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Doctor insights on: Emergency Dka Treatment

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Dr. Mohammed Parvez
71 doctors shared insights

Diabetic Ketoacidosis (Definition)

http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001363/. ...Read more


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Is diabetic dka permanent or reversable?

Is diabetic dka permanent or reversable?

Reversible: Fluids, insulin, and glucose reverse the process back to normal. However, DKA is life threatening so if not treated properly and in time, it can result in death. ...Read more

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Do type 2 diabetics often go into dka?

Do type 2 diabetics often go into dka?

No: Type 2 diabetics with very high blood sugars go into a coma called hyperosmolar coma from very high sugars but they don't develop ketone bodies so they don't develop ketoacidosis or coma from that. ...Read more

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How can I treat dka without staying in the hospital?

How can I treat dka without staying in the hospital?

Evaluation: Up to the treating doctor. You need to discuss such scenarios with the treating physician. Playing it safe by going to the emergency room won't hurt, but delaying appropriate treatment of DKA will. ...Read more

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Why are kussmaul respirations and acetone breath present in dka?

Why are kussmaul respirations and acetone breath present in dka?

KetoAcidosis : In DKA the body makes ketones as an alternate source of fuel for brain and heart when Insulin is too low to allow glucose to enter cells. Breath can smell fruity from ketones. Acids rise from dehydration and worsening ketosis. Kussmaul breathing (rapid breathing) blows off co2 in an effort for respiratory alkalosis to compensate as much as possible for metabolic acidosis. ...Read more

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What do you suggest if my moms a diabetic and was in dka yesterday?

What do you suggest if my moms a diabetic and was in dka yesterday?

DKA: Hi. Is she still in the hospital? If nothing was complicated, she'll probably be discharged soon. Why did she go into DKA? Infection? Stopped taking her insulin? The doctor will give her a plan for discharge t home with follow up. Make sure she follows the instructions and keeps her follow up appointments. If she's non-compliant with diabetes management, try to motivate her to get on board! ...Read more

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Im scared that I'm going to put myself in hospital with DKA again. What do I do?

Im scared that I'm going to put myself in hospital with DKA again. What do I do?

Take insulin: Don't miss your insulin. Stay hydrated. Keep close followup with your doctors. If you follow the right regimen, dka shouldn't return. ...Read more

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What should you do if a person with diabetes may have developed diabetes ketoacidosis(dka)?

What should you do if a person with diabetes may have developed diabetes ketoacidosis(dka)?

Hospital: This is a medical emergency. Please notify the patient's doctor; the patient needs a hospital asap with dka. ...Read more

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DKA as a cause of false positive EtG test? Has drug court ramifications.Thanks! T. Clark, M.D.

DKA as a cause of false positive EtG test? Has drug court ramifications.Thanks!  T. Clark, M.D.

Probably: Apparently hundreds of things cause false pos EtG tests, including such things as bananas, sauerkraut, vinegar, and of course anything containing alcohol, including many everyday things you wouldn't suspect. SAMSHA has advised against the use of EtG testing in forensic situations for this reason. Best get a very knowledgeable lawyer if you have not already. ...Read more