What Organs Are Affected By Ketoacidosis?

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Ketoacidosis (dka) Vs Ketosis What’s The Difference?

Although ketosis and ketoacidosis may sound the same, they are two distinct things. We are going to be talking about the difference between ketoacidosis and ketosis and what makes the two diverse from one another. In order to provide a good explanation of what these conditions are and how they affect the body, we must talk about their main common denominator, the ketones. These are organic compounds that the body will provide when it starts to burn stored fat instead of burning glucose or sugar when it requires energy. What is Ketoacidosis? DKA applies to diabetic ketoacidosis and is a complication of type 1 diabetes. Ketoacidosis is a very dangerous condition that makes it difficult for your body to be able to produce a good level of insulin. Your levels of ketones can rise to very dangerous levels, which will also increase your blood sugar. The ketones create a very acidic environment inside your body, and the function of certain organs will be affected severely. It becomes a life-threatening situation when presented with high levels of ketones and excess blood sugar. Anyone not given proper treatment for DKA could end up in a coma and even die. The kidneys and liver are affected Continue reading >>

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  1. anglgrl

    I've been following Aradasky's thread about her ketometer readings and thought I'd post my results as well.
    I haven't cheated since Feb. but I try to keep my carbs between 45-50g. (There's a long story behind this, but the short version is I started having anxiety attacks every time I left the house (while eating VLC) but when I went up to 50g a day they stopped. And I started losing weight a tiny bit faster. I know I'm a weirdo. :) )
    I have to be careful because I know I'm right on the edge of my limit. I've gone up to about 56g and it must have pushed me out of ketosis because I started getting hungry too much.
    I take vitamins that screw up using ketosticks so I've never even tried to use them. When I read about using blood for a reading I was excitied to finally have some feed back on what was going on in my body.
    Just a note: Right before I got my meter I got some readings I didn't like when I took my postprandial glucose readings. So I lowered my carbs for a few days to get it under control. (And added more fat) And BTW I count total carbs (not net).
    And I always try to eat between 55-88 g protein.
    I'll tell you what I ate the day before, then the reading the next day.
    Cal 1595
    Fat 122.92 69%
    Pro 83.03 21%
    Carb 37.56 10%
    Next day reading: 1.5 (For fun I took a reading 2 hours after eating just to see what it was and I got .9)
    Cal 1460
    Fat 117.48 72%
    Pro 63.73 19%
    Carb 31.97 9%
    Next day: 1.2
    Cal 1616
    Fat 126.26 70%
    Pro 73.83 19%
    Carb 41.90 11%
    Next day: 4.0
    Cal 1698
    Fat 141.92 75%
    Pro 59.40 15%
    Carb 41.70 10%
    Next day: 2.1
    Cal 2084
    Fat 167.19 72%
    Pro 95.05 19%
    Carb 45.82 9%
    Next day: 2
    Cal 1779
    Fat 130.12 70%
    Pro 84.05 19%
    Carb 48.96 11%
    Next day: 2.1
    Cal 1660
    Fat 130.95 71%
    Pro 66.03 17%
    Carb 49.67 12%
    Next day: 2.2
    Cal 1682
    Fat 133.01 71%
    Pro 67.25 17%
    Carb 49.62 12%
    Next day: ? (We were showing our house and I forgot to take it :mad: )
    Cal 1782
    Fat 141.15 71%
    Pro 77.08 18%
    Carb 49.35 11%
    Next day: 1.4
    I'll probably keep taking readings for the next 5 days, then I'll just take it once a week (maybe). I've lost 1.5 pounds since that first reading.
    Another note: I didn't take my fat back down when I added the carbs back in so I'm eating a lot more calories than I was before. I used to eat around 1500 cals a day, now I seem to be eating around 1700 (more or less). The extra calories do not seem to be slowing down my weight loss. I don't know if it's the extra fat or the extra veggies I've been eating.

  2. mfish

    Love this!!
    I've been following all the recent threads RE: blood ketones... This is great info thanks for posting your readings. It's good to see that NK can be maintained with some carbohydrate in the diet, my T3 dipped low after a while on VLC. Which meter are you using? I ordered the free Nova Max last night. Just recently I've been testing my BG and seeing some very interesting things, now I want to test for serum ketones too.
    ETA: nevermind the "which meter" question... I just read your post in the other thread that you are using the Nova Max!

  3. LaZigeuner

    anglgrl, have you noticed a difference in how you feel, between when your blood ketones are 1.x versus 2.x versus that 4?
    I'm so curious about this, and considering doing my own testing as well.
    Thanks for posting your data! :)

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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.....

> Hyperglycemia And Diabetic Ketoacidosis

When blood glucose levels (also called blood sugar levels) are too high, it's called hyperglycemia. Glucose is a sugar that comes from foods, and is formed and stored inside the body. It's the main source of energy for the body's cells and is carried to each through the bloodstream. But even though we need glucose for energy, too much glucose in the blood can be unhealthy. Hyperglycemia is the hallmark of diabetes — it happens when the body either can't make insulin (type 1 diabetes) or can't respond to insulin properly (type 2 diabetes). The body needs insulin so glucose in the blood can enter the cells to be used for energy. In people who have developed diabetes, glucose builds up in the blood, resulting in hyperglycemia. If it's not treated, hyperglycemia can cause serious health problems. Too much sugar in the bloodstream for long periods of time can damage the vessels that supply blood to vital organs. And, too much sugar in the bloodstream can cause other types of damage to body tissues, which can increase the risk of heart disease and stroke, kidney disease, vision problems, and nerve problems in people with diabetes. These problems don't usually show up in kids or teens w Continue reading >>

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  1. Sathish Boopalan CPC

    Can anyone help me to find the perfect code for diabetic peripheral neuropathy in ICD 10???

  2. Manasa Reddy Salipela

    Perfect code for Diabetic peripheral neuropathy in ICD 10 CM is E11.42

  3. AlanPechacek

    In ICD-10, there are several (5) types of Diabetes (E08, E09, E10, E11, & E13). Therefore, the correct code for Diabetic Neuropathy depends on which type of Diabetes the patient has. The most common types of Diabetes are E10 (Type I, Insulin Dependent, Juvenile, etc.) and E11 (Type 2, Adult Onset, Non-insulin Dependent, etc.). The most common type of "Neuropathy" in these patients is Polyneuropathy/neuralgia (E_ _.42). I would discourage using "Unspecified" neuropathy (E _ _.40) because it is too nonspecific.
    Respectfully submitted, Alan Pechacek, M.D.

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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

The Facts Diabetic ketoacidosis (DKA) is a condition that may occur in people who have diabetes, most often in those who have type 1 (insulin-dependent) diabetes. It involves the buildup of toxic substances called ketones that make the blood too acidic. High ketone levels can be readily managed, but if they aren't detected and treated in time, a person can eventually slip into a fatal coma. DKA can occur in people who are newly diagnosed with type 1 diabetes and have had ketones building up in their blood prior to the start of treatment. It can also occur in people already diagnosed with type 1 diabetes that have missed an insulin dose, have an infection, or have suffered a traumatic event or injury. Although much less common, DKA can occasionally occur in people with type 2 diabetes under extreme physiologic stress. Causes With type 1 diabetes, the pancreas is unable to make the hormone insulin, which the body's cells need in order to take in glucose from the blood. In the case of type 2 diabetes, the pancreas is unable to make sufficient amounts of insulin in order to take in glucose from the blood. Glucose, a simple sugar we get from the foods we eat, is necessary for making the Continue reading >>

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  1. Bessie

    Hi everyone, thought I'd say hello!
    I was calorie counting but not doing very well as I think I am properly addicted to carbs (I have been bingeing on sugary cr*p). So here I am trying to kick the addition (and hopefully lose lots of weight) on Atkins. The appeal is the promise of no more hunger - I'm sick of going to bed hungry on calorie counting!
    The only thing I'm confused by is why net carb values vary between the book/website and when calculated from food labels (total carbs - fibre). Am I doing something wrong here? Also, is it my misunerstanding or can you actually eat a hell of a lot of salad veg during the induction phase? I am counting everything (according to US cup measurements on official Atkins website) but 20g net carbs seems like a hell of a lot.
    Also, where do you buy your keto-stix from? I bought some from Boots yesterday but at £9.98 for 50, they seem rather expensive.
    Sorry for all the questions, but any advice would be greatly appreciated.
    Bessie x

  2. mick_in_warrington

    hi Bessie, welcome to the board. i was also a carb addict lol, and the first 3 days on low carb were a bit trying, but glad i persevered, as now i don't have those cravings.
    as i understand it, only the US labels have to take fibre away from carbs to get the net value. in the UK, you don't have to do that. the carbs you see listed are the net ones already (if im wrong, apologies, but i think that's how it works)
    There is a sticky at the top of the forum page, listing all the salad/veg you can have, based on 5 grams, 10 grams etc, which is really useful.
    good luck with doing this, it really does work

  3. Bessie

    Thanks Mick. Now it all makes sense! It's really weird being on this diet as I'm allowed to eat foods that were previously 'banned'.

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