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Why Isnt Ketoacidosis A Problem For Lc And Vlc Paleo-eaters?

I'm sitting in a lecture about nutrition and metabolism for people with diabetes. The instructor keeps insisting that if you are metabolizing ketones for any length of time, it will result in ketoacidosis, and eventually kill you. I've not heard anything about LC and VLC paleo eaters having problems with ketoacidosis, but I'm not sure how we avoid it while primarily metabolizing ketone bodies. I understand that people with diabetes have more issues to work with, and are metabolically deranged, but how do people with normal metabolisms avoid acidosis issues? Can anyone please shed some light on this for me? I googled around and haven't found explanation. Continue reading >>

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  1. amsmith

    I understand that the guidelines state "uncontrolled" should be coded as hyperglycemia. What about the DKA type 2 portion? We have 2 opinions in our office and I am just looking for the correct way to code it.
    I suspect for my scenario E11.65, E11.69 and E87.2. Please help.
    There really should be an E11.1X...LOL!!
    Thank you,

  2. mitchellde

    Ketoacidosis is actually rare in a type 2 diabetic so that may be the reason for no specific code for it. So use the E11.69 with the E87.2

  3. amsmith

    Oddly, our physician's document it frequently. I will check with one of them to find out why we tend to have a higher volume.

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