Diet For Ketoacidosis Patient

Dka 2 2 1 noncompliance w insulin diet 2 infection 3 mi get ekg bun cr elevation due to dehydration wbc due to dka dehydration r o infection abd.

Diet for ketoacidosis patient. When to start sc insulin and bridge with insulin drip after the dka has resolved and when the patient is able to eat start sc basal insulin like insulin glargine. Diabetic ketoacidosis adult inpatient v 1 0 page 3 of 12 important information before you begin. Table 1 patient s laboratory test results at initial presentation surgery was consulted to rule out a possible. A healthy balanced diet that implies eating routine meals lots of vegetables and fruit and eating less saturated fat sugar and salt.

In this case report we present dka in a patient on an sglt2 inhibitor and ketogenic diet kd. Dka is a severe complication of diabetes that can be lethal it can result from a severe lack of insulin action in the body it can be defined as a triad that includes metabolic acidosis hyperglycemia and increased ketone bodies in the blood and urine. In addition order a pre meal insulin lispro regimen ac tid continue iv insulin infusion for 2hrs after starting the sc insulin glargine to create a 2 hour bridge. A 47 year old male with a history of poorly controlled t2dm on metformin and empagliflozin presented to the emergency department ed with several days of pharyngitis dyspnea emesis abdominal pain and anorexia.

A patient with diabetic ketoacidosis will display results of metabolic acidosis in the arterial blood gases that contain low bicarbonate and low ph. Dka ketoacidosis ketones diabetic ketoacidosis dka is a serious condition that can lead to diabetic coma passing out for a long time or even death. When your cells don t get the glucose they need for energy your body begins to burn fat for energy which produces ketones. Patient meets diagnostic criteria for dka.

Than 7 3 normalized anion gap and co2 or hco3 and when patient is tolerating oral diet subcutaneous insulin to be initiated subcutaneous insulin orders. A diagnosis of diabetic ketoacidosis dka was established and the patient was admitted to the intensive care unit and started on treatment with intravenous fluids insulin potassium and pantoprazole. Pain due to dka vs gastroenteritis or gastritis or pud or pancreatitis or cholecystitis or diverticulitis or uti initial workup. Exactly what is recommended in the long term.

Following a healthy balanced diet will help to manage blood sugar blood fats and high blood pressure as well as. However to confirm the diagnosis laboratory test can be performed american diabetic association 2019. Diet for diabetic ketoacidosis patient.