What Is Starvation Ketoacidosis

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Starvation Ketoacidosis In Pregnancy - Sciencedirect

Volume 167, Issue 1 , March 2013, Pages 1-7 Author links open overlay panel Charlotte J.Frisea LucyMackillopa KarenJoashb CatherineWilliamsonc Get rights and content Starvation ketosis outside pregnancy is rare and infrequently causes a severe acidosis. Placental production of hormones, including glucagon and human placental lactogen, leads to the insulin resistance that is seen in pregnancy, which in turn increases susceptibility to ketosis particularly in the third trimester. Starvation ketoacidosis in pregnancy has been reported and is usually precipitated by a period of severe vomiting. Ketoacidosis is likely to have important implications for fetal survival as ketoacidosis in women with type 1 diabetes mellitus is associated with intrauterine death. This article features four cases of women with vomiting in the third trimester of pregnancy associated with a severe metabolic acidosis. The mechanism underlying ketogenesis, the evidence for accelerated ketogenesis in pregnancy and other similar published cases are reviewed. A proposed strategy for management of these women is presented. Continue reading >>

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Popular Questions

  1. iwiggy58

    How quickly can you kick yourself OUT of ketosis?

    I am just starting week 3 . I have been OP totally. One thing that keeps me from cheating is the fear that I will kick myself out of ketosis. What amount of non program food would it take to throw you out of ketosis? And does a person start all over and have to go thru the headaches and trauma that happen that first week? I have heard several people go off program while on vacation and start back up again later. Is it like having to start all over again???

  2. mompattie

    It would take prob more than 40-50 carbs to kick you out of ketosis. Some can handle more carbs. But it's a slippery slope. Yes, you have to go through all the symptoms to get back in. And 3-5 days worth of food and time and money. It's like a weeks worth of money and time gone. Not worth it.

  3. IP43


    Originally Posted by mompattie
    It would take prob more than 40-50 carbs to kick you out of ketosis. Some can handle more carbs. But it's a slippery slope. Yes, you have to go through all the symptoms to get back in. And 3-5 days worth of food and time and money. It's like a weeks worth of money and time gone. Not worth it. I know a few times that I've had things I shouldn't, the next day or two I was starving, had cravings etc. so I think I kicked myself out of ketosis. They weren't big cheats but I think we're so close to the limit if you have a restricted item a day. I was "perusing" the Atkins site for some of their carb counts etc. and they start with 12-15g net carbs (carb-fibre) on their phase one and then add 5g netcarbs per week or something.

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Starvation Ketoacidosis – A Rare But Significant Metabolic Condition

Diabetic ketoacidosis and pregnancy related ketoacidosis are the most common forms of ketoacidosis seen in acute medical units. We describe here two rare cases of starvation ketoacidosis. Case 1: 63 years old gentleman with no history of diabetes, presented with persistent vomiting for 48 hours. His admission bloods revealed Serum Bicarbonate of 8, pH 7.19, pCO2 2.7, base excess of -17.8, plasma glucose 5.2 mmol/l and serum alcohol <100. Serum ketones were 3.4 mmol/l. He was managed with iv fluids mainly with dextrose infusions. His symptoms, serum ketones and pH levels normalised while his blood glucose remained stable over 3 days and was discharged home. Case 2: 67 years lady with past history of COPD, excess alcohol intake and osteoporosis, presented with feeling unwell, since she stopped eating after she had an argument with her son 5 days ago. Her bloods revealed Serum Bicarbonate of 14, pH 7.43, pCO2 3.5, base excess of -4.7, plasma glucose 6.7 mmol/l and serum alcohol <100. Serum ketones were 3.4 mmol/l. She was managed with iv fluids mainly with dextrose infusions with iv Vitamin B complex. Her symptoms, serum ketones and pH levels normalised while her blood glucose remaine Continue reading >>

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Popular Questions

  1. Abhishek Lariya

    If you are talking about whey protein then, if you complete your daily required protein goal then you can build muscle without whey.

  2. Renan Prasta Jenie

    This are good question, far more than what you might think. :)
    1st, remember that eliminating protein from your meals is near impossible. Even bread have protein. We disregard this for a bit just for the sake of question. ;)
    In general, several probable situation might happen.
    If you are consuming enough carbs, your body protein salvaging rate will slow down, but if not, bad news, muscle protein will be salvaged for glucose instead.
    Body protein salvaging takes precedence to body muscle repair, including organ muscle, like heart, so, bad news
    If more than 50 % body protein have been consumed, You shall be no more
    Our immune system also but on proteins, so They will be the first that affected. That means easier to get afflicted to various diseases
    Processing much carbs give heavy burden to Your liver and pancreas, and, without proper reparation, may leads to either deteriorate, metabolic syndrome or diabetes, to cardiovascular disorders or cancers.
    In absense of carbs, body will slow down protein salvaging with fat, which can lead to ketosis, can lead to ketoacidosis, and in long term can be dangerous if not fatal.

    What became smaller is Your muscles, and, depending on your carbs consumption, You may actually get bigger, mainly because accumulation of fat.
    So, no, dont do protein fasting :).

    Consult local nutritionist for protein consumption proper amount based on your daily activity. :)

  3. Andy Bruchey

    If you don’t ingest the proper amount of protein for your body and your goals, your muscles will deteriorate in time. You may not get smaller, but your composition will certainly change.

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Journal Of The Intensive Care Society

We read with interest the recent case report by Yeow et al.1 of a 65-year-old female who developed starvation ketoacidosis perioperatively following an extended period of poor oral intake. The authors noted that euglycaemic ketoacidosis in non-diabetic patients is very rarely reported and that it is important to be aware of the condition. Perhaps the most common factor that predisposes to starvation ketoacidosis in otherwise healthy individuals is pregnancy, which the authors do not mention. It has long been known that accelerated ketone production following fasting is seen in normal pregnancy.2 We have recently reported a number of cases of starvation ketoacidosis in pregnant women without hyperglycaemia.3 It typically occurs in the third trimester following a short history of reduced oral intake. We have also described this condition in pregnant women with pancreatitis and in one woman after commencement of olanzapine during pregnancy.4,5 Many of these women were admitted to intensive care units and several had emergency deliveries in the absence of a clear diagnosis. On the other hand, in those in whom the diagnosis was recognised, treatment with dextrose alone often appeared to Continue reading >>

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Popular Questions

  1. LisaJA

    I'm 5 weeks in and for the past 2 weeks I've had truly repellent, revolting bad breath . My friends and family have rated it about a 7 or 8/10 . My teenager has to open the car windows , it's that bad ! It's ruining my social life - I wouldn't go to a party last weekend for fear of breathing on people :-( I've read up on it as much as I can find and checked - no, it's not down not drinking enough water. No, it's not down to eating too much protein. No, it's not down to oral health care - I brush, I floss, I mouthwash and tongue scrape .( And my mouth is actually loads fresher since removing sugar from my diet .) I read a reply somewhere to a similar question and the person enquired whether the post writer was in weeks 3-6 ..... so this leads me to ask, has anyone else had the bad breath ( possibly just between weeks 3-6 ) and then it gone away ? I really do want to stick to keto, I've lost over a stone already and have another 5 to go .... but this bad breath is a deal breaker ... Please tell me it gets better ........... please ....

  2. charlie_simms

    Strangely, I never got keto breath.

  3. pueve

    Me neither! At least I don't think that I've got kept breath! How do you know that you have it? What does it taste like?

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