Diabetic Ketoacidosis

Diabetic ketoacidosis is excess production of ketones due to insufficiency of insulin. Thirst, nausea, vomiting, stomach pain, fatigue, confusion, shortness of breath, foul-smelling breath, etc., are the symptoms of diabetic ketoacidosis. Treatment includes insulin injection and providing enough fluids.

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Will flare-up of gastroparesis cause DKA in diabetic patients?

Query: Hi doctor, My wife and I just got married and are on our honeymoon. She has a disease called gastroparesis from her diabetes. She has not had a flare-up in like last three months, but before that six months, she use to have flare-ups every month. she has got periods without flare-ups, then periods ...  Read Full »


Dr. J N Naidu

Answer: Hi, Welcome to icliniq.com. Understand that diabetic ketoacidosis is due to insufficient insulin. When blood glucose levels go beyond 300 mg/dL continuously, the chances of DKA (diabetic ketoacidosis) will increase. I think she is on insulin treatment, and she is a type one diabetic patient. You h...  Read Full »

What are the complications of high blood glucose levels?

Query: Hi doctor, I am a 62-year-old male. I am diabetic and taking oral hypoglycemics for more than 15 years. My fasting blood sugar level is 134 mg/dL and PPBS is 470 mg/dL (today's reading). The earlier reading was 240 mg/dL. I am taking Glycinorm-M 80 mg, Gluxit 10 mg, Voglitab MD 0.3 mg, Rozemake 10 ...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. The postprandial glucose level is too high. But it is unlikely to cause diabetic ketoacidosis. That condition is more likely to occur in type 1 diabetes mellitus and very rarely in type 2 diabetes mellitus. However, such high glucose is dangerous. You are already on thr...  Read Full »

How to help my diabetic father get his appetite back?

Query: Hi doctor,My father is 62 years old. He has diabetes type 2. Recently, he started feeling unwell. He has stopped eating. He does not want to eat or drink anything. He refuses to eat food for four days now. His blood sugar remains around 250 to 280 mg/dL even though he is not eating. We took him to t...  Read Full »


Dr. Rinku Biswas

Answer: Hi, Welcome to icliniq.com. Your father's blood sugar is too high. You have not mentioned the medication taken by him. Taking Metformin alone will not work for these high levels. He requires insulin too for controlling the levels and then he can take pills depending upon the condition. Do not igno...  Read Full »

How does diabetes affect the baby during pregnancy?

Query: Hi doctor, My sister is 21 years old with type 1 diabetes. When she was 35 weeks pregnant, she had a cesarean section delivery. The baby's heartbeat stopped and they could not get it started. The doctors are blaming it to be due to diabetes. They said that the baby's blood acid was 25, which is five...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. Diabetes is a big problem and so, the pregnancy during diabetes is labeled as high risk pregnancy. It is very uncertain to know what side effect might occur. However, the side effects can vary from person to person. It is very difficult to commen...  Read Full »

What are the potential negative effects of long-term ketogenic diet?

Query: Hello doctor, Why ketogenic diet should not be done long term? Why it is not a good idea to follow a ketogenic diet for the long term and what are the potential negative effects on the body by following a ketogenic diet for the long term? Please comment.  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to the icliniq.com. The opinion regarding keto diet varies from many studies. The ketogenic diet or low carbohydrate diet is helpful in weight reduction and should be done under trained nutritionist guidance. Self keto diet experience is not advisable. Although it is useful, the lon...  Read Full »

Is the presence of ketones in urine a sign of kidney damage?

Query: Hello doctor,I am 5 feet and 5 inches, 112 lbs and eat a normal diet. I recently had a urine test with trace ketones, although negative for glucose. My test showed cloudy clarity and presence of crystals. All the other values on the urine test were normal. I also had normal blood tests. My doctor is...  Read Full »


Dr. Pankaj Jawandhiya

Answer: Hello, Welcome to icliniq.com. The body generally uses glucose as its source of energy. When it uses fat as a source of energy, ketones are formed. It is a common finding in diabetes, called as diabetic ketoacidosis. It can also occur during starvation when glucose is not available as an energy sou...  Read Full »

Does alcohol smell from a diabetic a sign of ketosis?

Query: Hello doctor, My husband is a type-2 diabetic. He takes Metformin, Januvia, and Zoloft. He smokes marijuana and cigarettes. He has been on the strongest nicotine patch for the past week, but still smoking occasionally. Twice in the past week, he smelled strongly of beer or alcohol and I thought he h...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that your husband has diabetes and he is trying to quit smoking. I would like to answer each one of your questions one by one: Yes, withdrawal from cigarettes can cause the person to be highly irritabl...  Read Full »

How can ketone level be decreased in a diabetic patient?

Query: Hello doctor, I am a diabetes patient. My sugar level in fasting is above 350 and I checked ketone in urine, it was found to be 4+. My height is 170 cm approximately and weight check found 62 kg. What can I do for ketone?  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. Ketones usually develop more often in T1 diabetes. Especially when there is no adequate insulin and glucose levels are higher than 300 to 350 mg. It is necessary to take adequate water to eliminate those through urine. Avoid exercise when ketones are present. Try and...  Read Full »

Could you let me know the seriousness of my dad's diabetes?

Query: Hi doctor, I have attached the blood reports. And, with that it was diagnosed as diabetes. Please share your opinion.  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. I have gone through the reports posted (attachment removed to protect patient identity), which show a poor glycemic control. Are you, the patient? Or are these readings of a naive or a new patient? Is the patient already on medication? If yes, then on what medication?...  Read Full »

What complications can occur if I continued to have high blood sugar levels?

Query: Hi doctor, I am male, 73 years old, height 179 cm, and weight 120 kg. Has diabetes type 2, high blood pressure, gout, slight renal failure, had a heart attack almost 10 years ago and underwent a procedure of having two stents in his heart. Cholesterol. Takes medication for his illnesses. His blood ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Such high sugars may cause acute complications like dehydration, diabetic hyperosmolar state or diabetic ketoacidosis, which may be life-threatening. He should drink plenty of water to reduce the risk of dehydration. Also, in long-term, it can lead to heart disease, ...  Read Full »

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