Diabetic Ketoacidosis

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Diabetic Ketoacidosis

Signs and symptoms, Risk factors, Causes, Diabetes mellitus link to DKA
Diabetic ketoacidosis is a condition of metabolic imbalance and is a medical emergency. It is

a condition in which ketone level in blood increases as a result of glucose deficiency within

the cells and use of fats for energy. Glucose accumulates in blood as cells are unable to take it

up. Ketones are acidic, so blood pH decreases immediately. Thus, DKA combines three major

features- hypergycemia, hyperketosis and acidosis.

Persons suffering from diabetes millitus are at a high risk of DKA. Insulin is a hormone

which stimulate uptake of glucose by cells from blood. Diabetes mellitus is a condition of not

having enough of insulin to lower blood glucose level (type 1) or cells are unable to take

glucose from blood (type 2) due to defect in membrane transporters. In such conditions cells

start utilizing fat instead of glucose for energy generation produce ketones in this process.

This leads to increased ketone level in blood.

Mostly type 1 diabetics suffer with DKA. Many times type 2 diabetics are also seen to

suffer with DKA. Increase in stress hormone level due to common infections like pneumonia

or urinary tract infections or to stop having insulin can lead to hyperglycemia and DKA.

Early signs of DKA may include tiredness, excessive thirst and excessive urination.

Signs of dehydration like dry mouth may appear. Later signs may include vomiting,

abdominal pain mental confusion, difficulty in breathing, blurred vision, loss of appetite,

fruity breath odor, fever and unconsciousness.

DKA diagnosis involves a test for ketones and a test for glucose in urine. Excess ketones

and glucose that have accumulated in blood are excreted into urine. DKA require immediate

medical treatment. It requires treatment for dehydration and electrolyte imbalance. Insulin

therapy must be started to control hyperglycemia. Proper medical checkups to monitor blood
glucose level, drinking plenty of water during illness and regularly having insulin can prevent

DKA.

References
1. Chakrapani, U., Satyanarayana, U., Biochemistry, 4th ed.

2. Cox, M. M., Nelson, D. L., Principles of Biochemistry, 5th ed(2008).

3. Ketoacidosis at Wikipedia.

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