Ketosis management in a Type 2 Diabetes mellitus patient: a nutritional Approach

Rupali Das, Puspanjali Mishra*, Jatindra Nath Mohanty

IMS and Sum hospital, SOA deemed to be University, Bhubaneswar, Odisha, Indi

ABSTRACT

Ketosis-inclined type 2 diabetes, an insulin deficiency tends to occur in response to constant hyperglycemia auxiliary to insulin resistance. Hyperglycemia will additionally restrict the secretion of insulin, and a few examinations have even shown a decrease of insulin production at the genetic level by restraining transcription of insulin-producing proteins. Here in this study, we detailed a patient having ketosis in Type 2 Diabetes mellitus and observed all require parameter in dietary management. The patient was found ketone positive in initial days. Due to high level of blood sugar and constipation, he was suggested a diabetic fluid diet and high fiber content meal. Initially Glucose level was 187mg/dl and Hb level- 12.5, after the observation with maintain diet the Hb level- 14.5 and Glucose level was >150mg/dl. Serum proteins and albumin were also found in normal range and the patients found ketone negative in later stage. To date, clinical trials have provided evidence of benefits of Keto diets in terms of clinical outcomes. However, the molecular events responsible for these improvements still remain unclear in spite of the high amount of knowledge on the primary mechanisms of both the diabetes and the metabolic state of ketosis.

Keywords:

Ketosis, Type 2 Diabetes mellitus, management, nutrition.