diabetic ketoacidosis (dka)
diabetic ketoacidosis (dka) is a life-threatening blood chemical (electrolyte) imbalance that develops in a person with diabetes when the cells do not get the sugar (glucose) they need for energy. as a result, the body breaks down fat instead of glucose and produces and releases substances called ketones into the bloodstream.
people with type 1 diabetes and some people with type 2 diabetes are at risk for dka if they do not take enough insulin, have a severe infection or other illness, or become severely dehydrated.
symptoms of diabetic ketoacidosis include:
- high blood sugar and high ketone level.
- increased thirst and urination.
- flushed, hot, dry skin.
- a strong, fruity breath odour.
- restlessness, drowsiness, or difficulty waking up. young children may lack interest in their normal activities.
- rapid, deep breathing.
- loss of appetite, abdominal pain, and vomiting.
- confusion.
severe diabetic ketoacidosis can cause difficulty breathing, brain swelling (cerebral edema), coma, or death.
treatment involves giving insulin and fluids through a vein (i.v.) while being closely monitored in the hospital.
current as of: october 2, 2023
author: healthwise staff
clinical review board
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