Why Does Metabolic Acidosis Occur In Dka?

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Diabetic Ketoacidosis

Practice Essentials Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. Signs and symptoms The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia History of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons or history of mechanical failure of insulin infusion pump Altered consciousness (eg, mild disorientation, confusion); frank coma is uncommon but may occur when the condition is neglected or with severe dehydration/acidosis Signs and symptoms of DKA associated with possible intercurrent infection are as follows: See Clinical Presentation for more detail. Diagnosis On examination, general findings of DKA may include the following: Characteristic acetone (ketotic) breath od Continue reading >>

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Popular Questions

  1. Janet2629

    Does anyone know much about the Ketone Stix? I am in the Atkins induction phase and have been good (really!!), so I should be buring some fat. I have tested with the TestMedia Ketone stiz 2 times (both in the afternoon) and the stix stay white.
    THe key on the container say that a "neutral" sign is pink. THere is no reference for just plain old white. What gives?
    Is there anything that would cause the Ketostix not to register?
    I look forward to your input, and will try not be be discouraged. I have been busy today--all I have eaten is eggs in the morning and a low-carb Ketoshake in the afternoon. There's no way I'm not burning more than I ate. . . .
    Thanks for your knowledgeable comments.

  2. kidkemo

    Some people dont register any color with ketostix at all. Try eliminating the shake, which can stall people sometimes, then retest. It also takes 2 or 3 days of low carbing before the stix will change color. I dont change color at all no matter how low i go in carbs. Dont worry about the stix as long as you are losing pounds or inches.

  3. LittleAnne

    Hi Janet
    Those oh so important ketostix. I remember getting mine and testing at the start. Yes they are a sign, but they are not the beall and end all of things. If you are drinking lots of water then you may not see the colour change at all, if it turns purple then you are probably not drinking enough water!
    As already said, if you are loosing weight then that is proof that you are low carbing and it is working. You might like to read this article on the subject which I have copied from the GO Diet.
    Continued success.

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