Starvation-induced True Diabetic Euglycemic Ketoacidosis in Severe Depression

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Hyperventilation in severe diabetic ketoacidosis.

OBJECTIVE To explore whether the carbon dioxide-bicarbonate (P(CO(2))-HCO(3)) buffering system in blood and cerebrospinal fluid (CSF) in diabetic ketoacidosis should influence the approach to ventilation in patients at risk of cerebral edema. DATA SOURCE Medline search, manual search of references in articles found in Medline search, and use of historical literature from 1933 to 1967. DESIG...

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Diabetic ketoacidosis (DKA) is characterized by elevated anion gap metabolic acidosis, hyperglycemia, and elevated ketones in urine and blood. Hyperglycemia is a key component of DKA; however, a subset of DKA patients can present with near-normal blood glucose, an entity described as "euglycemic DKA." This rare phenomenon is thought to be due to starvation and food restriction in insulin depend...

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Euglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma

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ژورنال

عنوان ژورنال: Journal of General Internal Medicine

سال: 2008

ISSN: 0884-8734,1525-1497

DOI: 10.1007/s11606-008-0829-0