According to Westerberg (2013), a majority of DKA patients are type 1 diabetics with approximately 30% being type 2 diabetics. Factors leading to the development of DKA include: “new-onset diabetes, insulin noncompliance, or increased insulin need because of infection” (Westerberg, 2013, p. 337). The human body is unable to process glucose as an energy source because of decreased insulin availability, causing blood glucose levels to rise (Westerberg, 2013). The body requires energy to function, because glucose in unavailable, an alternate source is needed (Westerberg, 2013). Therefore, adipose tissue is broken down by lipase forming free fatty acids (Westerberg, 2013). The free fatty acids are converted into acetyl coenzyme A, some are used in the Krebs cycle to produce energy and the rest are “broken down into ketone (acetone, acetoacetate, and B-hydroxybutyrate)” (Westerberg, 2013, p. …show more content…
“Serum glucose level greater than 250mg/dL, elevated serum ketone level, pH <7.3, and sodium bicarbonate level less than 18mEq/L” (Westerberg, 2013, p. 338) are used to diagnose DKA. Presenting symptoms include, polyuria, polydipsia, polyphagia, weight loss, and fatigue (Westerberg, 2013).
Treatment
Conclusion Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus. Most individuals diagnosed with DKA are type 1 diabetics. DKA can progress rapidly; recognition of early signs and symptoms of high blood glucose levels is important for prevention. Once DKA has developed, urgent medical attention is needed to prevent complications such as severe dehydration, starvation and possible death.
References
Fusco, N., Gonzales, J., & Siu Yan Amy, Y. (2015). Evaluation of the treatment of diabetic ketoacidosis in the medical intensive care unit. American Journal of Health-System Pharmacy, 72S177-S182.