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Diagnosis

If your doctor suspects diabetic ketoacidosis, he or she will do a physical exam and various blood tests. In some cases, additional tests may be needed to help determine what triggered the diabetic ketoacidosis.

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Blood tests used in the diagnosis of diabetic ketoacidosis will measure:

  • Blood sugar level. If there isn''acces-list-container rc-list''re diagnosed with diabetic ketoacidosis, you might be treated in the emergency room or admitted to the hospital. Treatment usually involves:

    • Fluid replacement. You''re rehydrated. The fluids will replace those you''ll receive electrolytes through a vein to help keep your heart, muscles and nerve cells functioning normally.
    • Insulin therapy. Insulin reverses the processes that cause diabetic ketoacidosis. In addition to fluids and electrolytes, you''t reach your doctor
    • Your symptoms are getting worse
    • Your symptoms are already severe

    A medical provider who sees you for possible diabetic ketoacidosis will need answers to these questions as quickly as possible:

    • What are your signs and symptoms?
    • When did these signs and symptoms develop? Are they getting worse?
    • Have you been diagnosed with diabetes?
    • Have you recently checked your blood sugar level?
    • Have you recently checked your ketone level?
    • Have you lost your appetite?
    • Can you keep fluids down?
    • Are you having trouble breathing?
    • Do you have chest pain?
    • Have you had a recent illness or infection?
    • Have you had recent stress or trauma?
    • Have you recently used alcohol or recreational drugs?
    • How closely have you been following your diabetes treatment plan?
    • How well would you say your diabetes has been managed just before these symptoms?
Dec. 11, 2019
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  1. Ketoacidosis (DKA). American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html. Accessed Aug. 2, 2015.
  2. Diabetic ketoacidosis (DKA). Merck Manual Professional Version. http://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetic-ketoacidosis-dka. Accessed Aug. 2, 2015.
  3. Kitabchi AE, et al. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Clinical features, evaluation and diagnosis. http://www.uptodate.com/home. Accessed Aug. 2, 2015.
  4. Kitabchi AE, et al. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Treatment. http://www.uptodate.com/home. Accessed Aug. 2, 2015.
  5. Jeffries CA, et al. Preventing diabetic ketoacidosis. Pediatric Clinics of North America. 2015;62:857.
  6. Checking for ketones. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/checking-for-ketones.html. Accessed Aug. 2, 2015.
  7. Hirsch IB, et al. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Treatment. https://www.uptodate.com/contents/search. Accessed May 17, 2018.

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