Diabetic Ketoacidosis
Diabetic Ketoacidosis
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
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.
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,
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.
3. Ketoacidosis at Wikipedia.