Your doctor or health care provider may also take blood tests to measure levels of ketones, electrolytes e.
Treatment for DKA must be done in consultation with a doctor or medical team, most often in a hospital setting. For mild cases, fluid supplementations and extra insulin injections are needed every few hours until ketones in the urine have either disappeared or fallen to low levels. Blood glucose and ketone levels should also be closely monitored during this period. Dehydration will only make the progression of DKA worse, so it's important to maintain a steady intake of fluids.
For moderate-to-severe cases of DKA, hospitalization with fluid and electrolyte replacement is required. Blood glucose and acid levels will be monitored frequently and electrolytes such as potassium brought back into balance. Insulin will be given to help bring your blood sugar levels back to normal. Urine output will be monitored until your vital signs temperature, pulse, breathing, blood pressure are normal. Even with careful attention to insulin treatment, ketone levels may still go up once in a while.
Missing even a single insulin injection can also lead to tissue "starvation," fat metabolism, and ketone accumulation. People are especially susceptible when they're ill. The most important prevention strategies are to monitor blood glucose levels routinely, keep blood glucose levels controlled e.
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Yale J Biol Med. Barrett and R. Copyright and License information Disclaimer. This article was contributed by: familydoctor. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Sugar is a simple carbohydrate that provides calories for your body to use as energy. There are two main…. What you eat is closely connected to the amount of sugar in your blood.
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Eustachian Tube Dysfunction. Bursitis of the Hip. Abnormal Uterine Bleeding. High Blood Pressure. Home Diseases and Conditions Diabetic Ketoacidosis. Table of Contents. Diabetes and Nutrition. Diabetes and Exercise. What is diabetic ketoacidosis? Symptoms of diabetic ketoacidosis DKA is a very serious condition. The first symptoms to appear are usually: Excessive thirst. Normally, insulin helps sugar enter your cells.
Without enough insulin, your body can't use sugar properly for energy. This prompts the release of hormones that break down fat as fuel, which produces acids known as ketones. Excess ketones build up in the blood and eventually "spill over" into the urine.
Uncommonly, diabetic ketoacidosis can occur if you have type 2 diabetes. In some cases, diabetic ketoacidosis may be the first sign that you have diabetes. Diabetic ketoacidosis is treated with fluids, electrolytes — such as sodium, potassium and chloride — and insulin. Perhaps surprisingly, the most common complications of diabetic ketoacidosis are related to this lifesaving treatment.
Left untreated, the risks of diabetic ketoacidosis are much greater. Diabetic ketoacidosis can lead to loss of consciousness and, eventually, death.
Diabetes complications are scary.
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