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What Can Cause Ketoacidosis Besides Diabetes?

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Diabetic Ketoacidosis: Evaluation And Treatment

Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to 50 years of age, and 36 percent in persons younger than 30 years. The case fatality rate is 1 to 5 percent. About one-third of all cases are in persons without a history of diabetes mellitus. Common symptoms include polyuria with polydipsia (98 percent), weight loss (81 percent), fatigue (62 percent), dyspnea (57 percent), vomiting (46 percent), preceding febrile illness (40 percent), abdominal pain (32 percent), and polyphagia (23 percent). Measurement of A1C, blood urea nitrogen, creatinine, serum glucose, electrolytes, pH, and serum ketones; complete blood count; urinalysis; electrocardiography; and calculation of anion gap and osmolar gap can differentiate diabetic ketoacidosis from hyperosmolar hyperglycemic state, gastroente Continue reading >>

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Popular Questions

  1. TNixon123

    Diabetes and Urine color

    Hello all! I'm glad I found this forum it looks like a great place to meet people and gather information.
    I'm a T2 diabetic diagnosed in 2006 and have been keeping my blood sugars at excellent ranges ever since by using Diet, Excercise and Glucovance pills.
    Just a few days ago my urine started to come out as a ver dark brown color. I've done a lot of research and I know it can be a couple of different things,
    1. Dehydration -work behind a computer and drink lots of water so I don't think this is it.
    2. Liver issues - Anyone have liver issues with diabetes
    3. Kidney issues - I know kidney issues are prevalent amont diabetics, but I keep my BS down and am still relatively young with the disease...is kidney problems unheard of at my age? (26)
    I know everyone will say go to the doctor ( which I am going to do this week ) but I wanted to get some first hand advice on it from others while waiting for my appointment.
    Thanks! Glad to be here!
    Terry

  2. Spike

    You left out blood, as a cause of the dark color. Get thee to a doctor ASAP.

  3. sofaraway

    just wondering have you started on any new medications recently?

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