Diabetes Ketoacidosis : fasting

Diabetes Complications: Is Treatment Available

What are major complications of diabetes

Eye problems (retinopathy)

blindness, kidney failure, and non-traumatic

Diabetes foot problems are serious and can lead to amputation

Heart attack and stroke.

Kidney problems (nephropathy)

Nerve damage (neuropathy)

Gum disease and other mouth problems

cancer

heart disease, stroke, nerve damage, and decreased blood flow

What are the acute complications of diabetes mellitus

diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), lactic acidosis (LA), and hypoglycemia

What are the complications of uncontrolled diabetes

infection which results in pain, fluid oozing, and itching in the legs. The person can also develop sores, ulcers and gangrene

What are the complications of diabetes in the elderly

damage to the eyes, kidneys, nerves, feet, and heart. People with type 2 diabetes may also be at greater risk for cancer, depression, and dementia

What is the complication of hypoglycemia

Severe hypoglycemia is life-threatening.

can result in a coma and/or death (nocturnal hypoglycemia)

What are the complications of ketoacidosis

Hypoglycemia is the most common complication of diabetic ketoacidosis

seizures, arrhythmias, and cardiovascular events

What is a major vascular complication of diabetes mellitus

Microvascular diseases nephropathy, retinopathy, and neuropathy.

Macrovascular disease cardiac disease, peripheral vascular disease, and stroke

What are the complications of diabetes mellitus drugs in genera

Loss of appetite

A metallic taste in your mouth.

Hypoglycaemia:

Hypos are uncommon with Metformin but are more likely if you also take a sulfonylurea or drink alcohol.

Anaemia: Metformin can block vitamin B12 absorption and cause anemia

What is the complication of diabetes

Periodontal disease

retinopathy, neuropathy, nephropathy, cardiovascular disease and peripheral vascular disease.

include xerostomia, dental caries, Candida infection, burning mouth syndrome, lichen planus and poor wound healing.

side effects of metformin

Feeling sick (nausea)

Being sick (vomiting)

Diarrhoea. ...

Stomach ache. ...

Loss of appetite. ...

A metallic taste in the mouth.

What are the effects of high blood sugar

symptoms of type 1 diabetes and type 2

thirsty

Urinating frequently

weight loss

ketones in the urine

tired and weak

irritable or mood changes

blurry vision

slow-healing sores

infections, gum, skin and vagina

Alzheimer's disease Type 2 diabetes may increase the risk of dementia

Depression in peopleType 2 diabetes

gestational diabetes Complications in your baby

Excess growth sometimes the need for a C-section.

Low blood sugar (hypoglycemia) shortly after birth

Type 2 diabetes later in life

Death before or shortly after birth

Complications in the mother by gestational diabetes

Preeclampsia include high blood pressure, too much protein in the urine, and swelling in the legs and feet

Gestational diabetes more likely next pregnancy

Treatment Available

availability of treatment either injectable or oral

unable to pay no money

not available in the markets

fasting is the clue either you take the medicine or not its very beneficial at any condition

i talk about islamic one available for all muslim and non muslim its protective

The London Diabetes Centre

https://londondiabetes.com/news-and-events/common-side-effects-of-diabetes-medication/

the National Center for Biotechnology Information

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533625/

mayoclinic

https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/expert-answers/byetta/faq-20057955

https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/fasting

https://emedicine.medscape.com/article/117853-treatment

keywords

Diabetes Complications, Is Treatment Available,acute complications ,major complications,uncontrolled diabetes,diabetes in the elderly,ketoacidosis,vascular complication,Periodontal disease,metformin,gestational diabetes,Alzheimer's disease ,the risk of dementia,Depression,unavailability , islamic fasting,

FAQ - Frequently Asked Questions about Fasting and Diabetes

What are the main risks of fasting for people with diabetes?

The potential risks include low blood sugar levels (hypoglycemia), high blood sugar levels (hyperglycemia), which may lead to diabetic ketoacidosis (DKA), and dehydration.

Additionally, there may be a risk of other complications such as kidney and nerve problems, especially with poor blood sugar control.

Can a person with type 1 diabetes follow intermittent fasting or a ketogenic diet?

Yes, but with extreme caution and under strict medical supervision.

A study mentioned a case of a type 1 diabetic patient who developed diabetic ketoacidosis (DKA) after following intermittent fasting and the ketogenic diet without medical supervision.

It is crucial to consult with a doctor to adjust insulin doses and regularly monitor blood sugar and ketone levels to avoid serious complications.

What are the chronic complications of diabetes?

Chronic complications include retinopathy (eye problems), nephropathy (kidney problems), neuropathy (nerve damage), cardiovascular diseases, and diabetic foot issues that may lead to amputations.

Diabetes may also increase the risk of cancer, depression, and dementia, especially in older adults.

What are the common side effects of the medication Metformin used to treat diabetes?

Common side effects include nausea, vomiting, diarrhea, stomach pain, loss of appetite, and a metallic taste in the mouth.

Metformin can also cause vitamin B12 deficiency and anemia.

What important tips should a diabetic follow when fasting for religious purposes, such as during Ramadan?

It is essential to consult a doctor or healthcare team before starting the fast to assess potential risks and adjust medication doses if necessary.

Regularly monitor blood sugar levels, drink sufficient water to avoid dehydration, and eat balanced meals focusing on low glycemic index foods (foods that are digested and absorbed slowly) during Iftar and Suhoor.

Fasting should be broken immediately if low blood sugar or high blood sugar symptoms occur.

What are the symptoms of diabetic ketoacidosis (DKA) and how is it managed?

Symptoms of diabetic ketoacidosis include nausea, vomiting, stomach pain, rapid deep breathing, and bad breath (acetone-like odor).

DKA is managed in a hospital setting by administering fluids, insulin, and potassium, while closely monitoring vital body functions.

What are the complications of uncontrolled diabetes?

In addition to the chronic complications mentioned earlier, uncontrolled diabetes can lead to recurrent infections, especially in the feet, which may result in ulcers, sores, and gangrene.

The patient may also experience symptoms of high blood sugar such as extreme thirst, frequent urination, and severe fatigue.

What are the complications of gestational diabetes?

For the child, complications may include excessive growth, low blood sugar after birth, increased risk of developing type 2 diabetes later in life, and possibly death before or shortly after birth. For the mother, complications may include preeclampsia (high blood pressure, increased protein in urine, and swelling in the legs and feet) and a higher risk of gestational diabetes in future pregnancies.

What is diabetic ketoacidosis (DKA), and what is its relationship with diabetes and fasting?

Diabetic ketoacidosis is an emergency condition that occurs when blood sugar levels rise significantly, and the body starts producing excessive ketones due to insulin deficiency.

It commonly occurs in type 1 diabetes patients but can also occur in type 2 under certain circumstances.

During fasting, the body enters a state of "ketosis" where it burns fat for energy instead of carbohydrates.

For diabetic patients, especially type 1, fasting can lead to decreased insulin levels, resulting in excessive ketone production, which may lead to diabetic ketoacidosis if not properly managed.

What are the main risks of fasting for people with diabetes?

The main risks include low blood sugar levels (hypoglycemia), high blood sugar levels (hyperglycemia) which may lead to diabetic ketoacidosis (DKA), and dehydration.

Other complications may also arise, such as kidney and nerve problems, particularly with poor blood sugar control.

Can a person with type 1 diabetes follow intermittent fasting or the ketogenic diet?

Yes, but with extreme caution and under strict medical supervision.

It is essential to consult with a doctor to adjust insulin doses and regularly monitor blood sugar and ketone levels to avoid serious complications like diabetic ketoacidosis (DKA).

What are the symptoms of diabetic ketoacidosis (DKA) and how is it managed?

Symptoms include nausea, vomiting, stomach pain, rapid deep breathing, and bad breath (acetone-like odor).

Management requires hospitalization, with fluids, insulin, and potassium, while monitoring vital body functions closely.

What are the chronic complications of diabetes?

Chronic complications include diabetic retinopathy (eye problems), diabetic nephropathy (kidney problems), diabetic neuropathy (nerve damage), cardiovascular diseases, and diabetic foot issues that may lead to amputation.

Diabetes can also increase the risk of cancer, depression, and dementia, especially in older adults.

What important tips should a diabetic follow when fasting for religious purposes (like Ramadan)?

Consult with a doctor or healthcare team before beginning the fast to assess potential risks and adjust medication doses if necessary.

It is crucial to monitor blood sugar regularly, drink enough water to prevent dehydration, and eat balanced meals with a focus on low glycemic index foods during Iftar and Suhoor.

Fasting should be broken immediately in case of low blood sugar or symptoms of high blood sugar.

What are the common side effects of Metformin, a medication used to treat diabetes?

Common side effects include nausea, vomiting, diarrhea, stomach pain, loss of appetite, and a metallic taste in the mouth.

Metformin can also cause vitamin B12 deficiency and anemia.

What is the difference between ketosis and diabetic ketoacidosis (DKA)?

Ketosis is a natural process that occurs when the body burns fat for energy due to a lack of carbohydrates, leading to ketone production.

Diabetic ketoacidosis (DKA) is a dangerous condition that occurs when there is a severe insulin deficiency, causing elevated blood sugar and ketone levels, making the blood overly acidic.

DKA is a complication of diabetes and requires immediate medical treatment.

Intermittent Fasting and Diabetic Ketoacidosis (DKA) in Type 1 Diabetes:

Warnings: Intermittent fasting, especially with a ketogenic diet, can lead to DKA in type 1 diabetes patients.

Case: A case of a type 1 diabetic woman who developed DKA after following an intermittent ketogenic diet for 9 days based on advice from a friend.

Importance of Monitoring: The study emphasizes the importance of strict professional monitoring of diet and insulin therapy, along with proper nutritional education to prevent following trendy diets without understanding their effects.

Religious Fasting and Diabetes:

Risks: Fasting (especially during Ramadan) may pose significant health risks for some people with diabetes.

It is advised to consult with a doctor or medical team before fasting, and certain exemptions from fasting may apply for health reasons.

Diabetic Complications:

Include: Eye issues (retinopathy), kidney problems (nephropathy), nerve damage (neuropathy), cardiovascular diseases, and diabetic foot issues that may require amputations.

keywords

Monitor blood sugar, maintain a healthy diet, exercise regularly, foot care, cardiovascular health, eye exams, kidney function tests, stress management, regular medical check-ups.