate.

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Diabetes - Diabetic Ketoacidosis & Hyperosmolar Hyperglycemia Syndrome

Sort Hyperglycemia: Causes type of glucose level caused by 1) too much food, 2) too little diabetic medications, 3) inactivity, 4) emotional/physical stress, 5) poor absorption of insulin 6) illness 7) corticosteroids **counterregulatory hormones released when stress, illness persist Hyperglycemia: Manifestations manifests as 1) polyuria: osmotic diuresis (glucose in renal tubules cannot be reabsorbed; consequent hyperosmolarity and osmotic pressure results in more water in tubules) 2) polyphagia followed by lack of appetite, 3) polydipsia: hyperosmolarity of blood causes thirst as cells release more water into circulation 4) weakness/fatigue, 5) blurred vision, 6) glycosuria, 7) nausea/vomiting, 8) abdominal cramping 9) dry, warm, itchy skin Hyperglycemia: Treatment 1) exercise **do NOT exercise if BG 250 mg/dL (stress hormones released) and ketones (Type 1); do NOT exercise if >300 mg/dL (Type 2) 2) drink water 3) eat less CHO at meals **contact HCP if BG >250 mg/dL two-three times in one week During illness: 1) do NOT stop taking medication 2) check BG more frequently 3) clear liquids until no more nausea Hypoglycemia: Manifestations MILD: sweating, tremor, tachycardia, palpitat Continue reading >>

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Popular Questions

  1. Safcd1

    I had a moment of weakness and necked a packet of weight watchers chicken crisps. Only 10g of carbs. Will this take me out of ketosis??:break_diet:

  2. Elemental

    i had a moment of weakness too but luckily there was only chicken in the fridge, i think if there had been any carbs in sight it would have been that i scoffed.
    Why are you putting temptation infront of you like that? I'd bin or give away all your danger foods!?

  3. Elemental

    sorry that was a really unhelpful post by me wasnt it lol, i'm not 100% with it sorry....

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What Is Diabetic Ketoacidosis?

Diabetic ketoacidosis, or DKA, is a serious health problem that can happen to a person with diabetes. It happens when chemicals called ketones build up in the blood. Normally, the cells of your body take in and use glucose as a source of energy. Glucose moves through the body in the bloodstream. Insulin is a hormone that helps your cells take in the glucose from the blood. If you have diabetes, your cells can’t take in and use this glucose in a normal way. This may be because your body doesn’t make enough insulin. Or it may be because your cells don’t respond to it normally. As a result, glucose builds up in your bloodstream and doesn’t reach your cells. Without glucose to use, the cells in your body burn fat instead of glucose for energy. When cells burn fat, they make ketones. High levels of ketones can poison the body. High levels of glucose can also build up in your blood and cause other symptoms. Ketoacidosis also changes the amount of other substances in your blood. These include electrolytes, such as sodium, potassium, and bicarbonate. This can lead to other problems. Ketoacidosis happens most often in a person with type 1 diabetes. This is a condition where the body Continue reading >>

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Popular Questions

  1. MangoTBG

    Atkins: Is drinking hard liquor for one night during induction?

    First off, if you have anything negative to say about the diet leave at once. I don't care what ignorant things you have to say.
    BACKGROUND INFO:I'm on induction at this point. I tried atkins for about a week a few months ago and I lost will at this point (just about 1 week in). I'm not doing this again, I need to stick with it. My "problem":
    REASON FOR ASKING: I'm, of course, not drinking beer at all. It's tough being a college student, but it's even tougher that I'm a pledge at the same time. The fact that my pledge preview coming up in a week doesn't help out at all. Pledge preview is just the biggest exuse for the brothers to get the pledges absolutely rocked and dance in front of(and get bidded on by) 200+ girls. I'm going to be having shot after shot thrown at me but am ready to tell them that I won't be drinking at all. Of course that will come with major dissapointment and minute "anger" from some of them.
    MAIN QUESTION: I've been under the impression that all alcohol has carbs in them. Many people have said that hard liquor doesn't have much carbohydrates at all. Could I get away with drinking one night (end of second week) of liquor if I plan my daily diet for that day to incorporate the drinking?

  2. Koing

    spirits have less carbs then beer but if you drink a lot of spirits you will take in a lot of carbs.
    Hope someone else has more info on specifics but hey man I don't drink much.
    Koing

  3. AmerDoux

    Absolutely no alcohol during induction. It's not just the carbs, you are supposed to remove all simple sugars from you system too and alcohol is loaded with sugar.

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