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What Is Ketoacidosis Test

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Point-of-care Screening For Diabetic Ketoacidosis

Summarized from Arora S, Henderson S, Long T, Menchine M. Diagnostic accuracy of point of care testing for diabetic ketoacidosis at Emergency Department triage. Diabetes Care 2011; 34: 852-54 Diabetic ketoacidosis (DKA), a common acute and potentially life-threatening complication of diabetes that results from insulin deficiency, is characterized by raised blood glucose (hyperglycemia) and metabolic acidosis. Metabolic acidosis occurs due to abnormal accumulation in blood of ketoacids, principally ß-hydroxybutyric acid and acetoacetic acid. In an emergency care setting it is common practice to screen all patients with hyperglycemia for DKA using urine dipstick testing for the presence of ketones (i.e. the two ketoacids and acetone, a metabolite of acetoacetic acid). An alternative approach is now available, made possible by the development of point-of-care analyzers that allow rapid (within 1 minute) estimation of serum ß-hydroxybutyrate concentration from a drop of venous blood. The latest of several studies comparing the reliability of traditional urine dipstick testing with that of the newer point-of-care blood testing to diagnose DKA is recently published. The study populatio Continue reading >>

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Popular Questions

  1. Theresa

    Here are 50 glucose vs 50 ketone strips. Why do they only put 10 in a box that can obviously hold 50? I know it's probably due to the cost difference, but it just seems so ridiculous.

  2. Pilotbob

    Yes, I assume it's because a diabetic only test keytones when his BG is above some amount... so people don't buy that many at once normally.

  3. DBatting

    I blame Big Cardboard.

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