Diabetic ketoacidosis: Difference between revisions

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In [[medicine]], '''diabetic ketoacidosis''' ('''DKA''') is a type of metabolic [[acidosis]] that is a "life-threatening complication of diabetes mellitus, primarily of [[Type 1 Diabetes Mellitus]] with severe [[insulin]] deficiency and extreme [[hyperglycemia]]. It is characterized by excessive [[lipolysis]], oxidation of fatty acids, production of ketone bodies, a sweet smell to the breath ([[ketosis]];) [[dehydration]]; and depressed consciousness leading to [[coma]].<ref>{{MeSH}}</ref>
In [[medicine]], '''diabetic ketoacidosis''' ('''DKA''') is a type of metabolic [[acidosis]] that is a "life-threatening complication of diabetes mellitus, primarily of [[Type 1 Diabetes Mellitus]] with severe [[insulin]] deficiency and extreme [[hyperglycemia]]. It is characterized by excessive [[lipolysis]], oxidation of fatty acids, production of ketone bodies, a sweet smell to the breath ([[ketosis]];) [[dehydration]]; and depressed consciousness leading to [[coma]].<ref>{{MeSH}}</ref>


As is treated, DKA converts from a high anion gap metabolic [[acidosis]] to a normal anion gap metabolic [[acidosis]] due to "excretion of ketone anions in the urine."<ref name="pmid102229">{{cite journal |author=Oh MS, Carroll HJ, Goldstein DA, Fein IA |title=Hyperchloremic acidosis during the recovery phase of diabetic ketosis |journal=Ann. Intern. Med. |volume=89 |issue=6 |pages=925–7 |year=1978 |month=December |pmid=102229 |doi= |url= |issn=}}</ref>
As is treated, DKA converts from a high anion gap metabolic [[acidosis]] to a normal anion gap metabolic [[acidosis]] due to "excretion of ketone anions in the urine"<ref name="pmid102229">{{cite journal |author=Oh MS, Carroll HJ, Goldstein DA, Fein IA |title=Hyperchloremic acidosis during the recovery phase of diabetic ketosis |journal=Ann. Intern. Med. |volume=89 |issue=6 |pages=925–7 |year=1978 |month=December |pmid=102229 |doi= |url= |issn=}}</ref>, especially if excreted with sodium or potassium cations.


==References==
==References==
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Revision as of 18:04, 29 April 2009

In medicine, diabetic ketoacidosis (DKA) is a type of metabolic acidosis that is a "life-threatening complication of diabetes mellitus, primarily of Type 1 Diabetes Mellitus with severe insulin deficiency and extreme hyperglycemia. It is characterized by excessive lipolysis, oxidation of fatty acids, production of ketone bodies, a sweet smell to the breath (ketosis;) dehydration; and depressed consciousness leading to coma.[1]

As is treated, DKA converts from a high anion gap metabolic acidosis to a normal anion gap metabolic acidosis due to "excretion of ketone anions in the urine"[2], especially if excreted with sodium or potassium cations.

References

  1. Anonymous (2024), Diabetic ketoacidosis (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Oh MS, Carroll HJ, Goldstein DA, Fein IA (December 1978). "Hyperchloremic acidosis during the recovery phase of diabetic ketosis". Ann. Intern. Med. 89 (6): 925–7. PMID 102229[e]