Why Is Creatinine High In Diabetic Ketoacidosis?

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Diabetic Ketoacidosis: Evaluation And Treatment

Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to 50 years of age, and 36 percent in persons younger than 30 years. The case fatality rate is 1 to 5 percent. About one-third of all cases are in persons without a history of diabetes mellitus. Common symptoms include polyuria with polydipsia (98 percent), weight loss (81 percent), fatigue (62 percent), dyspnea (57 percent), vomiting (46 percent), preceding febrile illness (40 percent), abdominal pain (32 percent), and polyphagia (23 percent). Measurement of A1C, blood urea nitrogen, creatinine, serum glucose, electrolytes, pH, and serum ketones; complete blood count; urinalysis; electrocardiography; and calculation of anion gap and osmolar gap can differentiate diabetic ketoacidosis from hyperosmolar hyperglycemic state, gastroente Continue reading >>

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Popular Questions

  1. GaryR55

    I'm still in ketosis right now and nearing my "ideal" weight, in a few more months, so, I need to know the best way to reverse ketosis so my body is no longer feeding off itself. As I recall from Loren Cordain's The Paleo Diet, he says you just start eating more, but I've also read that you should eat more carbohydrates. That would seem to indicate that I should simply increase my fruit and veggie portions and/or have some daily fruit or veggie snacks, right? Could I also increase my helpings of meat?

  2. kallyn

    Ketosis means that you are burning ketones for fuel instead of glucose. So if you'd like to get out of ketosis, adding some carbs to your diet will introduce some glucose to your body that will knock you out of it.
    I wouldn't worry about it too much right now. Even being in ketosis you won't lose any more weight than what is healthy for your body. And once you get nearer your ideal weight, the pounds come off much much more slowly.

  3. GaryR55

    That's what Loren Cordain (The Paleo Diet) says, also, so, I guess that's my course of action, then. Just keep eating right. I've still got some excess fat to get rid of, so, I'm in no hurry to get out of ketosis. I just don't want to start losing muscle at some point, too. But, Cordain says that, as long as I continue working out regularly, that shouldn't happen.
    Increasing carbs is probably not a good idea this soon, anyway, as I still haven't completely corrected my insulin resistance, yet. I suppose that, when I have, then I can increase my carb intake without the spikes in blood sugar I get now.

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