Diabetic ketoacidosis also referred to as DKA, is a buildup of acids in your blood. It may occur when your blood sugar is too large for a long time. DKA is a significant complication of diabetes and may be life-threatening, but it usually takes several hours to become that severe. It is possible to treat it and prevent it, too.
Diabetic Ketoacidosis Symptoms
Diabetic ketoacidosis symptoms can arise quickly and might even be the first warning signal that you have diabetes. Symptoms include:
-Feeling very thirsty
-Nausea or vomiting
-Confusion or not as endurance
-Shortness of breath
Call your Physician or go to the emergency room right away in the event that you have any of the symptoms below and your ketones are moderate to high when you test them using a home kit, or if you have more than one symptom:
You’ve been throwing up for over two hours.
You truly feel queasy or your stomach hurts.
Your breath smells fruity.
You’re exhausted, confused, or woozy.
You’re having a hard time breathing.
Diabetic Ketoacidosis Causes and Risk Factors
Diabetic ketoacidosis generally occurs because your body does not have enough insulin. Your cells can’t utilize the glucose in your blood for energy, therefore that they utilize fat for fuel instead. Burning fat creates acids called ketones. If the process goes on for a while, they can build up in your blood. That excess can change the chemical balance of the blood and throw off your whole system.
People who have type 1 diabetes are at risk for ketoacidosis because their bodies don’t make any insulin. Your ketones can go up if you ask:
-Miss a dinner
-Are sick or stressed
-Have an insulin reaction
-Haven’t injected sufficient insulin
DKA can happen to people with type 2 diabetes, but it is rare. In case you have type two, particularly when you’re older, you are more likely to have an illness with some similar symptoms known as HHNS (hyperosmolar hyperglycemic nonketotic syndrome). It can result in severe dehydration.
Risk factors for DKA include:
Having type 1 diabetes, even if it’s undiagnosed
Missing your insulin dose often
Not accepting your insulin as prescribed
Heart disease, like a heart attack
Blood clot in your lungs
Serious disease or some other injury
Medicines such as steroids or antipsychotics
Using illegal drugs, like cocaine
Diabetic Ketoacidosis Diagnosis and Tests
Examine your ketones as soon as your blood sugar is over 250 mg/dL (mg per deciliter) or you have some of the above indicators of high blood sugar, such as dry mouth, feeling really thirsty, or peeing lots of
It is possible to check your sugar levels with a urine test strip. Some glucose meters measure ketones, too. Attempt to get your blood sugar down, and assess your ketones again in half an hour.
Your health care provider may provide you a physical examination, ask about your symptoms, and speak about your medical history. They can order these tests to diagnose DKA too:
Bloodwork, such as metabolic panel along with electrolytes
Arterial blood gas
Tests for signs of infection
Diabetic Ketoacidosis Treatment
If you do not cure ketoacidosis, you can pass out, enter a coma, and perhaps die. You should go to the hospital to treat DKA. There, You Will Get emergency remedies like:
-Insulin via an IV to deliver your ketones down
-Fluids to get you hydrated and deliver your blood flow back into balance
-Electrolyte replacement via an IV to substitute key minerals like potassium, sodium, and chromium to keep your heart muscles, and nerves working correctly
-If you’ve some disease, antibiotics
-If your physician suspects you’re at risk for a heart attack, a further heart evaluation
Diabetic Ketoacidosis Complications
DKA complications are possible if you don’t have emergency remedies like electrolyte replacement and insulin. They comprise:
-Low blood sugar or hypoglycemia
-Low cholesterol or hypokalemia
-Brain swelling (cerebral edema) if your Glucose Levels are adjusted also fast
-Loss of awareness
Diabetic Ketoacidosis Prevention
Your doctor may change your insulin dose, or the sort you use, to prevent DKA from occurring again.
Very good blood glucose control will allow you to avoid ketoacidosis later on. Ensure that you manage your diabetes through your diet, exercise, drugs, and self-care.
Follow the following steps to help prevent DKA:
Drink a lot of water or sugar-free, nonalcoholic beverages.
Take your medicines as directed.
Follow your meal plan carefully.
Keep up with your exercise program.
Test your blood sugar regularly.
Check for expired insulin.
Don’t use your insulin dose when it clumps. Insulin should either be obvious or equally cloudy with small flecks.
If you are on an insulin pump, look closely for insulin flows, and assess your tube connections for air bubbles.
Talk to your physician if your blood sugar levels are often out of your intended range.
Manage your insulin dose together with help from your health care provider or diabetes trainer. Make adjustments according to your glucose, what you consume, action levels, or during any other illness.
Create a DKA crisis plan. If your glucose levels are too high or your urine has too many ketones, create a plan to go to the hospital.