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Diabetic Ketoacidosis (dka) - Topic Overview

Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin. When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine. Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis. Ketoacidosis can be caused by not getting enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these things. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes but it can happen with type 2 diabetes, especially children) when their blood sugar levels are high. Your blood sugar may be quite high before you notice symptoms, which include: Flushed, hot, dry skin. Feeling thirsty and urinating a lot. Drowsiness or difficulty waking up. Young children may lack Continue reading >>

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Popular Questions

  1. furball64801

    Actually my thin 85 lb aunts lived to 88 with being diabetic. Yes you can but I never knew what it ran, my mom also very thin and it was cancer that killed her she never ingested anything harmful unless ice tea is in that. I do get your thinking but its your life your numbers, to me its about preventing damage I am 68 as of last month, I dodged a lot of bullets and for me being in control is important got to see all the grand kids graduate and get marries then see great grand kits oh my I am getting old.

  2. jwags

    A non diabetic will usually have numbers under 100 most of the day. I have tested my nonndiabetic family members and they are always under 100 even after eating. As diabetic's we are asked to keep our bgs between 100-140 which is not easy for a lot of us. It is said that blood vessel damage starts when bgs go above 140.

  3. sangdoux

    At this point, I don't think it really matters if stress was a proximate cause of your autoimmune diabetes. Whatever initiated the process, nothing that I know of is going to reverse it. My speculation is that my autoimmune response went haywire after I had a bout with the flu. If that's the case, I didn't develop obvious symptoms until several years later. Once the process started, I don't I could have done anything to change the outcome, certainly not after I showed up at a GP's office with BG of 425, A1c of 11.2, and various obvious indications of blood sugar out of control. I was misdiagnosed as Type 2 (I was 60 years old). I started on Lantus a week after diagnosis and managed OK for 5 years. Once I was on Lantus, my BG stayed under 200 and, as I recall, my next A1c was under 6.5. It took me a few weeks to feel "normal" when my BG was, in fact, "normal," and I had some pain and numbness in my lower extremities (probably from nerve damage) that eventually went away.
    After five years, when I began to lose control with once daily shots of Lantus, I finally got a GAD-65 autoantibody test to prove to my GP that I was Type 1 (LADA). I was referred to an endo, who added MDI Humalog.
    In any event, if you are a LADA, you are going to have to use insulin. If your BG regularly stays above 200, you're much more likely to develop complications than if you have decent control. For some excellent advice on managing diabetes with insulin, check out Gary Scheiner's book "Think Like a Pancreas."

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