How to prevent lactic acidosis?

summary

Lactic acid is reduced by pyruvate, which is an intermediate product of sugar metabolism. It is reduced to lactic acid when there is no oxygen or pyruvate is not oxidized. Acidosis caused by the increase of blood lactic acid level is called lactic acidosis. How to prevent lactic acidosis? Next, I'd like to share my views with you.

How to prevent lactic acidosis?

In the treatment of diabetes, phenformin is not used. Other biguanides should not be used in patients with diabetic nephropathy, liver and kidney dysfunction, elderly people over 70 years old, and poor cardiopulmonary function. Patients with poorly controlled diabetes can be treated with insulin.

Biguanides should not be used in patients with liver and kidney insufficiency, chronic hypoxic cardiopulmonary disease and poor appetite; Try to avoid the use of phenformin; When encountering acute critical illness, the biguanides were suspended and insulin was used instead; Long term use of biguanide drugs to regularly check the liver and kidney function, encounter the case of biguanide drugs should be stopped in time.

Once lactic acidosis develops and reaches the current general diagnostic criteria, even if lactic acid can be reduced through treatment, it can not improve the prognosis. Therefore, the patients with hyperlactemia (i.e. no acidemia, but lactic acid > 2.5mmol/l) need to be treated in time for various potential causes and closely followed up. DCA can be used if necessary.

matters needing attention

Kelp sprout is a strong alkaline food, which can neutralize the acidity of patients with acidosis and promote the recovery of patients. It's better to eat food to enhance immunity. Should eat dietary fiber food. Avoid acid food; Such as cheese, egg yolk, sugar;