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Diabetic Emergencies: Diabetic Ketoacidosis in Childhood and Adolescence, Part 3 of 3

Diabetic_Emergencies

Christina Kanaka-Gantenbein, MD, PhD Acidosis management  Severe acidosis is reversible by fluid and insulin replacement. Insulin stops lipolysis and further ketone production and allows ketoacids to be metabolized, generating bicarbonate.4 Moreover, treatment of hypovolemia improves tissue perfusion and renal function, thereby increasing the excretion of organic acids. Controlled trials have ...

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Alan Sherman, DPM: Response to Dr. Richard K. Bernstein’s Article on Calluses and Amputation

A position statement by controversial low-carb guru Richard Bernstein, MD has been circulating in various forms since August 2012, blaming all foot amputations in patients with diabetes on debridement of calluses. This past April 2013, Diabetes Care, the well-respected journal of the American Diabetes Association, republished the letter. The misinformation in this ...

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