DKA is most common in patients with type 1 diabetes mellitus (DM) and develops when insulin levels are insufficient to meet the body's basic metabolic requirements. DKA is the first manifestation of type 1 DM in a minority of patients. Insulin deficiency can be absolute (eg, during lapses in the administration of exogenous insulin) or relative (eg, when usual insulin doses do not meet metabolic needs during physiologic stress). Common physiologic stresses that can trigger DKA include acute infection (particularly pneumonia and UTI), MI , stroke, pancreatitis, and trauma. Drugs implicated in causing DKA include corticosteroids, thiazide diuretics, and sympathomimetics. DKA is less common in type 2 DM, but it may occur in situations of unusual physiologic stress
Nilla said:Well for breakfast he had a slice of brown toast with low fat spread, he hardly eats any bread or potatoes, for tea last night he had steamed cod with broccoli, peas and carrots. he never eats sweet things or pasta
I have just rung NHS Direct and they are ringing me back, do you know if you can buy those ketone testing strips from a chemist or do you need a prescription for them, we have never had any and I want to check his ketones
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