Quick answer
What is diabetic ketoacidosis?
Diabetic ketoacidosis (DKA) is a life-threatening complication caused by too little insulin. Symptoms include intense thirst, frequent urination, tummy pain, vomiting, deep breathing, fruity-smelling breath, drowsiness or confusion. It requires urgent hospital treatment.
Warning symptoms
Watch for worsening thirst and urination, dry mouth, abdominal pain, nausea, vomiting, deep breathing, fruity-smelling breath, marked tiredness and confusion.
Ketones and sick days
People given a ketone meter should know their team’s thresholds and contact details. Illness can increase insulin needs even when appetite is poor.
Emergency treatment
DKA needs hospital monitoring because dehydration and changes in potassium and acidity can become dangerous quickly.
Common questions about diabetic ketoacidosis
- Can DKA be the first sign of diabetes?
- Yes, particularly in type 1 diabetes. Thirst, frequent urination, weight loss and worsening illness need urgent testing.
- Should I stop insulin when I am not eating?
- Do not stop insulin without specific professional advice. Follow your individual sick-day rules and check glucose and ketones as directed.
- How is DKA treated?
- Hospital treatment uses intravenous fluids, insulin and electrolyte monitoring while the trigger is treated.