HOME
Home » Manage Diabetes » How To Prevent Diabetic Ketoacidosis

How To Prevent Diabetic Ketoacidosis

Posted at January 19th, 2023 | Categorised in Manage Diabetes

How To Prevent Diabetic Ketoacidosis – Diabetic ketoacidosis (DKA) is a scary complication of diabetes, but fortunately it is preventable. The first step is to check your ketone levels. So if you are living with type 1 diabetes, NICE guidelines recommend that you have access to a blood glucose meter that can also check for ketones.

But what exactly is diabetic ketoacidosis? And how do you interpret ketone levels? The more you understand about DKA, the easier it will be to recognize symptoms early and take precautions to prevent them from getting worse.

How To Prevent Diabetic Ketoacidosis

When we eat carbohydrates, our body breaks them down. The breakdown of carbohydrates produces glucose, which then enters our blood. Glucose is our main source of energy, but in order for this energy to be released, glucose must be processed in our cells. Insulin acts as a key that allows glucose to enter our cells.

What Is Diabetic Ketoacidosis? Signs, Causes, Treatment & Prevention

When our cells are deprived of glucose (such as due to a lack of insulin), our bodies will begin to burn fat as an alternative source of energy. As a result of the breakdown of fats, ketones are formed. In people with diabetes, high levels of ketones in the blood can lead to a dangerous condition called diabetic ketoacidosis.

It is important to recognize the risk factors, high-risk conditions, and symptoms of DKA. We list all 3 here:

If you experience any of the above DKA symptoms, or if you have any high-risk conditions, contact your diabetes team and:

Click here for an easy-to-print pocket report for blood β-ketone values. Keep it in your wallet or meter carry bag for quick reference!

Acute And Chronic Neuroinflammation Is Triggered By Diabetic Ketoacidosis In A Rat Model

Diabetes Care Nipro cares for our planet for everyone In these and many other ways, Nipro is committed to making choices that will infinitely increase sustainability and help improve the quality of every life so that, as our slogan says, we can all “We live longer. Live better.” I am writing

Diabetes Care Smiling as a Living Kidney Donor After her friend’s appeal on Facebook for a kidney donation, NPI colleague Jessica Fields made the selfless decision to donate one of her kidneys and bring a smile to another’s life. article Diabetic ketoacidosis (DKA) is a common and potentially life-threatening complication of type 1 diabetes. Although mortality rates are relatively low today, it is widely recognized that post-hospital mismanagement is a major contributor to in-hospital mortality, morbidity , longer length of stay and high readmission rates. The Joint British Diabetes Society (JBDS) guidelines for inpatient care for the management of DKA are widely accepted across the UK. but now it is more than ten years. The release of the new JBDS guidance published in June 2021 is therefore a welcome update.

Some of the recommendations in the original document were based on expert opinion. Although many of these are now supported in the literature and have become standard practice, others have been modified. The main changes to the document are described below.

The guidelines now say that they are suitable for use in the treatment of young adults aged 16-18 years when they are cared for by adult diabetes teams and are therefore more appropriate to be managed according to local adult guidelines rather than teams. they are familiar rather than using potentially unfamiliar pediatric guidelines.

Diabetic Ketoacidosis (dka)

Conversely, if youth in this age group are treated by pediatric teams, BSPED pediatric guidelines should be followed.

The updated guidelines recommend that if blood glucose levels fall below 14 mmol/L, clinicians may consider (always using appropriate clinical judgment) reducing the rate of intravenous insulin infusion to 0.05 units/kg/ time. This is to reduce the risk of hypoglycemia and hypokalemia. Although these complications can occur if dextrose solution is not added to the treatment in time or if potassium-containing fluids are not administered correctly, the main cause of both of these complications is the use of insulin and several pediatric studies have shown. that reducing the infusion rate to this level does not increase the time to resolution of DKA compared with a rate of 0.1 unit/kg/hour.

Added a short section on the management of DKA in patients with end-stage renal disease or on dialysis. While fortunately this is a relatively rare occurrence, there are some issues to consider, including the possibility that a fluid change may not be necessary. increased risk of hypoglycemia due to reduced renal clearance of insulin. and possible risk of hyperkalemia.

The guidelines include new sections on euglycemic DKA (occurring despite normal or near-normal blood glucose levels) and ketosis-prone type 2 diabetes.

What Is Diabetic Ketoacidosis (dka)?

Euglycaemic DKA is a known complication of sodium-glucose cotransporter 2 (SGLT2) inhibitor therapy in people with type 2 diabetes and, increasingly, type 1 diabetes. The condition should be managed identically to hyperglycaemic DKA and an SGLT2 inhibitor should be discontinued at least until recovery. The decision to restart medication should be discussed with the individual and the diabetes team.

Ketosis-prone type 2 diabetes is more common in people of African and Caribbean or Hispanic descent. Treatment for this condition is the same as for others with DKA, but the person will often be able to stop insulin quickly after the DKA and underlying condition resolve.

This new edition aims to update the guidance using the latest evidence available. The document has also been reorganized so that the DKA management algorithm is now near the front for easier access.

All JBDS guidelines are expected to be updated or revised annually to keep the guidelines current. As such, they are ‘living’ documents, designed to be updated based on newly published evidence or experience, and feedback on any of the guidelines is welcome. The updated guideline is available at: https://abcd.care/resource/management-diabetic-ketoacidosis-dka-adults

Update And Harmonisation Of Guidance For The Management Of Diabetic Ketoacidosis In Children And Young People In The Uk

The latest key papers on type 2 diabetes What can we concretely do in clinical practice to both realistically and practically address health inequalities?

A diet rich in protein, essential fatty acids, zinc, selenium and vitamins B9, B12, C and D helps prevent infections, including severe COVID-19.

Amid the great upheaval and challenges facing nurses, Su Down is looking for positive outcomes in diabetes care in 2022.

Tools to assess hypoglycaemia, one of the NICE criteria for CGM use in people with type 2 diabetes.

Resuscitation Of Adult Diabetic Ketoacidosis

By clicking “Subscribe” you agree to be able to send you periodic email newsletters. You can cancel this subscription at any time. Your information is safe with us and we will never sell or trade your data. See our Privacy Policy for information.

Are you a healthcare professional? This website is intended for healthcare professionals only. Please confirm below that you are a healthcare professional to continue.

We use cookies responsibly to provide you with the best experience on our website. If you continue without changing your browser settings, we will assume that you are happy to receive all cookies on this website. Read about how we use cookies. If you do not remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email with a secure password reset link

If the address matches a valid account, an email will be sent to __email__ with password reset instructions

Recurrent Diabetic Ketoacidosis

Previous articleGlucose-lowering drugs or strategies, atherosclerotic cardiovascular events and heart failure in people with or at risk for type 2 diabetes: an updated systematic review and meta-analysis of randomized cardiovascular trials.

Next article The role of language in the relationship between health professionals and people with obesity: a joint consensus statement

Diabetic ketoacidosis (DKA) is a serious acute complication of type 1 diabetes that is receiving increased attention due to the increased risk of DKA associated with SGLT inhibitors. Sociodemographic and modifiable risk factors with strong evidence for increased risk of DKA were identified, including socioeconomic disadvantage, adolescent age (13–25 years), female sex, high HbA

, previous DKA and psychiatric comorbidities (eg, eating disorders and depression). Potential prevention strategies that include identifying individuals at risk based on unmodified sociodemographic risk factors are suggested. Structured diabetes self-management education that addresses modifiable risk factors can be used as a second risk reduction strategy. Evidence shows that structured training reduces rates of DKA. Knowledge of these risk factors and robust risk reduction strategies are important to identify subgroups of individuals at increased risk for DKA. This knowledge should also be used when considering adjunctive treatment options with an increased risk of DKA. Prevention of DKA in people with type 1 diabetes is an important clinical task that must be addressed even when SGLT inhibitors are part of the treatment. Diabetic ketoacidosis, also known as DKA, occurs when there is a severe lack of insulin in the body. This means the body can’t use sugar for energy and starts using fat. When this happens, chemicals called ketones are released. If left unchecked, ketones can build up and acidify the blood, hence the name acidosis.

Hyperglycemia: Signs, Risks, Causes, And How To Lower Your Blood Sugar

Diabetic ketoacidosis (DKA) is a serious condition that affects people with type 1 and sometimes type 2 (although it is more

How do you treat diabetic ketoacidosis, how long does it take to recover from diabetic ketoacidosis, how to prevent diabetic foot, how to diagnose diabetic ketoacidosis, how to prevent ketoacidosis, how to prevent being pre diabetic, how to prevent diabetic retinopathy, foods to prevent diabetic retinopathy, how to manage diabetic ketoacidosis, how to treat diabetic ketoacidosis, how to avoid diabetic ketoacidosis, how to stop diabetic ketoacidosis

Tags :