How Does Infection Trigger Dka?

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Diabetic Ketoacidosis

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... 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. The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia Rapid weight loss in patients newly diagnosed with type 1 diabetes 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: Gl Continue reading >>

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  1. SoxGirl02

    Its been a interesting 1.5 weeks. Last Last Frday 3/27, I thought I might have a kidney stone. I am prone to stones, so I know the sympoms etc. Friday it bothered me, Saturday it bothered me, Monday it bothered me. I went to the Urologist on this past Friday 4/3. He said there were large blood cells in my urine blah blah and I was to get a CT scan on Monday (yesterday). I get this call yesterday morning from the nurse in his office stating that I need to start Cipro immediatly becuase I deffinatly have a bladder infection, and a slight kidney infection (slight? its either infected or not infected!).
    I was exhausted yesterday, had the CT scan, came home and just crashed. 8pm woke up ate..something in my brain had me check the ketones about 9:30 last night. LARGE ketones. I start freaking because ive never had large ones....I call the doc on call and she tells me not to worry about it, its dehydration keep drinking and check in 2 hours. 2 hours it was fine.
    Today..they are back again! Am I over reacting to think that the 2 are related?

  2. gsmama

    Ketones and infection, yes!
    Are these urine ketones or blood ketones?
    Yes, you can get them from dehydration too. Very possible.

  3. andrea

    I agree that these can definately be related... hope you feel better soon.

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