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Why Do Dka Patients Vomit

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Childhood Ketoacidosis

Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find one of our health articles more useful. Diabetic ketoacidosis (DKA) is the leading cause of mortality in childhood diabetes.[1]The primary cause of DKA is absolute or relative insulin deficiency: Absolute - eg, previously undiagnosed type 1 diabetes mellitus or a patient with known type 1 diabetes who does not take their insulin. Relative - stress causes a rise in counter-regulatory hormones with relative insulin deficiency. DKA can be fatal The usual causes of death are: Cerebral oedema - associated with 25% mortality (see 'Cerebral odedema', below). Hypokalaemia - which is preventable with good monitoring. Aspiration pneumonia - thus, use of a nasogastric tube in the semi-conscious or unconscious is advised. Deficiency of insulin. Rise in counter-regulatory hormones, including glucagon, cortisol, growth hormone, and catecholamines. Thus, inappropriate gluconeogenesis and liver glycogenolysis occur compounding the hyperglycaemia, which causes hyperosmolarity and ensui Continue reading >>

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Popular Questions

  1. Claire2332

    Has any one else experienced this and is it something I should get looked at? I am type 1 and woke up at around 5am feeling a little sick next thing am throwing up bile! Managed to go back to bed but still feel a little sick, I don't have ketones either
    Sent from the Diabetes Forum App

  2. martwolves

    Hello Claire,
    I sometimes have this bright yellow bile after having consumed alcohol the previous night. This is the only time this happens and I think it may that I am compelled to vomit as my pancreas has a hard time processing the toxin and this speeds things up.
    This is based only on my own personal experience and I am not suggesting you consumed alcohol or make any personal remarks. I hope this helps? I don't think, in my case, it's harmful as I am aware of the cause and I'm fine afterwards.
    Mart.

  3. Claire2332

    Thanks no alcohol consumed to be honest I don't really drink and of I do I only have low alcohol larger and prob have a max of 2 bottles (I am a bit boring) I have just re tested my self and I know have ketones at 2.3 and 21mmol I've had a dose of fat acting insulin to see if this helps really hope I am not going DKA!!
    Sent from the Diabetes Forum App

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