As discussed in Chapter 1, this is rarely, if ever, indicated. Profound acidosis can theoretically be a cause of poor myocardial contractility, although there is no evidence to support this in children. It has been our recent practice only to use bicarbonate at a blood pH of less than 6.9, or if there is evidence of poor circulation after adequate administration of resuscitation fluid. The commonest reason for the failure of acidosis to resolve is inadequate restoration of the circulating blood volume or late institution of insulin therapy, which therefore fails to suppress ketogenesis.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.