Tuesday, February 5, 2019

The Danger of Diabetic Ketoacidosis

With insulin prices spiking, DKA could rise for people with diabetes.
DKA and Diet
What people with diabetes eat and drink strongly affects their blood sugar levels and insulin requirements. Polishing off a large carton of orange juice without adjusting insulin could potentially put someone with diabetes into DKA.
"Someone might not realize that drinking a lot of soda, juice or any kind of sugary beverage would raise blood sugar that much," Schrager says. "So, if they're pretty thirsty because of high blood sugar, and are drinking that type of beverage to quench the thirst – that could lead to even higher blood sugar."
If you have diabetes, taking a good look at your diet can reduce DKA risk. "Because carbohydrates contribute to high blood sugar, you can see what types and amounts of carbohydrates are in the diet and whether or not that needs to be modified, or if insulin needs to be increased throughout the day," Schrager says.
A carb-controlled diet including complex carbs helps avoid blood-glucose spikes. Complex carbs occur in plant foods such as whole grains, beans and veggies.
However, refined-carb foods, such as white bread or pasta, lead to rapid rises in blood sugar. Make sure to take an appropriate insulin dose before eating, Schrager advises, even if it's just a sandwich.

Insulin Issues
Diet control doesn't eliminate the need for medication. "If someone has Type 1 diabetes, they need insulin no matter what," Schrager emphasizes.
Patients who use insulin pumps should stay on guard for malfunctions. However, insulin pumps are increasingly reliable. That said, it's wise to keep prefilled insulin pens, or vials and syringes, on hand as backups.

"Exercise can play a huge role in managing blood sugars," Schrager says. In general, she says, exercise reduces blood sugar, depending on the type of activity. Aerobic exercise such as walking, jogging or biking tends to lower blood sugar.
READ ARTICLE: https://health.usnews.com/health-care/patient-advice/articles/2019-02-01/the-danger-of-diabetic-ketoacidosis