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Dka Pathophysiology

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Understanding The Presentation Of Diabetic Ketoacidosis

Hypoglycemia, diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS) must be considered while forming a differential diagnosis when assessing and managing a patient with an altered mental status. This is especially true if the patient has a history of diabetes mellitus (DM). However, be aware that the onset of DKA or HHNS may be the first sign of DM in a patient with no known history. Thus, it is imperative to obtain a blood glucose reading on any patient with an altered mental status, especially if the patient appears to be dehydrated, regardless of a positive or negative history of DM. In addition to the blood glucose reading, the history — particularly onset — and physical assessment findings will contribute to the formulation of a differential diagnosis and the appropriate emergency management of the patient. Pathophysiology of DKA The patient experiencing DKA presents significantly different from one who is hypoglycemic. This is due to the variation in the pathology of the condition. Like hypoglycemia, by understanding the basic pathophysiology of DKA, there is no need to memorize signs and symptoms in order to recognize and differentiate bet Continue reading >>

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Popular Questions

  1. [deleted]

    I have type 1 diabetes and everytime I tell another diabetic I am on keto they tell me how ketosis is poisonius and ketons will kill me and cause my kidneys to fail or something.. I am close to finishing my first month and never felt better with my body. But I want to tell what exactly is the difference of ketosis and ketoacidosis simply to people when they ask me because I don't exactly know it too. All I know is ketosis is good and ketoacidosis is harmful and people confuse these two.

  2. anbeav

    Ketoacidosis is unregulated ketone production that occurs with inadequate insulin, nutritional ketosis is regulated ketone production which you are regulating by dosing your insulin appropriately.

  3. FrigoCoder

    During ketoacidosis you produce 10 times as much ketones as during dietary ketosis.
    Blood sugar levels that are 10 times as much as normal levels are not healthy, but this does not mean that normal glucose levels are inherently toxic.

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