Doctor insights on:
Why Is Hyperglycemia More Dangerous Than Diabetic Ketoacidosis
It isn't : Insulin deficiency causes hyperglycemia in people with diabetes. Mostly in type 1 patients, the longer the Insulin deficiency goes on, the higher the blood sugars might get. Eventually, the body makes ketones as an alternate fuel for heart and brain since glucose can't get into cells. The longer the ketosis lasts the more acid buildup which becomes dka. It is a medical emergency. ...Read moreSee 1 more doctor answer
Compensation: Hyperglycemia just means that the blood sugar is high. If you have taken enough Insulin so that there is active metabolism going on, the sugar will eventually be noprmalized - even though you may have to raise the dose of Insulin to do this. If the Insulin is totally inadequate, the body begins to burn fat instead of sugar. The fat leads to ketones and then acidosis as everything gets worse. ...Read moreSee 1 more doctor answer
Complex: Hi. Diabetic ketoaciodosis (DKA) is a serious and life-threatening complication of diabetes. It is managed in the hospital (usually ICU) with insulin, IV fluids, and electrolte management; any underlying precipitating factor such as infection or MI must also be diagnosed and addressed. Contrary to popular belief, it occurs in both type 1 and type 2; type 1 is just more prone to it. Good luck! ...Read moreSee 1 more doctor answer
See here: http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001363/.Get a more detailed answer ›
DKA: Diabetic ketoacidosis (DKA) is a medical emergency with a significant morbidity and mortality. It should be diagnosed promptly and managed intensively. DKA usually develops within 24 hours. DKA typically presents with polyuria and polydipsia, vomiting, dehydration and, if severe, an altered mental state, including coma. http://patient.info/doctor/diabetic-ketoacidosis ...Read moreSee 1 more doctor answer
Diabetes: ketoacidosis is severe dehydration and high glucose where the body shifts to fat metabolism leading to ketone formation and acidosis. It is a very severe and dangerous acute metabolic abnormality, which is a medical emergency but definitely treatable by hydration, insulin, correction of the precipitating factors and other support. ...Read more
Hypovolemia: It is the ketoacidosis that contributes to the hypovolemia. Do not pass go or collect 200 - go straight to the Emergency Room without delay! ...Read more
DKA: Patients with DKA do not have pain related to the DKA itself, however they may complain from non-specific abodminal pain, which often resolves as the DKA is corrected. Dka also leads to deep and rapid breathing; if this goes on for an extended period of time it may cause discomfort around the chest wall and upper abdomen for excessive use of muscle for this type of breathing. ...Read more
Transport: Hi. I view EMTs and paramedics similarly -stabilize and transport to a hospital. An EMT should be able to get a diabetic in DKA to the closest hospital ASAP, where the medical team can almost always save the patient. ...Read more
Complication of DM : If the body does not have enough Insulin to carry sugar into the cells for energy, the body begins to use a backup energy plan breaking down fat. This creates ketones which build up in the body and create an acidic change in the body.Since the enzymes work best in a balanced environment you feel sickly & nauseated.As the process continues the metabolism breaks down & bad things happen(you can die). ...Read moreSee 1 more doctor answer
Get tested!: Hi. Both type 1's and type 2's can get diabetic ketoacidosis (DKA). People in DKA are usually rather sick, often vomiting, and always dehydrated. It's a very easy to diagnose. Standard medical care of DKA is in a hospital with IV fluids, IV insulin, electrolyte management, and treatment of any precipitating conditions. If you're feeling pretty chipper and have very high sugar, it's prob not DKA. ...Read more
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