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What Is Ketoacidosis And Why Does It Happen?

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Diabetic Ketoacidosis

Practice Essentials Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. Signs and symptoms The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia History of failure to comply with insulin therapy or missed insulin injections due to vomiting or psychological reasons or history of mechanical failure of insulin infusion pump Altered consciousness (eg, mild disorientation, confusion); frank coma is uncommon but may occur when the condition is neglected or with severe dehydration/acidosis Signs and symptoms of DKA associated with possible intercurrent infection are as follows: See Clinical Presentation for more detail. Diagnosis On examination, general findings of DKA may include the following: Characteristic acetone (ketotic) breath od Continue reading >>

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Popular Questions

  1. hskrmom

    Nathan's home tonight with a 102 temperature, a raging sinus infection, and is averaging between 400 and 500. Ugh! I am trying to stay on top of this poor kid's highs because I know it just makes him feel worse.
    I had him check ketones, and it was negative. I was very surprised. I then thought to check the bottle. Says it expired June, 2006. I must have given my new bottle of Ketostix to the school nurse by mistake. Do you really think they expire?
    Melody

  2. Extraordinary Machine

    Absolutely. I think that a year expired probably means they're not good.
    Sorry. :( Hope you find some soon.

  3. hskrmom

    Well, allrighty then. I guess off to Walgreens I go (again). Thank you for the quick reply!
    Melody

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