Diabetic ketoacidosis

Diabetic ketoacidosis (DKA) is a lifethreatening complication in diabetic patients. It is associated with type 1 diabetes mellitus otherwise called Juvenile Diabetes Mellitus. Under certain circumstances, it can occur in type 2. DKA occurs due to insulin insufficiency.Signs and symptoms
Polyuria,Polydipsia,Kussmaul breathing,Dehydration,Coma,Hypotension,ketotic breath
Investigations
Blood sugar, Urinalysis that show ketonuria,Full haemogarm,Urea and Creatinine,Arterial blood gases
Management
fluid therapy,insulin,potassium and bicarbonates
Patients in coma need intensive care. Advice patients on compliance to medication,regular checkups to counter infections which precipitate this medical emergency.