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What Is Severe Dka?

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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. Beccaboo0713

    I was in triage last night for 6.5 hours for fever and dehydration. The baby was showing up as lethargic, the did a chest xray to rule out pneumonia, a flu test, and took tons of urine samples. It turns out I have the flu so they put me on the z pack (for underlying infection) and gave me tamiflu.
    The reason I was there so long is because they kept checking my urine and it kept showing moderate amounts of ketones. I had an IV and drank 1000cc's in liquid (juice and water). Finally they told me I could be discharged if I checked my keytones this morning at home and called them if they are still not 'normal'. Otherwise they wanted to admit me. Well I check this morning and they aren't normal.
    I looked it up and from what I found it's not from dehydration but from starvation.
    I was just wondering if ketones in urine are really that bad. The reason I am asking here and not just calling my doctor is because I think the doctor on call is an idiot. (this is not my first encounter with him)

  2. chicsub

    I had the norovirus twice this pregnancy (joy) and after the first bout I had a prenatal appointment and had ketones. I researched the crap out of it as usual b/c that's what I do! Ketones can stay in your urine for several days (vs. checking your blood) after you are back to normal, hydrated and no longer starving. It's a bigger deal when you have GD, but that's also up for debate.

  3. AllyInMaine

    I'm not an expert... but I believe ketones mean your body is in starvation mode, which for a growing baby, is a problem. Try to eat something (I know you have the flu). What did your doctor tell you? Are you eating enough?

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