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Diabetic Ketoacidosis (dka)

Diabetic ketoacidosis is an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, and metabolic acidosis. Hyperglycemia causes an osmotic diuresis with significant fluid and electrolyte loss. DKA occurs mostly in type 1 diabetes mellitus (DM). It causes nausea, vomiting, and abdominal pain and can progress to cerebral edema, coma, and death. DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. Treatment involves volume expansion, insulin replacement, and prevention of hypokalemia. Diabetic ketoacidosis (DKA) is most common among patients with type 1 diabetes mellitus and develops when insulin levels are insufficient to meet the body’s basic metabolic requirements. DKA is the first manifestation of type 1 DM in a minority of patients. Insulin deficiency can be absolute (eg, during lapses in the administration of exogenous insulin) or relative (eg, when usual insulin doses do not meet metabolic needs during physiologic stress). Common physiologic stresses that can trigger DKA include Some drugs implicated in causing DKA include DKA is less common in type 2 diabetes mellitus, but it may Continue reading >>

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Popular Questions

  1. SeaSpur

    "Your breath smells like alcohol" comments since vaping...?

    I have been vaping almost 2 months now.
    After a few weeks, I was laying on the couch with my girl after getting home from work and she asked if I stopped somewhere for a beer or two...said my breath smelled like alcohol. I thought she was crazy.
    Couple weeks later I'm talking to my boss and he asked if I had some drinks at lunch because my breath smelled like alcohol. I thought he was crazy.
    My mom did the same thing this past weekend! I drink but in each of these instances it was probably 2-3 days since I had anything at all.
    Anyone else got this before...and does anyone have an explanation? Only change I can think of making is the vaping.

  2. Jorgethehippie

    I believe if I remember correctly sometimes diabetics breath smells like alcohol for one reason or another, but I don't remember the reasoning behind it either so maybe it may be a wise decision to go see a doc.

  3. SeaSpur

    I see a doctor for a checkup 2 times per year and nothing has ever been noted...all levels good. Unless there is a particular test they are missing out on with me.

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