• Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes characterized by hyperglycemia , ketoacidosis , and ketonuria. (medscape.com)
  • Describe factors contributing to diabetic ketoacidosis (DKA) in pregnancy. (ahrq.gov)
  • The patient was admitted to the inpatient internal medicine unit with a diagnosis of diabetic ketoacidosis (DKA). (ahrq.gov)
  • This case describes a 31-year-old pregnant patient with type 1 diabetes on an insulin pump who was hospitalized for euglycemic diabetic ketoacidosis (DKA). (ahrq.gov)
  • PURPOSE: To compare the efficacy and safety of subcutaneous insulin lispro with that of a standard low-dose intravenous infusion protocol of regular insulin in patients with uncomplicated diabetic ketoacidosis. (keyopinionleaders.com)
  • Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. (medscape.com)
  • When insulin homeostasis is disrupted and decompensates, patients are at risk for developing diabetic ketoacidosis (DKA). (tactical-medicine.com)
  • This is called diabetic ketoacidosis (DKA). (rch.org.au)
  • Diabetic ketoacidosis (DKA) is an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, and metabolic acidosis. (msdmanuals.com)
  • Diabetic ketoacidosis (DKA) occurs in patients with type 1 diabetes mellitus and is less common in those with type 2 diabetes. (msdmanuals.com)
  • Diabetic ketoacidosis (DKA) is the most common hyperglycemic emergency and causes the greatest risk for death in patients with diabetes mellitus. (lww.com)
  • Diabetic ketoacidosis (DKA) is an acute complication of uncontrolled diabetes mellitus that is associated with increased morbidity and mortality. (lww.com)
  • In the domain on the endocrine system (5 percent), questions address acute hypoglycemia, diabetes insipidus, diabetic ketoacidosis, inborn errors of metabolism, and the syndrome of inappropriate secretic antidiuretic hormone. (exam2jobs.com)
  • Diabetic ketoacidosis (DKA) is one of the most alarming concerns in the management of type 1 diabetes (T1D) in pediatric age. (biomedcentral.com)
  • Diabetic ketoacidosis (DKA) is the major cause of morbidity and mortality in children with type 1 diabetes (T1D). (biomedcentral.com)
  • In addition, in diabetic ketoacidosis, ketone bodies (b-hydroxybutyrate and acetoacetate) necessitate urinary electrolyte losses and exacerbate renal salt wasting[7,9]. (welivingwell.com)
  • The osmotic force of hyperglycemia in the intravascular space causes diabetic ketoacidosis (DKA) to induce a hyperosmolar condition. (welivingwell.com)
  • A 23-year-old man died of diabetic ketoacidosis (acids that accumulate in the blood without insulin to regulate them) in 2008 in a small county jail in Illinois, where he was held on suspicion of a misdemeanor property crime. (themarshallproject.org)
  • There was also one case of diabetic ketoacidosis that occurred in the closed-loop group. (medpagetoday.com)
  • Diabetic ketoacidosis is a medical emergency that occurs when there is not enough insulin in the body to control blood sugar (glucose) levels. (diabetestalk.net)
  • If left untreated, diabetic ketoacidosis is fatal. (diabetestalk.net)
  • Examples of stress events that can lead to diabetic ketoacidosis include infection, inflammation, and heart disease. (diabetestalk.net)
  • What are the signs of diabetic ketoacidosis? (diabetestalk.net)
  • Insulin signaling is preserved in skeletal muscle during early diabetic ketoacidosis. (medscape.com)
  • Diabetic ketoacidosis: Ketone body production is stimulated by dehydration and insulin deficiency. (medscape.com)
  • ABSTRACT This study described the profile of 100 cases of diabetic ketoacidosis (DKA) at a teaching hospital in Benghazi, Libyan Arab Jamahiriya. (who.int)
  • STZ-NA mice showed moderate hyperglycaemia, glucose intolerance and reduced beta-cell mass (25% of controls). (unibo.it)
  • IAC-treated STZ-NA mice (at both doses of 15 and 30 mg/kg b.w.) showed long-term reduction of hyperglycaemia even after discontinuation of treatment, attenuation of glucose intolerance and partial preservation of beta-cell mass. (unibo.it)
  • The first of these determining factors in the majority of cats is the presence of persistent hyperglycemia (either as a result of the phenomenon of glucose toxicity or due to one of many factors causing insulin resistance), which is general believed to be the first step in the development of diabetes in the majority of cats. (dvm360.com)
  • Taken together, oral administration of TZD may improve STZ-induced diabetic nephropathy due to restoration of the expression of klotho axis through an increase in PPARγ expression without changing blood glucose in rats. (tmu.edu.tw)
  • DKA is caused by absolute or relative insulin deficiency and high counterregulatory hormone concentrations, which accelerate catabolic state with increased glucose production via glycogenolysis and gluconeogenesis and impaired peripheral glucose utilization, resulting in hyperglycemia and hyperosmolality. (biomedcentral.com)
  • The most typical correction factor is a drop of 1.6 mEq/L (1.6 mmol/L) in blood sodium concentration for every 100 mg/dL (5.6 mmol/L) rise in glucose concentration. (welivingwell.com)
  • Treatment should not only consider lowering the blood glucose level but also should focus on the correction of any associated CVD risk factors such as smoking, hyperlipidemias, and obesity as well as monitoring of blood pressure and ~treatment of hypertension. (who.int)
  • In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis: a random plasma glucose ≥200 mg/dl (11.1 mmol/l). (diabetesjournals.org)
  • However, the annual inci- laboratoryfindingsatpresentationwith theepisodes,whiletheother10had dence of DKA in Libyan diabetics is not DKA (plasma glucose, serum blood type2.Therewere19episodesinnewly known. (who.int)
  • We analyzed the effect of PD-1-Ab on tumor growth in streptozotocin-induced diabetic mice (STZ-mice) subcutaneously inoculated with MC38 (a colon carcinoma cell line). (nature.com)
  • A marked decrease of klotho expression was observed in the kidney of streptozotocin-induced diabetic rats (STZ rats) showing diabetic nephropathy. (tmu.edu.tw)
  • It is important to pay close attention to the correction of fluid and electrolyte loss during the first hour of treatment. (medscape.com)
  • The treatment consisted of a correction of the electrolyte disorders by infusion of isotonic and hypotonic fluids with insulin. (scirp.org)
  • Hyperglycemia causes an osmotic diuresis with significant fluid and electrolyte loss. (msdmanuals.com)
  • Electrolyte abnormalities are frequent in diabetic patients and may emerge from an altered distribution of electrolytes due to hyperglycemia-induced osmotic fluid shifts or from total-body deficiencies caused by osmotic diuresis. (welivingwell.com)
  • Both acute and late diabetic complications are commonly encountered. (who.int)
  • Treatment of TZD reversed the lower levels of PPARγ, klotho, and FGFR1 expressions in kidneys of STZ rats without the correction of hyperglycemia. (tmu.edu.tw)
  • Uptake of 11 C-5-HTP, and its specificity for key enzymes in the serotonergic metabolic pathway, was assessed in vitro (INS-1 and PANC1 cells and human islet and exocrine preparations) and in vivo (nonhuman primates and healthy and diabetic rats). (snmjournals.org)
  • Complications of Diabetes Mellitus In patients with diabetes mellitus, years of poorly controlled hyperglycemia lead to multiple, primarily vascular, complications that affect small vessels (microvascular), large vessels (macrovascular). (msdmanuals.com)
  • In vivo studies on the diabetic complications known as hypercholesterolemia and hypertriacylglycerolemia in diabetic rat models also revealed significant improvements in serum/liver levels as well as a notable increase in the activities of enzymatic and nonenzymatic antioxidant levels. (jabonline.in)
  • An optimal method of addressing diabetes comprises of lifestyle and medical interventions which reduce hyperglycemia thereby decreasing the likelihood of developing the associated diabetic complications [ 3 - 5 ]. (jabonline.in)
  • More recently, the close association of diabetes and cardiovascular complications are ascertained because of the effect of hyperglycemia on the blood lipid profiles. (jabonline.in)
  • Patients with type 1 DM face a two to four times higher mortality rate than non-diabetic people ( 7 - 10 ). (spandidos-publications.com)
  • DKA also occurred in type 2 diabetics, with a higher mortality rate, as they were older patients with co-morbidity. (who.int)
  • We previously reported that in a diabetes mouse model, characterised by moderate hyperglycaemia and reduced beta-cell mass, the radical scavenger bis(1-hydroxy-2,2,6,6-tetramethyl-4-piperidinyl)decandioate di-hydrochloride (IAC), a non-conventional cyclic hydroxylamine derivative, improves metabolic alterations by counteracting beta-cell dysfunction associated with oxidative stress. (unibo.it)
  • DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. (msdmanuals.com)
  • DKA is characterized by hyperglycemia, metabolic acidosis and ketosis. (lww.com)
  • Optimal management requires aggressive surgical debridement and wound management, effective antibiotic therapy, and correction of metabolic abnormalities (mainly hyperglycemia and arterial insufficiency). (pdftreatment.com)
  • In the STZ-NA diabetic mouse model, the radical scavenger IAC induces a prolonged reduction of hyperglycaemia associated with partial restoration of beta-cell mass and function, likely dependent on blockade of oxidative stress-induced damaging mechanisms. (unibo.it)
  • Hyperglycemia induces osmotic water transfers from intracellular to extracellular space, resulting in relative dilutional hyponatremia. (welivingwell.com)
  • Persistent correction of hyperglycemia in streptozotocin-nicotinamide-induced diabetic mice by a non-conventional radical scavenger. (unibo.it)
  • Diabetic mice were treated for 7 weeks with various doses of IAC (7.5, 15, or 30 mg/kg b.w./die i.p.) and monitored for additional 8 weeks after suspension of IAC. (unibo.it)
  • Plasma nitrotyrosine levels (an oxidative stress index) significantly increased in untreated diabetic mice and were lowered upon IAC treatment. (unibo.it)
  • At ultrastructural level, beta cells of IAC-treated diabetic mice were protected against degranulation and mitochondrial alterations. (unibo.it)
  • To investigate the effect of hyperglycemia on anti-tumor function induced by anti-PD-1 antibody treatment, we treated STZ-induced diabetic mice with subcutaneous MC38 colon carcinoma tumors with anti-PD-1 antibody, and examined changes in tumor growth, the number of tumor-infiltrating immune cells, and the expression of chemokines and chemokine receptors. (nature.com)
  • To induce hyperglycemia, mice were intraperitoneally injected with STZ, which can damage pancreatic β cells resulting in the development of insulin dependent diabetes, a model of type 1 diabetes mellitus (T1DM). (nature.com)
  • The effect of anti-PD-1 antibody on MC38 tumor is attenuated in STZ-induced diabetic mice. (nature.com)
  • Evidences are increasing to suggest the abnormalities induced by hyperglycemia on the lipids and lipoprotein metabolism which in turn results in the triglyceride rich lipoproteins thereby raises the risks for coronary heart disorders [ 9 ]. (jabonline.in)
  • Concomitant use of Prednisolone and anti-diabetic and and anticoagulant drugs requires correction of the doses. (btabs.shop)
  • Supraphysiological doses of vitamin D have been shown to have a positive effect on the indicators of microcirculation and inflammation in patients with type 2 diabetes and diabetic neuropathy. (almazovcentre.ru)
  • This system enables automated basal adjustments every 5 minutes and bolus corrections delivered from an insulin pump. (medpagetoday.com)
  • Endothelial dysfunction plays a key role in the pathogenesis of diabetic vascular disease. (scienceopen.com)
  • We will investigate the effects of exenatide on vascular endothelial injury and nitrooxidative stress in hyperglycemia both in vivo and in vitro and explore the role of nitrooxidative stress in endothelium-protective action of exenatide. (hindawi.com)
  • In conclusion, this study demonstrates that exenatide treatment can alleviate the vascular endothelial injury, as well as attenuating the nitrooxidative stress in hyperglycemia, implying that the endothelium-protective effect of exenatide might be related to the reduction of nitrooxidative stress. (hindawi.com)
  • Recent evidence has indicated that the vascular endothelial injury induced by hyperglycemia is associated with the enhanced nitrooxidative stress both in vivo and in vitro [ 3 - 6 ]. (hindawi.com)
  • The existence, severity, and extent of infection, as well as vascular status, neuropathy, and glycemic control should be assessed in patients with a diabetic foot infection. (pdftreatment.com)
  • Since the mechanisms of endothelial dysfunction appear to differ according to the diabetic model and the vascular bed under study, it is important to select clinically relevant models for future research of endothelial dysfunction. (scienceopen.com)
  • A handout on diabetic foot infection, written by the author of this article, is provided on page 81. (pdftreatment.com)
  • Visible bone and palpable bone on probing are suggestive of underlying osteomyelitis in patients with Before an infected wound of a diabetic foot infection is cultured, any overlying necrotic debris should be removed to eliminate surface contamination and to provide more accurate results. (pdftreatment.com)
  • Routine wound swabs and cultures of material from sinus tracts are unreliable and strongly discouraged in the management of diabetic foot infection. (pdftreatment.com)
  • There is evidence that the endothelial dysfunction induced by hyperglycemia is associated with the enhanced nitrooxidative stress. (hindawi.com)
  • The principal mediators of hyperglycaemia-induced endothelial dysfunction may be activation of protein kinase C, increased activity of the polyol pathway, non-enzymatic glycation and oxidative stress. (scienceopen.com)
  • Patients with ketosis-prone diabetes can have significant impairment of beta-cell function with hyperglycemia, and are therefore more likely to develop DKA when significant hyperglycemia occurs. (msdmanuals.com)
  • CTO revascularization in diabetic patients, especially with CABG, was associated with lower long-term mortality rates as. (nobleresearch.org)
  • Coronary atherosclerosis appears in the majority of the diabetes population, with the mortality of up to 20% diabetic subjects caused by myocardial infarction ( 9 ). (spandidos-publications.com)
  • After correction for potential confounders, continuous therapy with valproic acid could not be confirmed as an independent risk factor for in-hospital mortality ( p = 0.079). (biomedcentral.com)
  • These results suggest that the STZ-induced hyperglycemia impairs the effect of PD-1-Ab treatment on MC38 tumor growth, and is accompanied by reduced infiltration of DCs and CD8 + T cells and decreased expression of CCL7 and CXCL9. (nature.com)
  • The specialists of the Centre co-authored the clinical guidelines for the diagnosis, prevention and treatment of vitamin D deficiency in adults and the National Programme "Vitamin D deficiency in children and adolescents of the Russian Federation: modern approaches to correction" proposed by the Russian Association of Endocrinologists, the Russian Association of Pediatricians and the Russian Association for Osteoporosis. (almazovcentre.ru)
  • Furthermore, the various effects of hyperglycemia demand immediate treatment [ 2 ]. (jabonline.in)
  • The plaintiff in the case, Anthony Rodesky, claimed he was denied special diabetic shoes and could not get adequate treatment for what began as minor blisters. (themarshallproject.org)
  • Fech corresponds with diabetics in prisons across the country about their treatment, and advises lawyers working on cases alleging abuse. (themarshallproject.org)
  • Dietary carbohydrates are broken down to simple sugars by the action of α-glucosidase and α-amylase and these enzymes are the primary and most promising targets of medical intervention to reduce hyperglycemia [ 5 , 6 ]. (jabonline.in)
  • Despite the increased prevalence of the disease, lawyers said many prisons and jails still struggle to accommodate diabetics. (themarshallproject.org)
  • Do you struggle with hyperglycemia as a diabetic patient and need better ways to control your blood sugar levels? (beatdiabetesapp.in)
  • and (3) XA was found in the urine of each of the eight diabetic humans tested. (orthomolecular.com)
  • Because of this simply testable response of XA rapidly disappearing from urine of diabetics or heart patients (or anyone given a high dietary ratio of fat or tryptophan to B6), awareness of this striking and important effect should have spread rapidly like an information avalanche through clinical medicine world wide. (orthomolecular.com)
  • management of the patient hospitalized with hyperglycemia.constitutive enzyme isoform. (dmn.ca)
  • Why is my diabetic patient complaining of arm pain and localized edema for couple of weeks without an obvious cause? (pearls4peers.com)
  • Type 2 diabetics allocated to ' pressure values,Differential diagnosis access at the insulin. (dmn.ca)
  • A clinical and experimental study is conducted to examine the mechanisms of bone remodeling disorders in hyperglycemia and the effect of various types of sugar-lowering drugs. (almazovcentre.ru)
  • Diabetic foot infections are classified as mild, moderate, or severe. (pdftreatment.com)
  • In individuals with severe symptomatic hyponatremia, the correction rate of sodium should be 6 to 12 mEq per L in the first 24 hours and 18 mEq per L or less in the next 48 hours. (welivingwell.com)
  • Thus, the classification of diabetic cats into Type I (insulin dependent or IDDM), Type II (non-insulin dependent or NIDDM) or transient diabetics can be very difficult, frequently confusing, and often in error, because some cats appear to not require insulin initially, and then progress to insulin dependency later. (dvm360.com)
  • Conducting clamp studies in healthy volunteers and type 1 diabetic patients. (almazovcentre.ru)
  • On May 1, 2010, the medical technician making the morning rounds at Stateville prison in Illinois allegedly denied Donald Lippert, a type I diabetic, his shot of insulin. (themarshallproject.org)
  • The impact of hyperglycemia is also witnessed on the tissue proteins which undergo non-enzymatic glycation rendering them inactive. (jabonline.in)
  • Aside from the usual suspects associated with a painful extremity (eg, trauma, deep venous thrombosis and soft tissue infections), think of spontaneous diabetic myonecrosis (DMN), also known as diabetic muscle infarction (1-3). (pearls4peers.com)
  • Correction of fluid loss makes the clinical picture clearer and may be sufficient to correct acidosis. (medscape.com)
  • Initial correction of fluid loss is either by isotonic sodium chloride solution or by lactated Ringer solution. (medscape.com)
  • Considering the fact that about 25% of the world population are diabetic, its management is of great importance [ 1 ]. (jabonline.in)
  • For the second time that day, he fell to the floor of his cell and began vomiting from hyperglycemia (the medical term for dangerously high blood sugar). (themarshallproject.org)
  • The federal Bureau of Prisons has a list of guidelines on how to treat diabetic inmates, and the American Diabetes Association publishes their own set of best practices. (themarshallproject.org)
  • Increased blood sugar, particularly referred to as "Hyperglycemia" in scientific terms is a condition that arrives when blood sugar levels of the body increase beyond the normal range. (beatdiabetesapp.in)
  • Recommendations are made for correction of unnecessary costly delays between publication and implementation of such research findings. (orthomolecular.com)