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What Do Ketoacidosis Mean

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Diabetic Ketoacidosis

Initial Evaluation Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors (Table 14–18). The most common precipitating factor is infection, followed by noncompliance with insulin therapy.3 While insulin pump therapy has been implicated as a risk factor for DKA in the past, most recent studies show that with proper education and practice using the pump, the frequency of DKA is the same for patients on pump and injection therapy.19 Common causes by frequency Other causes Selected drugs that may contribute to diabetic ketoacidosis Infection, particularly pneumonia, urinary tract infection, and sepsis4 Inadequate insulin treatment or noncompliance4 New-onset diabetes4 Cardiovascular disease, particularly myocardial infarction5 Acanthosis nigricans6 Acromegaly7 Arterial thrombosis, including mesenteric and iliac5 Cerebrovascular accident5 Hemochromatosis8 Hyperthyroidism9 Pancreatitis10 Pregnancy11 Atypical antipsychotic agents12 Corticosteroids13 FK50614 Glucagon15 Interferon16 Sympathomimetic agents including albuterol (Ventolin), dopamine (Intropin), dobutamine (Dobutrex), terbutaline (Bricanyl),17 and ritodrine (Yutopar)18 DIFFERENTIAL DI Continue reading >>

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Popular Questions

  1. Renee McCrory

    Prolonged high blood sugar levels can cause swelling in the brain -- cerebral edema. Children are more susceptible, but adult cases have been documented, according to Elliot J. Crane, MD, Departments of Pediatrics and Anesthesiology, Stanford University Medical Center. Other complications include organ damage from low blood pressure, heart attack and kidney failure.

  2. Phyllis Stewart

    This happens to me frequently. 600 will not kill you. You can go the the ER, and they will push high volumes of IV fluids and give you IV insulin. Doesn’t take long. The sooner you go, the easier it will be on you. Twice in two weeks, my readings were more than 600. You note that 600 is the highest reading available on meters, which is silly. For three days each time, I bolused 25 units in my pump every four hours. The first time, it finally took. The second, I became symptomatic which involved dehydration, lots of urination, etc. I found out that there are certain very simple sugars that will drive my glucose up very rapidly and very high. Now, no more problems

  3. Ryan P. Long

    Coma and death. 600 mg/dL is nearing the threshold of diabetic coma. Anyone in that situation should seek emergency medical treatment at their nearest hospital.

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