Doctor insights on:
Diabetic Acidosis Symptoms
Normally our body chemistry is kept in a narrow range, and in particular the amount of acid in the body is kept within a narrow range. The amount of acid is measured by a value called the ph. It is normally a value between 7.35 and 7.45, values below 7.35 are considered to be "acidotic" a patient with this value of the blood chemistry ...Read more
Could you please explain to me why type 2 diabetics don't get acidosis where as type 1 diabetics do?
Resistance vs nothin: Patients with type 2 dm still make insulin, enough to avoid DKA even when in poor control. However, if control is bad enough, even a patient with type 2 can occasionally get DKA once beta islet cells are spent. Those with type 1 essentially make no insulin, unlike patients with type 2. ...Read more
DKA: A metabolic emergency for patients primarily with type 1 diabetes, DKA symptoms include those of high blood sugars initially. As the ketones build up, patients may have a fruity odor on the breath, get abdominal pain & vomit. Because they're already urinating a lot, dehydration can get bad. Some may breathe fast, get headaches, have altered consciousness. Without proper treatment, death imminent. ...Read more
Dka: Diabetic ketoacidosis is a condition whereby glucose which is used by cells for energy is not made available to the cells due to a lack of insulin. The lack of Insulin causes a dramatic rise in blood sugar triggering a host of meatbolic derangemants including dehydration as well as the production of ketones which are toxic as it raises the bodies acid level and will affect potassium levels. ...Read more
If a person who is diabetic is suffering from metabolic acidosis could their breathing seem abnormally rapid.?
Due to acidosis.,,: The metabolic acidosis causes a respiratory compensation in an attempt by the body to keep the blood ph normal. The respiratory compensation is to increase minute ventilation (both respiratory rate and volume per breath!). So, the person with severe metabolic acidosis will be breathing fast and deeply. Doing this for an extended period of time can lead to fatigue resulting in respiratory failure. ...Read moreSee 2 more doctor answers
Is metformin dangerous with diet-induced(not diabetes-induced)ketosis?Like would a ketogenic diet+metf cause metabolic acidosis?(2000mgmet a day btw)
Its possible: I have many patients on metformin and in ketosis and its sometimes fine but you must watch out for hypoglycemia. For example if on a regular diet you require metformin but then then go into ketosis (which will severely reduce your' blood sugar) if you keep taking the same dose of metformin you could become hypoglycemic and this needs to be monitored by your' doctor. ...Read moreSee 1 more doctor answer
See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more
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