Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., FCCWS,

Articles - Dr. Bernstein Shares His Insights

Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., FCCWS, continues talking to us about dehydration and how it can cause severe problems.

Diabetes Solution Revised and Updated 2007
Complete Guide to Achieving Normal Blood Sugars
Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., FCCWS.

Chapter 21

Next FREE LIVE WEBCAST: Jan. 16, 2007, we wll be having another live webcast and teleconference call with Dr. Richard K. Bernstein, who will answer questions from medical professionals and patients and it is free.  Just go to www.diabetes911.net and register and ask a question if you like!
www.thebernsteinconnection.com

 
diabetic diet

 

 

 

 

DIABETES AND DEHYDRATION:
A DANGEROUS COMBINATION (Part 2)

Common causes of dehydration include not only multiple episodes of diarrhea or vomiting, and fever and resulting perspiration; they also include failure to drink adequate fluids, especially during hot weather or prolonged exercise, and very high blood sugars. You probably know that one of the hallmark symptoms of very high blood sugars is the combination of extreme thirst and frequent urination. From what you’ve already read in this chapter, you should understand the equation.  Still, I think it’s noteworthy enough to lay it out again for emphasis.

1. Dehydration causes transitory insulin resistance.*
2. During periods of dehydration, blood sugar will tend to rise.
3. High blood sugar, as you know, itself leads to insulin resistance and further blood sugar increase.
4. Blood sugar elevation from dehydration in addition to blood sugar elevation caused by the viral or bacterial infection that led to your vomiting, fever, or diarrhea causes further insulin resistance
and blood sugar elevation.
5. High blood sugar causes further dehydration as your kidneys attempt to unload glucose and ketones by producing large amounts of urine.
6. Increased dehydration causes higher blood sugars, which in turn cause further dehydration. All of which brings us back to number 1.

The good news is, however, that simple interventions can halt this spiraling of blood sugars and fluid loss. It’s the purpose of this chapter to give you the knowledge to prevent the sort of grave consequences experienced by the lady who called me on that Sunday afternoon—or worse, death.

Next Feature: Diabetes and Dehydration:  Keotacidosis and Hyperomolar coma(Part 3)
Last Feature: Diabetes and Dehydration: How to Cope with Dehydration(Part 1)
http://www.diabetesincontrol.com/results.php?storyarticle=5447

Next FREE LIVE WEBCAST: Tuesday, Febuary 26, 2008, we wll be having another live webcast and teleconference call with Dr. Richard K. Bernstein, who will answer questions from medical professionals and patients and it is free.  Just go to www.diabetes911.net and register and ask a question if you like!

To listen to the last 10 webcasts go to www.thebernsteinconnection.com

 

We would like to thank the publisher Little Brown and Company and Dr. Richard K. Bernstein, for allowing us to provide excerpts from Diabetes Solution 2007 Edition
Copyright © 2007by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review.

Author’s Note
This book is not intended as a substitute for professional medical care. The reader should regularly consult a physician for all health-related problems and routine care.

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