Diabetic Ketoacidosis (DKA)
Ketoacidosis (or DKA) occurs when blood sugars become elevated (over 249 mg/dl, or 13.9 mmol/l) over a period of time and the body begins to burn fat and muscle for energy, resulting in ketone bodies in the blood or urine (a phenomenon called ketosis).
A variety of factors can cause hyperglycemia (high blood glucose), including failure to take medication or insulin, stress, dietary changes without medication adjustments, eating disorders, and illness or injury. This last cause is important, because if illness brings on DKA, it may slip by unnoticed since its symptoms can mimic the flu (aches, vomiting, etc.). In fact, people with type 1 diabetes are often seeking help for the flu-like symptoms of DKA when they first receive their diagnosis.
Symptoms of diabetic ketoacidosis may include:
- Fruity (acetone) breath
- Nausea and/or vomiting
- Abdominal pain
- Dry, warm skin
- Breathing problems
- Excessive thirst
- Frequent urination
- In extreme cases, loss of consciousness
DKA is a medical emergency, and requires prompt and immediately treatment. A simple over-the-counter urine dipstick test can check for ketones (i.e., Ketostix); anyone who has blood glucose levels above 240 mg/dl (13.3 mmol/l) should test their urine for ketones. There is also at least one glucose meter on the market that tests blood ketone levels. It's normal to occasionally have trace amounts of ketones in the urine, but you should call your healthcare provider immediately if you experience moderate to heavy ketones.
Treatment for DKA involves administering insulin to lower blood glucose levels and restoring fluid balance to the bloodstream with an intravenous (IV) saline drip. Electrolytes may also be given via IV.
Reviewed by Francine Kaufman, MD. 4/08
Serrano Tomato Sauce Whole Wheat Soda Bread Turkey Sloppy Joes Black Bean Salad Dressing Peanut Butter and Apple Balls (Gluten Free) Pepper, Coriander, and Sesame Seed Crusted Salmon Garlic Shrimp (Gluten Free) Creamy Instant Pumpkin Mousse Cold Peach Soup with Frozen Yogurt Arugula, Fennel, and Avocado Salad
If you listen closely, you may hear the sound of 25 million Americans with diabetes rejoicing today. In a revolutionary movement, the FDA has given 510(k) approval on Abbott's HbA1C test which is expected to help millions of Americans with Type 1 or 2 diabetes or those at risk. Abbott's ARCHITECT Clinical Chemistry Hemoglobin A1C (HbA1C) test is a dramatic shift in diabetes diagnosis and monitoring. Instead of the HbA1C tests performed at a laboratory and constituted as blood work, the...