Dr. Einhorn explains what ketoacidosis is.
Ketoacidosis is a crisis in type 1 diabetes where either you run out of insulin completely, you forgot to take a few shots or you didn’t know that your insulin has gone bad so you run out of insulin, or there’s an overwhelming stress that happens – a heart attack, pneumonia -- where the amount of insulin you need as a stress hormone is huge and you’re not getting enough.
It is a hospitalizable emergency. Typically, you only really know it, if you’re not checking yourself all the time, when you begin vomiting and find that you just can’t control yourself, and by that time you can’t rescue yourself at home. So, if you have type 1 diabetes, on insulin, and there’s a big illness that you’re experiencing or you’ve run out of insulin and you begin vomiting, that’s a medical emergency and there’s nothing you could do at home other than drink as much fluids as you can, have someone get you to the E.R.
About Dr. Einhorn:
Dr. Daniel Einhorn received his undergraduate degree from Yale University, his medical degree from Tufts University School of Medicine, and his internship, residency and fellowship at Harvard Medical School. He served on the faculty of Harvard until coming to San Diego in 1984, and has since been a clinical endocrinologist with Diabetes and Endocrine Associates, Associate Clinical Professor of Medicine (Voluntary) at University of California, San Diego, and, until 2000, the Medical Director of the Diabetes Treatment and Research Center at Sharp Healthcare. He is the Medical Director of the Scripps Whittier Institute Diabetes Program. Dr. Einhorn has held many leadership positions with the Board of the American Association of Clinical Endocrinologists, the American Medical Association's Diabetes Advisory Council and The Endocrine Society. He Chaired the American College of Endocrinology Task Force on the Insulin Resistance Syndrome and the Conference on the Insulin Resistance Syndrome. He has served on the American Diabetes Association (ADA) Managed Care Initiative and on the regional ADA and Juvenile Diabetes Foundation, and as Chair of the Diabetes and Pregnancy Program of San Diego and Imperial Counties. He is a fellow of the American College of Physicians and the American College of Endocrinology. His research and publications cover diabetes prevention and reversal, recognition and treatment of diabetic complications, new technologies, new pharmaceuticals, combination therapies, and clinical decision-making.
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