Sleep-disordered breathing in middle-aged adults predicts no significantly higher rates of traffic violations.

the study by Lever and Jaspan8 that was cited by Dr. Rosival is different from his. These authors do not seem to support the idea of giving sodium bicarbonate to patients with diabetic ketoacidosis. In their retrospective analysis of 95 episodes of severe diabetic ketoacidosis, they concluded that sodium bicarbonate might not confer any special benefits in the treatment of diabetic ketoacidosis. It is difficult to extrapolate these results to lactic acidosis since diabetic ketoacidosis is a different disease that has an established treatment aimed at the etiology, and because this retrospective study has its own limitations.