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Topic: Diabetic ketoacidosis



  
 Diabetic coma - Wikipedia, the free encyclopedia
Brief descriptions of the three major conditions are followed by a discussion of the diagnostic process used to distinguish among them, as well as a few other conditions which must be considered.
Also, the astute physician remembers that other conditions can cause unconsciousness in a person with diabetes: stroke, uremic encephalopathy, alcohol, drug overdose, head injury, or seizure.
Fortunately, most episodes of diabetic hypoglycemia, DKA, and extreme hyperosmolarity do not reach unconsciousness before a family member or caretaker seeks medical help.
http://en.wikipedia.org/wiki/Diabetic_coma   (800 words)

  
 DIABETIC KETOACIDOSIS
Major complications related to the therapy of diabetic ketoacidosis include hypoglycemia, hypokalemia, paradoxical spinal fluid acidosis, and cerebral edema.
Urinalysis and a chest roentgenogram to search for infection, and an ECG to identify acute myocardial infarction and hyperkalemia, are necessary.
Approximately one-half of the patients who developed cerebral edema had premonitory symptoms of severe headache, incontinence, change in arousal or behavior, pupillary changes, blood pressure changes, seizures, bradycardia, or disturbed temperature regulation.
http://www.heacamjournal.com/htdocs/pages/art/60-keto.html   (4197 words)

  
 Postgraduate Medicine: Ten pivotal questions about diabetic ketoacidosis
Our approach is to withhold bicarbonate in patients who appear to respond to standard therapy, no matter what their initial pH.
No studies have specifically addressed how long patients should remain hospitalized, but a rational decision can be made on the basis of physiologic considerations.
This change is a result of many factors, including more frequent home blood glucose monitoring, improved intensive care management, better prevention, and early treatment.
http://www.postgradmed.com/issues/2001/11_01/carroll.htm   (2454 words)

  
 Women's Health Advisor 2005.2: Diabetic Ketoacidosis
You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.
This content is reviewed periodically and is subject to change as new health information becomes available.
If this condition is not treated, it can be fatal.
http://www.med.umich.edu/1libr/wha/wha_keto_crs.htm   (721 words)

  
 Diabetic - Diabetic Ketoacidosis
Diabetes ketoacidosis (DKA) is a life-threatening condition. Find out what causes it and what you can do.
Diabetic Ketoacidosis In The Pediatric Patient.,patel Neal Ramesh: Indian Journal Of Pediatrics
Please make a thorough research before deciding which is right for you.
http://www.diabetic-zone.com/diabeticketoacidosis   (726 words)

  
 Diabetic ketoacidosis
Condition characterized by an overproduction of ketones by the body.
Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
Ketoacidosis is treated under medical supervision and usually in a hospital setting.
http://webess16.micromedex.com/content/DiseaseDex/001526.htm   (873 words)

  
 children with DIABETES - Diabetes Dictionary: D
Loss of foot bone as viewed by x-ray; usually temporary.
Other signs are blurred vision, itching, and slow healing of sores.
The result is called ketoacidosis, a severe condition that may put a person into a coma if not treated right away.
http://www.childrenwithdiabetes.com/dictionary/d.htm   (1690 words)

  
 Diabetic Ketoacidosis (DKA) in children and adolescents: Treatment Guidelines
This article provides guidelines on management to restore perfusion, stop ongoing ketogenesis, correct electrolyte losses, and avoid hypokalemia and hypoglycemia and the circumstances that may contribute, in some instances, to cerebral edema (overhydration, rapid osmolar shifts, hypoxia).
These guidelines emphasize the importance of monitoring glycemia, electrolytes, hydration, vital signs, and neurologic status in a setting where response can be rapid if necessary (e.g., mannitol for cerebral edema).
Recurrent DKA in established patients has been reduced in frequency by the intervention of multidiciplinary teams (2,3).
http://www.ispad.org/clin-2.htm   (2648 words)

  
 Ketoacidosis - All About Diabetes - American Diabetes Association
Check with your health care provider about how to handle this situation.
Link for Life - Reduce your risk for heart attack and stroke
Also, check for ketones when you have any symptoms of ketoacidosis.
http://www.diabetes.org/type-1-diabetes/ketoacidosis.jsp   (614 words)

  
 8.2 Ketoacidosis
Two basic mechanisms underlie the pathophysiology of DKA: hyperglycaemia and ketoacidosis.
Outline of Interaction between Lactic Acidosis & Ketoacidosis
Such patients are often dishevelled, and can be noisy and generally uncooperative.
http://www.anaesthesiamcq.com/AcidBaseBook/ab8_2.php   (1634 words)

  
 Diabetic Ketoacidosis
Treatment for DKA should be immediate and aggressive, by qualified medical professionals.
When people with diabetes become ill, particularly with vomiting illnesses that tend to cause dehydration, they should be especially attuned to symptoms of DKA and the need for frequent monitoring.
Awareness is important — people with type 1 diabetes should be aware of the causes and symptoms of ketoacidosis.
http://www.enlmedical.com/Library/diabetic_ketoacidosis.htm   (605 words)

  
 Diabetic ketoacidosis information by Lifeclinic
They change the body’s chemical balance to the acidic range, a condition known as ketoacidosis.
You will have an increased need to urinate and may become dehydrated and extremely thirsty.
This is a severe complication associated with hyperglycemia.
http://www.lifeclinic.com/focus/diabetes/keto.asp   (313 words)

  
 Diabetic Ketoacidosis - Patient UK
Diabetic Ketoacidosis - Patient UK PatientPlus articles are written for doctors and so the language can be technical.
Pathophysiology Acute, life-threatening complication of diabetes mellitus that occurs mainly in type 1 diabetes but is also found in type 2.
Differential Diagnosis Differential diagnosis of metabolic coma in a diabetic patient includes hypoglycaemia, non-ketotic hyperosmotic coma (HONK), alcoholic ketoacidosis, lactic acidosis.
http://www.patient.co.uk/showdoc/40001335   (681 words)

  
 Diabetic acidosis (ketoacidosis)
Ketones: breakdown products from the use of fat stores for energy.
Diabetic acidosis is often triggered by an infection, such as a urine or chest infection.
Diabetic acidosis is a life-threatening condition that can occur in people with Type 1 diabetes.
http://www.netdoctor.co.uk/diseases/facts/diabeticacidosis.htm   (749 words)

  
 Krane: DKA and Cerebral Edema
Until we understand more about its prevention, then we must remain vigilant to its occurrence and treat cerebral edema aggressively with conventional neuro-intensive care measures to lower ICP and restore cerebral blood flow.
Factors associated with brain herniation in the treatment of diabetic ketoacidosis.
Increased cerebrospinal fluid pressure during therapy for diabetic acidosis.
http://pedsccm.wustl.edu/FILE-CABINET/Metab/DKA-CEdema.html   (3900 words)

  
 Diabetic Ketoacidosis (DKA) -- Topic Overview
If it continues to rise, you may become confused, lethargic, or unconscious.
Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy, such as when you have diabetes and do not take enough insulin.
Ketoacidosis can be caused by not taking enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these factors.
http://www.webmd.com/hw/diabetes_1_2/tp21136.asp   (200 words)

  
 Pediatric diabetic ketoacidosis -- Lawrence et al. 169 (4): 278 -- Canadian Medical Association Journal
However, it was unclear whether the therapeutic approach was
Importance of timing of risk factors for cerebral oedema during therapy for diabetic ketoacidosis.
Factors associated with brain herniation in the treatment of diabetic ketoacidosis.
http://www.cmaj.ca/cgi/content/full/169/4/278   (473 words)

  
 Diabetic Ketoacidosis
Your risk of DKA rises when you're injured or have an infection like a foot ulcer.
The American Diabetes Association recommends that you call your doctor if you experience even one symptom of DKA and your blood glucose is over 250 mg/dl.
Do not discontinue the use of prescription medication without the approval of your physician.
http://www.diabeteslibrary.org/news/news_item.cfm?NewsID=232   (1513 words)

  
 Diabetic Ketoacidosis
Health care professionals who are aware of the precipitating factors of DKA can also aid in its prevention.
Weight loss is a consequence of hyperglycemia due to glucosuria, and is used as a tool by those with eating disordered behavior to control or lose weight (Henderson and Dean, 2000).
Salisbury, S. (1997) Diabetic Ketoacidosis (DKA)- Problems in Management that Affect the Outcome?
http://www.hsc.mb.ca/nursingpractice/sept1_02.htm   (531 words)

  
 Diabetes Insight - Ketoacidosis
We subscribe to the HONcode principles of the Health On the Net Foundation
You are most likely to be at risk of DKA during periods of illness, particularly if you have ‘flu, a chest infection or severe stomach upset with vomiting.
Diabetic ketoacidosis or ‘DKA’ develops when there is a severe shortage of insulin in the body.
http://www.diabetes-insight.info/lwd/management/control/DI_dka.asp   (809 words)

  
 Diabetic Ketoacidosis
Diabetic ketoacidosis is an emergency medical condition that can be life-threatening if not...
Diabetic ketoacidosis occurs most often in patients with...
Ketoacidosis is the accumulation of ketone bodies (ketones) in the blood.
http://www.diabetes-hypoglycemia-information.com/diabetics/diabetic-ketoacidosis.htm   (699 words)

  
 Diabetic Ketoacidosis Clinical Resources
Ferri: Practical Guide to the Care of the Medical Patient 6th Ed.-2004 (MD Consult):
Section I - Diseases and Disorders: Access document
Chapter 120 - Diabetes Mellitus and Disorders of Glucose Homeostasis: Access document
http://uasom-dl.slis.ua.edu/clinical/endocrinology/diabetes/diabetes-complications/diabetic-ketoacidosis.html   (271 words)

  
 Diabetic ketoacidosis
in patients with diabetes and is often recurrent
Roughly one in seven patients with hyperglycemia hyperglycaemia who feel unwell have diabetic ketoacidosis.
Patients who have intensive insulin therapy are at increased risk of ketoacidosis.
http://peach.mie.utoronto.ca/~danielle/portfolio/Epocare12/eboc/DiabeticKetoacidosis.html   (946 words)

  
 Introduction: Diabetic Ketoacidosis - CureResearch.com
Treatments for Diabetic Ketoacidosis: Various information is available about treatments available for Diabetic Ketoacidosis, or research treatments for other diseases.
Researching symptoms of Diabetic Ketoacidosis: Further information about the symptoms of Diabetic Ketoacidosis is available including a list of symptoms of Diabetic Ketoacidosis, other diseases that might have similar symptoms in differential diagnosis of Diabetic Ketoacidosis, or alternatively return to research other symptoms in the symptom center.
Use of this site is subject to our TERMS OF USE.
http://www.cureresearch.com/d/diabetic_ketoacidosis/intro.htm   (509 words)

  
 Diabetic ketoacidosis - Wikipedia, the free encyclopedia
Diabetic ketoacidosis (DKA) is one consequence of severe, out-of-control diabetes mellitus (chronic high blood sugar, or hyperglycemia).
When a person is known to have diabetes and is being adequately treated, DKA usually results from omission of insulin, mismanagement of acute gastroenteritis (the "flu"), or an overwhelming new health problem (e.g., bacterial infection, myocardial infarction).
This process is vastly more common in type 1 diabetes than in type 2.
http://en.wikipedia.org/wiki/Diabetic_ketoacidosis   (1143 words)

  
 NEJM -- Risk Factors for Cerebral Edema in Children with Diabetic Ketoacidosis
Importance of timing of risk factors for cerebral oedema during therapy for diabetic ketoacidosis.
Krane, E. Outcome in Patients with Diabetic Ketoacidosis and Cerebral Edema.
Vavilala, M. S., Souter, M. J., Lam, A. Hyperemia and impaired cerebral autoregulation in a surgical patient with diabetic ketoacidosis: [L'hyperemie et l'autoregulation cerebrale alteree chez un patient de chirurgie atteint d'acidocetose diabetique].
http://content.nejm.org/cgi/content/abstract/344/4/264   (1299 words)

  
 DIABETIC KETOACIDOSIS
Diabetic ketoacidosis (DKA) is a medical emergency caused by a lack of insulin and excess response from other hormones (e.g., adrenaline, glucagon, and cortisol).
In patients who have no insulin in their system, the breakdown of stored fuels will not lead to increased insulin stimulation and will result in the following: 1) extremely high blood sugars and 2) the production of acids from the breakdown of fats and triglycerides called ketones.
Once the diagnosis of DKA has been made, immediate treatment is needed.
http://www.apma-nc.com/PatientEducation/diabetic_ketoacidosis.htm   (768 words)

  
 Medicdirect - Comprehensive UK Health Information
With ketoacidosis there are symptoms and signs of dehydration and acidosis produces a sweet or fruity smelling breath, together with nausea, vomiting, stomach pain and some confusion or irritability.
Illness is a major cause for ketoacidosis and it is important to get medical attention if an underlying illness is suspected.
It is essential that patients with type I diabetes do not miss any doses of insulin and at the time of illness it is necessary to increase the dose of insulin.
http://www.medicdirect.co.uk/clinics/default.ihtml?step=4&pid=1419   (284 words)

  
 Symptoms of Diabetic Ketoacidosis - CureResearch.com
Furthermore, symptoms of Diabetic Ketoacidosis may vary on an individual basis for each patient.
This symptom information has been gathered from various sources, may not be fully accurate, and may not be the full list of symptoms of Diabetic Ketoacidosis.
Use of this site is subject to our TERMS OF USE.
http://www.cureresearch.com/d/diabetic_ketoacidosis/symptoms.htm   (293 words)

  
 Diabetic Ketoacidosis
The management of a patient presenting to the ER with Diabetic Ketoacidosis requires an understanding of the physiology involved and a straightforward treatment plan.
http://www.theberries.ca/Archives/ketoacidosis.html   (323 words)

  
 Diabetic Ketoacidosis - Diabetes
Or, it can occur in times of acute stress or illness in people with diabetes treated with insulin.
Diabetic Ketoacidosis is a risk in severe insulin deficiencies which can occur in untreated Type 1 diabetes, or other specific types of diabetes where there is no insulin production.
Ketoacidosis requires immediate intensive medical care including insulin adminstration, rehydration and electrolyte repletion.
http://www.sokkari.com/dka.htm   (294 words)

  
 Diabetic Ketoacidosis
Diabetic Ketoacidosis.The only difference between brand name drugs and generic drugs is that generics are always much less expensive.
Metformin does not help patients who have insulin-dependent or type 1 diabetes because they cannot produce insulin from their pancreas gland.
Following a specially planned diet and exercising will always be important when you have diabetes, even when you are taking medicines.
http://www.virtualchemists.com/diabetic/Diabetic-Ketoacidosis.html   (963 words)

  
 Diabetic ketoacidosis (DKA)
People with type 1 diabetes and some people with type 2 diabetes are at risk for DKA if they do not take enough insulin, have a severe infection or other illness, or become severely dehydrated.
Diabetic ketoacidosis (DKA) is a life-threatening blood chemical (electrolyte) imbalance that develops in a person with diabetes when the cells do not get the sugar (glucose) they need for energy.
Young children may lack interest in their normal activities.
http://www.webmd.com/hw/health_guide_atoz/std120862.asp   (176 words)

  
 Diabetic Ketoacidosis -- eCureMe.com
This is a life-threatening illness that may result in permanent kidney damage, brain injury, or death.
, and growth hormone stimulate the liver to produce ketones (called hepatic ketogenesis), further exacerbating ketoacidosis.
Blood sugar goal should be 200-300 mg/dL for 24 hours after ketoacidosis is corrected
http://www.ecureme.com/emyhealth/data/Diabetic_Ketoacidosis.asp   (361 words)

  
 Diabetic Ketoacidosis Treatment
BOSTON – Thiazolidinediones (TZD's) are drugs commonly prescribed to patients with type 2 diabetes, the most common form of diabetes.
Gestational diabetes is a temporary condition that occurs during pregnancy.
Donald Garrow, a clinical research fellow at the Medical University of South Carolina, Charleston, headed research that has shown some link between diabetes and increased risk of colon cancer.
http://www.diabetes-resources-4u.com/diabetic-ketoacidosis-treatment.html   (415 words)

  
 MediClass
Ketoacidosis is the leading cause of death in young patients with diabetes.
Diabetic ketoacidosis (DKA), resulting from severe insulin deficiency, accounts for most hospitalization and is the most common cause of death, mostly due to cerebral edema, in pediatric diabetes.
(EN) Diabetic Ketoacidosis: Treatment Guidelines - 201 hits,
http://www.mediclass.org/pages/directory.php?idcat=288   (326 words)

  
 Novo Nordisk Diabetes Care - Diabetic ketoacidosis
The condition is severe and is still the major cause of death in children with diabetes.
A newly diagnosed child may present with ketoacidosis or a child with known diabetes may develop ketoacidosis in connection with insulin omission or infectious diseases.
Therefore treatment of childhood DKA should be carried out in paediatric centres with special knowledge of childhood diabetes.
http://www.childhooddiabetes.com/view.asp?categoryID=77   (205 words)

  
 ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents -- Dunger et al. 89 (2): 188 -- ...
Diabetic ketoacidosis (DKA) is the leading cause of morbidity
The Accuracy of Clinical Assessment of Dehydration During Diabetic Ketoacidosis in Childhood
Diabetes Care, March 1, 2005; 28(3): 753 - 754.
http://adc.bmjjournals.com/cgi/content/abstract/89/2/188   (291 words)

  
 Treatment of Diabetic Ketoacidosis With Subcutaneous Insulin Aspart -- Umpierrez et al. 27 (8): 1873 -- Diabetes Care
Subcutaneous Use of a Fast-Acting Insulin Analog: An alternative treatment for pediatric patients with diabetic ketoacidosis
Diabetes Care, August 1, 2005; 28(8): 1856 - 1861.
of hyperglycemia and ketoacidosis, and number of hypoglycemic
http://care.diabetesjournals.org/cgi/content/abstract/27/8/1873   (492 words)

  
 diabetic ketoacidosis - definition of diabetic ketoacidosis by the Free Online Dictionary, Thesaurus and Encyclopedia.
This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional.
You may also use the word browser links:
diabetic ketoacidosis is not available in the general English dictionary and thesaurus.
http://www.thefreedictionary.com/diabetic+ketoacidosis   (87 words)

  
 DIABETIC KETOACIDOSIS
I started insulin pump therapy(which will be discussed in greater depth on the next page)in May of 2001, and due to the fact that I forgot my supplies, all the insulin I had to last for 3 days was the 60 units left in the reservoir of my pump.
My most recent encounter with it was last June.
I was out of town and had forgotten to pack my most important items, my diabetic supplies- primarily insulin.
http://www.geocities.com/nevinwc/pagefive.html   (173 words)

  
 Type II Diabetes Mellitus
Typically occurs over age 40 years in obese patients
2 years after diagnosis: Type 2 diabetes phase II
8 years after diagnosis: Type 2 diabetes phase III
http://www.fpnotebook.com/END13.htm   (228 words)

  
 Diabetic ketoacidosis
A complication of insulin-dependent diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketonuria.
Risk factors are primarily poorly controlled insulin-dependent diabetes mellitus (IDDM).
http://www.intensivecaring.com/DiabeticKetoacidosis.htm   (627 words)

  
 diabetic ketoacidosis
Legal help for people who have been injured by Zyprexa.
You will want to find out more information.
Offers diabetic ketoacidosis with a product or service that delivers hyperglycemia.
http://www.zyprexa-injury-lawyers.com/zyprexa/diabetic-ketoacidosis.html   (70 words)

  
 Dr. Rose's Peripheral Brain--DIABETIC KETOACIDOSIS
Sources: Krane, Elliot J. "Diabetic Ketoacidosis: Biochemistry, Physiology, Treatment, and Prevention" Ped.
Denis, "The Metabolic Derangements and Treatment of Diabetic Ketoacidosis" NEJM 309: 159-169, Jul '83)
In a study in 40 pts with DKA randomized to insulin Lispro (0.3U/kg then 0.1U/kg Q1h until correction of hypoglycemia) vs. continuous IV regular insulin, there were no sig.
http://faculty.washington.edu/momus/PB/dka.htm   (2467 words)

  
 DIABETIC KETOACIDOSIS (DKA),
In extreme, untreated cases, this can lead to coma and death.
The presence of elevated blood ketones in this setting is known as diabetic ketoacidosis.
A metabolic byproduct of fat metabolism is referred to as a ketone.
http://www.medhelp.org/glossary/new/GLS_1510.HTM   (108 words)

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