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DKA

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mistee71

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Is it possible to have DKA with normal sugar levals?
 
Rarely... it is much more likely to be accompanied by blood glucose over 13 mmol/l.

I am of the understanding that the absence of insulin causes the body to burn fatty acid's the by product of that is keytones, lack of insulin also causes fatty tissue to release fatty acids.. high blood glucose (due to lack of insulin) causes the body to urinate frequently in an effort to remove glucose from the blood.. this urination causes dehydration and the loss of essential electrolytes. Eventually you run out of body water to remove sugar and keytones from the blood.. keytones are acidic and if they aren't being removed then your blood acidity increases... causing all-sorts of unwanted problems.

On a low-carbohydrate diet it is perfectly normal to have some keytones in your urine.. as long as you are well hydrated and your blood glucose is below 13 mmol/l then I don't think it's anything to worry about.

Edit: info provided
 
mistee71 said:
Is it possible to have DKA with normal sugar levals?
Click to expand...

Yes it is. Send Jopar a pm. She has been there and worn the Tshirt
 
Yes, fairly rare but still accounts for around one in every hundred cases of DKA.,
True euglycaemic ketoacidosis (initial blood glucose 10mmol/l (180mg%) or less) is rare, occurring in 0.8–1.1% of all episodes depending on the defining plasma bicarbonate concentration
Click to expand...
http://pjms.com.pk/issues/janmar08/article/bc2.html
it can happen when someone has another illness and is vomiting/ not eating and at the same time doesn't have sufficient insulin. It can also occur in pregnancy. There are a couple of case studies when it has occured following fasting (not eating).

There are 2 cases from people on here with not very high glucose levels
see(last post in thread)
viewtopic.php?f=19&t=19767&p=180626&hilit=euglycemic#p180626

and
viewtopic.php?f=19&t=17049&p=155199&hilit=euglycemic#p155199
 
Yes it is! Especially with a vomitting bug. I've had Khaleb with bsl's between 4-6 and blood ketones of 3.7.
 
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