DKA symptoms and causes -
Hyperglycemia due to insulin deficiency causes an osmotic diuresis that leads to marked urinary losses of water and electrolytes. Urinary excretion of ketones obligates additional losses of sodium and potassium. Serum sodium may fall due to natriuresis or rise due to excretion of large volumes of free water.
Potassium is also lost in large quantities. Despite a significant total body deficit of potassium, initial serum potassium is typically normal or elevated because of the extracellular migration of potassium in response to acidosis.
Potassium levels generally fall further during treatment as insulin therapy drives potassium into cells. The most common read more may develop. Symptoms and signs of diabetic ketoacidosis include symptoms of hyperglycemia Symptoms and Signs Diabetes mellitus is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia.
read more with the addition of nausea, vomiting, and—particularly in children—abdominal pain. Lethargy and somnolence are symptoms of more severe decompensation. Patients may be hypotensive and tachycardic due to dehydration and acidosis; they may breathe rapidly and deeply to compensate for acidemia Kussmaul respirations.
They may also have fruity breath due to exhaled acetone. Fever is not a sign of DKA itself and, if present, signifies underlying infection. In the absence of timely treatment, DKA progresses to coma and death.
Headache and fluctuating level of consciousness herald this complication in some patients, but respiratory arrest is the initial manifestation in others. The cause is not well understood but may be related to too-rapid reductions in serum osmolality or to brain ischemia.
It is most likely to occur in children 5 years when DKA is the initial manifestation of diabetes mellitus Diabetes Mellitus DM Diabetes mellitus is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia. Children with the highest BUN blood urea nitrogen levels and lowest PaCO2 at presentation appear to be at greatest risk.
Delays in correction of hyponatremia and the use of bicarbonate during DKA treatment are additional risk factors. In patients suspected of having diabetic ketoacidosis, serum electrolytes, blood urea nitrogen BUN and creatinine, glucose, ketones, and osmolarity should be measured.
Urine should be tested for ketones. Patients who appear significantly ill and those with positive ketones should have arterial blood gas measurement. DKA is diagnosed by an arterial pH 7. Guidelines differ on specific levels of hyperglycemia to be included in the diagnostic criteria for DKA.
Hyperglycemia causes an osmotic diuresis with A presumptive diagnosis may be made when urine glucose and ketones are positive on urinalysis. Urine test strips and some assays for serum ketones may underestimate the degree of ketosis because they detect acetoacetic acid and not beta-hydroxybutyric acid, which is usually the predominant ketoacid.
Blood beta-hydroxybutyrate can be measured, or treatment can be initiated based on clinical suspicion and the presence of anion gap acidosis if serum or urine ketones are low. Symptoms and signs of a triggering illness should be pursued with appropriate studies eg, cultures, imaging studies.
Adults should have an ECG to screen for acute myocardial infarction and to help determine the significance of abnormalities in serum potassium. Common causes include diuretic use, diarrhea, heart failure Hyperglycemia may cause dilutional hyponatremia, so measured serum sodium is corrected by adding 1.
As acidosis is corrected, serum potassium drops. An initial potassium level 4. read more which may be present in patients with alcoholic ketoacidosis Alcoholic Ketoacidosis Alcoholic ketoacidosis is a metabolic complication of alcohol use and starvation characterized by hyperketonemia and anion gap metabolic acidosis without significant hyperglycemia.
read more and in those with coexisting hypertriglyceridemia. Buse JB, Wexler DJ, Tsapas A, et al : Update to: Management of Hyperglycemia in Type 2 Diabetes, A Consensus Report by the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD.
Diabetes Care 43 2 —, doi: Garber AJ, Handelsman Y, Grunberger G, et al : Consensus statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the comprehensive type 2 diabetes management algorithm executive summary. Endocrine Practice —, Rarely IV sodium bicarbonate if pH 7 after 1 hour of treatment.
The most urgent goals for treating diabetic ketoacidosis are rapid intravascular volume repletion, correction of hyperglycemia and acidosis, and prevention of hypokalemia 1, 2 Treatment references Diabetic ketoacidosis DKA is an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, and metabolic acidosis.
Identification of precipitating factors is also important. Treatment should occur in intensive care settings because clinical and laboratory assessments are initially needed every hour or every other hour with appropriate adjustments in treatment.
Intravascular volume should be restored rapidly to raise blood pressure and ensure glomerular perfusion; once intravascular volume is restored, remaining total body water deficits are corrected more slowly, typically over about 24 hours. Initial volume repletion in adults is typically achieved with rapid IV infusion of 1 to 1.
Additional boluses or a faster rate of infusion may be needed to raise the blood pressure. Slower rates of infusion may be needed in patients with heart failure or in those at risk for volume overload. If the serum sodium level is normal or high, the normal saline is replaced by 0.
Pediatric maintenance fluids Maintenance requirements Dehydration is significant depletion of body water and, to varying degrees, electrolytes.
Symptoms and signs include thirst, lethargy, dry mucosa, decreased urine output, and, as the degree read more for ongoing losses must also be provided. Initial fluid therapy should be 0.
Hyperglycemia is corrected by giving regular insulin 0. Insulin adsorption onto IV tubing can lead to inconsistent effects, which can be minimized by preflushing the IV tubing with insulin solution.
Children should be given a continuous IV insulin infusion of 0. Ketones should begin to clear within hours if insulin is given in sufficient doses.
Serum pH and bicarbonate levels should also quickly improve, but restoration of a normal serum bicarbonate level may take 24 hours. Bicarbonate should not be given routinely because it can lead to development of acute cerebral edema primarily in children. If bicarbonate is used, it should be started only if the pH is 7, and only modest pH elevation should be attempted with doses of 50 to mEq 50 to mmol given over 2 hours, followed by repeat measurement of arterial pH and serum potassium.
A longer duration of treatment with insulin and dextrose may be required in DKA associated with SGLT-2 inhibitor use. When the patient is stable and able to eat, a typical basal-bolus insulin regimen Insulin regimens for type 1 diabetes General treatment of diabetes mellitus for all patients involves lifestyle changes, including diet and exercise.
Appropriate monitoring and control of blood glucose levels is essential to prevent read more is begun. IV insulin should be continued for 2 hours after the initial dose of basal subcutaneous insulin is given.
Children should continue to receive 0. If serum potassium is 3. Initially normal or elevated serum potassium measurements may reflect shifts from intracellular stores in response to acidemia and belie the true potassium deficits that almost all patients with DKA have. Insulin replacement rapidly shifts potassium into cells, so levels should be checked hourly or every other hour in the initial stages of treatment.
Causes include alcohol use disorder, burns, starvation, and diuretic use. Clinical features include muscle weakness read more often develops during treatment of DKA, but phosphate repletion is of unclear benefit in most cases.
If potassium phosphate is given, the serum calcium level usually decreases and should be monitored. Treatment of suspected cerebral edema is hyperventilation, corticosteroids, and mannitol , but these measures are often ineffective after the onset of respiratory arrest.
Back to Health A to Z. Diabetic ketoacidosis DKA is a serious condition that can happen in people with diabetes. It's where a lack of insulin causes harmful substances called ketones to build up in the blood.
It can be life threatening and needs urgent treatment in hospital. DKA usually affects people with type 1 diabetes , but it can also happen in people with type 2 diabetes who need insulin. It can happen when people first develop type 1 diabetes and have not yet been diagnosed, particularly children.
If you have diabetes and have any of the symptoms of DKA, check your blood glucose. If it's high, test for ketones if you can. These ketone levels are a guide. Normal blood ketone levels can be different for different people. Your diabetes care team will advise you on what levels to look for. Diabetic ketoacidosis can be life threatening so it's important to get treatment quickly.
You can call or get help from online. If you have diabetic ketoacidosis DKA you'll need to be admitted to hospital for urgent treatment. You'll be given insulin, fluids and nutrients through a drip into your vein. You'll be monitored for complications, as DKA can sometimes affect your brain, heart or lungs.
Once your ketones are at a safe level and you can eat and drink normally you'll be able to go home. The doctors will talk to you about what caused DKA and give you advice on how to reduce the risk of it happening again.
Diabetic DKA symptoms and causes DKA DDKA an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, causex metabolic DKA symptoms and causes. Hyperglycemia causes cxuses osmotic diuresis with significant fluid an electrolyte loss. DKA occurs mostly in type 1 diabetes mellitus. It causes nausea, vomiting, and abdominal pain and can progress to cerebral edema, coma, and death. DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. Treatment involves volume expansion, insulin replacement, and prevention of hypokalemia. Acuses websites use. gov DKA symptoms and causes. gov website belongs to an official government organization in the United States. gov website. Share sensitive information only on official, secure websites.Last Updated May This article was created by familydoctor. Diuretic effect on menopause symptoms editorial staff and reviewed Fiber for balancing blood sugar levels Beth Sy,ptoms, MD. Smyptoms ketoacidosis DKA happens when ssymptoms blood sugar symptoks higher than normal and your cahses level andd lower than normal.
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Make sure that you know how to reach your doctor in an emergency. DKA causes excessive urination. This means you will urinate more than usual. You can become dehydrated and your body can lose electrolytes minerals in your blood that help your body function. If you are diagnosed with DKA, your doctor will most likely treat you with fluids usually through an IV.
These fluids will contain electrolytes and insulin. Electrolytes will help your body function normally. Insulin will help lower your blood sugar level.
Overall, fluids can help rehydrate you and dilute some of the sugar in your blood. Keeping the balance between blood sugar and insulin is the key to controlling diabetic ketoacidosis.
In most cases, this means sticking to your insulin schedule. You should also try to recognize when you feel stressed or sick. Small adjustments to your eating or drinking can make a big difference. You should keep taking your insulin, even if you are too sick to eat.
If you use an insulin pump, keep a variety of supplies on hand. Make sure that you have short-acting insulin, long-acting insulin, and needles in case your pump is not working right. You also should have an emergency phone number to call for help with your pump. If your blood sugar level is more than mg per dL, avoid foods that are high in carbohydrates.
National Institutes of Health, MedlinePlus: Diabetic Ketoacidosis. This article was contributed by: familydoctor. org editorial staff. 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…. Exercise can help people who have diabetes. It can help control your weight, lower your blood sugar level, and….
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Home Diseases and Conditions Diabetic Ketoacidosis. Table of Contents. Added Sugar: What You Need To Know. 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 Dry mouth Frequent urination The next stage of DKA symptoms includes: Vomiting usually more than once Abdominal pain Diarrhea Trouble breathing Confusion or trouble concentrating Loss of appetite Weakness and fatigue A fruity odor on the breath If your sugar is very high or symptoms are severe especially confusionyou should go to the nearest emergency room.
What causes diabetic ketoacidosis? High blood glucose levels can also cause you to urinate often. This leads to dehydration.
How is diabetic ketoacidosis diagnosed? Can diabetic ketoacidosis be prevented or avoided? Diabetic ketoacidosis treatment DKA causes excessive urination. Living with diabetic ketoacidosis Keeping the balance between blood sugar and insulin is the key to controlling diabetic ketoacidosis.
What else should I do? Do I have diabetes? Am I at risk of diabetic ketoacidosis? Will diet and exercise help me to avoid diabetic ketoacidosis? Is it safe for me to exercise? What is the best way for me to check the ketone level in my body?
I missed a dose of insulin. Should I start testing my blood sugar level and ketone level right away? Last Updated: May 1, Dymptoms article was contributed by: familydoctor.
org editorial staff Categories: Family HealthFood and NutritionMenPrevention and WellnessSeniorsSugar and Sugar SubstitutesWomenYour Health Resources. Tags: diabetesdiabetic ketoacidosisEndocrinologicUrination Problem. Copyright © American Academy of Family Physicians This information provides a general overview and may not apply to everyone.
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: DKA symptoms and causes| More on this topic for: | KidsHealth Parents Diabetic Ketoacidosis. en español: Cetoacidosis diabética. Medically reviewed by: Chijioke Ikomi, MD. Healthy Weight and Wellness Clinic at Nemours Chlidren's Health. Listen Play Stop Volume mp3 Settings Close Player. Larger text size Large text size Regular text size. What Is Diabetic Ketoacidosis DKA? Symptoms that can happen in diabetic ketoacidosis when the blood sugar gets too high hyperglycemia include: decreased energy being very thirsty peeing a lot dry mouth and dehydration If sugar levels stay high, more serious symptoms can happen that need treatment in the ER. What Causes Diabetic Ketoacidosis DKA? So blood sugar levels rise above the healthy range hyperglycemia. The body uses fat for fuel, which sends ketones into the blood. The ketones KEY-tones in the blood make the blood too acidic. How Is Diabetic Ketoacidosis DKA Diagnosed? How Is Diabetic Ketoacidosis DKA Treated? How Can Parents Help? Tell all adult family members, caregivers, and school staff about DKA. Be sure they know what to do if your child has an emergency, and when to call Get a medical ID. All kids and teens with diabetes should wear a medical identification like a bracelet or necklace at all times. DKA may happen to anyone with diabetes, though it is rare in people with type 2. Treatment for DKA usually takes place in the hospital. But you can help prevent it by learning the warning signs and checking your urine and blood regularly. DKA usually develops slowly. But when vomiting occurs, this life-threatening condition can develop in a few hours. Early symptoms include the following:. DKA is dangerous and serious. You can detect ketones with a simple urine test using a test strip, similar to a blood testing strip. Ask your health care provider when and how you should test for ketones. When you are ill when you have a cold or the flu, for example , check for ketones every four to six hours. If your health care provider has not told you what levels of ketones are dangerous, then call when you find moderate amounts after more than one test. Often, your health care provider can tell you what to do over the phone. Do NOT exercise when your urine tests show ketones and your blood glucose is high. High levels of ketones and high blood glucose levels can mean your diabetes is out of control. Check with your health care provider about how to handle this situation. Diabetes Complications. Know the warning signs of DKA and check urine for ketones, especially when you're sick. What are the warning signs of DKA? Early symptoms include the following: Thirst or a very dry mouth Frequent urination High blood glucose blood sugar levels High levels of ketones in the urine Then, other symptoms appear: Constantly feeling tired Dry or flushed skin Nausea, vomiting, or abdominal pain. Vomiting can be caused by many illnesses, not just ketoacidosis. If vomiting continues for more than two hours, contact your health care provider. Difficulty breathing Fruity odor on breath A hard time paying attention, or confusion. More on ketones and DKA. |
| Diabetic ketoacidosis | Insulin helps sugar enter the cells in the body. Without enough insulin, the body can't use sugar to make the energy it needs. This causes the release of hormones that break down fat for the body to use as fuel. This also produces acids known as ketones. Ketones build up in the blood and eventually spill over into the urine. Sometimes, diabetic ketoacidosis can occur with type 2 diabetes. In some cases, diabetic ketoacidosis may be the first sign of having 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. Diabetes complications are scary. But don't let fear keep you from taking good care of yourself. Follow your diabetes treatment plan carefully. Ask your diabetes treatment team for help when you need it. On this page. When to see a doctor. Risk factors. Diabetic ketoacidosis is a serious complication of diabetes. A Book: The Essential Diabetes Book. Assortment of Health Products from Mayo Clinic Store. Symptoms might include: Being very thirsty Urinating often Feeling a need to throw up and throwing up Having stomach pain Being weak or tired Being short of breath Having fruity-scented breath Being confused More-certain signs of diabetic ketoacidosis — which can show up in home blood and urine test kits — include: High blood sugar level High ketone levels in urine. You have ketones in your urine and can't reach your health care provider for advice. You have many symptoms of diabetic ketoacidosis. These include excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion. Remember, untreated diabetic ketoacidosis can lead to death. Request an appointment. From Mayo Clinic to your inbox. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Click here for an email preview. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Diabetic ketoacidosis usually happens after: An illness. An infection or other illness can cause the body to make higher levels of certain hormones, such as adrenaline or cortisol. These hormones work against the effects of insulin and sometimes cause diabetic ketoacidosis. Pneumonia and urinary tract infections are common illnesses that can lead to diabetic ketoacidosis. A problem with insulin therapy. Missed insulin treatments can leave too little insulin in the body. Not enough insulin therapy or an insulin pump that doesn't work right also can leave too little insulin in the body. Any of these problems can lead to diabetic ketoacidosis. Other things that can lead to diabetic ketoacidosis include: Physical or emotional trauma Heart attack or stroke Pancreatitis Pregnancy Alcohol or drug misuse, particularly cocaine Certain medicines, such as corticosteroids and some diuretics. The risk of diabetic ketoacidosis is highest if you: Have type 1 diabetes Often miss insulin doses Sometimes, diabetic ketoacidosis can occur with type 2 diabetes. Possible complications of the treatments Treatment complications include: Low blood sugar, also known as hypoglycemia. Insulin allows sugar to enter cells. This causes the blood sugar level to drop. If the blood sugar level drops too quickly, the drop can lead to low blood sugar. Low potassium, also known as hypokalemia. The fluids and insulin used to treat diabetic ketoacidosis can cause the potassium level to drop too low. A low potassium level can affect the heart, muscles and nerves. To avoid this, potassium and other minerals are usually given with fluid replacement as part of the treatment of diabetic ketoacidosis. Swelling in the brain, also known as cerebral edema. Adjusting the blood sugar level too quickly can cause the brain to swell. This appears to be more common in children, especially those with newly diagnosed diabetes. Untreated, diabetic ketoacidosis can lead to loss of consciousness and, eventually, death. There are many ways to prevent diabetic ketoacidosis and other diabetes complications. Manage your diabetes. Make healthy eating and physical activity part of your daily routine. Take diabetes medicines or insulin as directed. Monitor your blood sugar level. You might need to check and record your blood sugar level at least 3 to 4 times a day, or more often if you're ill or stressed. Careful monitoring is the only way to make sure that your blood sugar level stays within your target range. Adjust your insulin dosage as needed. Talk to your health care provider or diabetes educator about how to make your insulin dosage work for you. Consider factors such as your blood sugar level, what you eat, how active you are, and whether you're ill. If your blood sugar level begins to rise, follow your diabetes treatment plan to return your blood sugar level to your target range. Check your ketone level. When you're ill or stressed, test your urine for excess ketones with a urine ketones test kit. You can buy test kits at a drugstore. DKA is a serious condition that requires immediate assessment. If someone you know has diabetes and becomes confused or unconscious, or has the symptoms listed above, call triple zero for an ambulance. You may also find it useful to read the advice provided in the article on hyperglycaemia high blood sugar. Learn more here about the development and quality assurance of healthdirect content. Diabetic ketoacidosis DKA is a serious condition that can occur as a complication of diabetes. People with DKA have high levels of glucose and ketones in the blood, making it more acidic than usual. Read more on myDr website. Diabetic retinopathy is one of the most common complications of diabetes. People with retinopathy have damaged blood vessels in the retina. Complications of diabetes can be serious. Find out how to reduce your risk of diabetes complications, and what help is available. Read more on Diabetes Australia website. There are a range of glucose-lowering medications available to help you manage your diabetes. Consult your diabetes health team before any changes. Read more. Hyperglycaemia means too much sugar glucose in the bloodstream. For someone with diabetes it means their diabetes is not well controlled. Read more on Better Health Channel website. Read more on Diabetes Victoria website. Diabetes is rare in children under 5 years, but it is serious. Here's how to spot symptoms of diabetes and manage the condition in young children. Are you living with diabetes and planning to fast for Ramadan? Follow these practical tips and advice so you can enjoy a safe and healthy Ramadan. Very low or very high blood glucose levels are primary causes of diabetic coma occurring in people with diabetes. There are 3 types of diabetic coma: diabetic ketoacidosis coma; hyperosmolar coma and hypoglycaemic coma. Diabetic coma is regarded as a medical emergency requiring immediate treatment. Read more on Ausmed Education website. Reproduced with permission from The Royal Australian College of General Practitioners. End-of-life care for people with type 2 diabetes should not be viewed as a failure of care, but as a complement to usual diabetes care. Read more on RACGP - The Royal Australian College of General Practitioners website. Insulin is a hormone that is produced by the pancreas. Insulin helps to control blood glucose levels and plays a role in controlling the levels of carbohydra. Read more on Pathology Tests Explained website. Amylase is an enzyme made mainly by the pancreas. It is released from the pancreas into the digestive tract to help digest starch in our food. When we breathe, we take oxygen from the air into the body, and remove carbon dioxide CO2 , a waste gas produced by cells. Most of the CO2 in the bloo. |
| Diabetic ketoacidosis - Wikipedia | Type 1 diabetes. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. Philadelphia, PA: Elsevier; chap ElSayed NA, Aleppo G, Aroda VR, et al. Classification and diagnosis of diabetes: standards of care in diabetes Diabetes Care. PMID: pubmed. Maloney GE, Glauser JM. Diabetes mellitus and disorders of glucose homeostasis. In: Walls RM, Hockberger RS, Gausche-Hill M, Erickson TB, Wilcox SR, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. Updated by: Sandeep K. Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A. Editorial team. Diabetic ketoacidosis. DKA happens when the signal from insulin in the body is so low that: Blood sugar glucose can't go into cells to be used as a fuel source. The liver makes a large amount of glucose. Fat is broken down too rapidly for the body to process. Common symptoms of DKA can include: Decreased alertness Deep, rapid breathing Dehydration Dry skin and mouth Flushed face Frequent urination or thirst that lasts for a day or more Fruity-smelling breath Headache Muscle stiffness or aches Nausea and vomiting Stomach pain. Exams and Tests. Ketone testing is usually done when DKA is suspected: Most often, urine testing is done first. If the urine is positive for ketones, most often a ketone called beta-hydroxybutyrate is measured in the blood. This is the most common ketone measured. Once your ketones are at a safe level and you can eat and drink normally you'll be able to go home. The doctors will talk to you about what caused DKA and give you advice on how to reduce the risk of it happening again. If you have diabetes, it's important to be aware of the symptoms of diabetic ketoacidosis DKA and how to reduce the risk of getting it. Causes of DKA can include being unwell, having an injury or surgery, having your period, or not taking enough insulin. Testing for ketones will help you know when you need to take action, such as increasing your insulin dose. You can get kit to test for ketones free from the NHS, or buy it from a pharmacy. You can use:. follow the treatment plan agreed with your diabetes care team, including adjusting your insulin dose when you need to. ask your care team about getting a continuous glucose monitor or flash monitor if you do not already have one. follow the sick day rules you've been given by your care team when you're ill. Page last reviewed: 08 June Next review due: 08 June Home Health A to Z Back to Health A to Z. This means you will urinate more than usual. You can become dehydrated and your body can lose electrolytes minerals in your blood that help your body function. If you are diagnosed with DKA, your doctor will most likely treat you with fluids usually through an IV. These fluids will contain electrolytes and insulin. Electrolytes will help your body function normally. Insulin will help lower your blood sugar level. Overall, fluids can help rehydrate you and dilute some of the sugar in your blood. Keeping the balance between blood sugar and insulin is the key to controlling diabetic ketoacidosis. In most cases, this means sticking to your insulin schedule. You should also try to recognize when you feel stressed or sick. Small adjustments to your eating or drinking can make a big difference. You should keep taking your insulin, even if you are too sick to eat. If you use an insulin pump, keep a variety of supplies on hand. Make sure that you have short-acting insulin, long-acting insulin, and needles in case your pump is not working right. You also should have an emergency phone number to call for help with your pump. If your blood sugar level is more than mg per dL, avoid foods that are high in carbohydrates. National Institutes of Health, MedlinePlus: Diabetic Ketoacidosis. This article was contributed by: familydoctor. org editorial staff. 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…. Exercise can help people who have diabetes. It can help control your weight, lower your blood sugar level, and…. Visit The Symptom Checker. Read More. Food Poisoning. Acute Bronchitis. Eustachian Tube Dysfunction. Bursitis of the Hip. High Blood Pressure. RSV Respiratory Syncytial Virus. |
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