Ask your diabetes treatment team for help when you need it. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references DKA ketoacidosis and ketones. American Diabetes Association. Accessed Oct. Diabetic ketoacidosis DKA. Merck Manual Professional Version. Hirsch IB, et al. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Clinical features, evaluation, and diagnosis. Diabetes Complications. What are the warning signs of DKA? Early symptoms include the following: Thirst or a very dry mouth Frequent urination High blood glucose blood sugar levels High levels of ketones in the urine Then, other symptoms appear: Constantly feeling tired Dry or flushed skin Nausea, vomiting, or abdominal pain Vomiting can be caused by many illnesses, not just ketoacidosis.
If vomiting continues for more than 2 hours, contact your health care provider. Difficulty breathing Fruity odor on breath A hard time paying attention, or confusion Warning! How do I check for ketones? Also, check for ketones when you have any symptoms of DKA. What if I find higher-than-normal levels of ketones? Call your health care provider at once if you experience the following conditions: Your urine tests show high levels of ketones.
Your urine tests show high levels of ketones and your blood glucose level is high. Your urine tests show high levels of ketones and you have vomited more than twice in four hours. What causes DKA? Here are three basic reasons for moderate or large amounts of ketones: Not enough insulin Maybe you did not inject enough insulin. Or your body could need more insulin than usual because of illness. Not enough food When you're sick, you often don't feel like eating, sometimes resulting in high ketone levels.
High levels may also occur when you miss a meal. To get our top stories delivered to your inbox, sign up for the Healthy Living newsletter. If you do know, there are steps you can take to stay healthy.
Diabetes management is key. Make sure you stick to a healthy diet —lots of fruit, vegetables, whole grains and legumes without a lot of refined carbs or sugar. Equally important is taking your insulin on schedule and monitoring your blood sugar carefully if you get sick. If you have any of these symptoms and suspect you might have diabetic ketoacidosis, get to a doctor right away. Can Diabetes Kill You? By Amanda Gardner Updated December 11, Save Pin FB More.
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