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Treating Ketoacidosis At Home

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What You Should Know About Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a buildup of acids in your blood. It can happen when your blood sugar is too high for too long. It could be life-threatening, but it usually takes many hours to become that serious. You can treat it and prevent it, too. It usually happens because your body doesn't have enough insulin. Your cells can't use the sugar in your blood for energy, so they use fat for fuel instead. Burning fat makes acids called ketones and, if the process goes on for a while, they could build up in your blood. That excess can change the chemical balance of your blood and throw off your entire system. People with type 1 diabetes are at risk for ketoacidosis, since their bodies don't make any insulin. Your ketones can also go up when you miss a meal, you're sick or stressed, or you have an insulin reaction. DKA can happen to people with type 2 diabetes, but it's rare. If you have type 2, especially when you're older, you're more likely to have a condition with some similar symptoms called HHNS (hyperosmolar hyperglycemic nonketotic syndrome). It can lead to severe dehydration. Test your ketones when your blood sugar is over 240 mg/dL or you have symptoms of high blood sugar, s Continue reading >>

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Popular Questions

  1. gear2d

    Could anyone explain how this occurs? From my understanding high glucose levels draws K+ out of cells (HypERkalemia), low insulin promotes less shift of K+ in to cells (HypERkalemia), and acidosis causes K+ to shift out of cells (hypERkalemia)....so how does DKA cause hyPOkalemia? From my understanding DK:
    High glucose (hypertonicity which cause the shift of K+ to ECF),
    Low insulin
    Low pH

  2. blade

    USMLE Forums Guru

    Quote:

    Originally Posted by gear2d
    Could anyone explain how this occurs? From my understanding high glucose levels draws K+ out of cells (HypERkalemia), low insulin promotes less shift of K+ in to cells (HypERkalemia), and acidosis causes K+ to shift out of cells (hypERkalemia)....so how does DKA cause hyPOkalemia? From my understanding DK:
    High glucose (hypertonicity which cause the shift of K+ to ECF),
    Low insulin
    Low pH Hypokalemia in DKA???which book is that pls?your analysis above is correct but
    In DKA=hyperkalemia but with low intracellular K+ hence in treatment of DKA,you treat as if hypokalemia to restore the intracellular loss

  3. gear2d

    Quote:

    Originally Posted by blade
    Hypokalemia in DKA???which book is that pls?your analysis above is correct but
    In DKA=hyperkalemia but with low intracellular K+ hence in treatment of DKA,you treat as if hypokalemia to restore the intracellular loss This is from Step to Med 3rd ed on page312 in the flow diagram.

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