Sunday, December 27, 2009

The Lowdown On Diabetic Ketoacidosis

By Ned Dagostino

Diabetic ketoacidosis is a silent killer on the prowl. This deadly condition upsets the blood chemistry so severely that the patient's very life is threatened. Studies have shown that there are three high-risk categories of people who are more vulnerable to diabetic ketoacidosis. The first category includes those who are seriously diabetic (Type 1). The second includes those who are severely dehydrated. The third includes those who have had massive infections by bacteria or viruses. The rest of the population may not be that much at risk, but make no mistake, just about everybody is on this prowler's hit-list. Make sure you don't get your name up on that list!

Diabetic ketoacidosis is an extremely critical metabolic condition. Normal metabolism breaks the food into the basic form of sugar called glucose. The glucose is used as an energy source for the muscles. Unused glucose is converted to fats and stored for future use in the adipose tissue found all over the body. If the body's energy requirements cannot be met by the glucose circulating in the blood, the fats are converted back to glucose, and this reconverted glucose is used to meet the energy demands of the body.

Fats are pretty complex substances, and when they are decomposed to get their glucose content, a very simple fatty acid, called ketone, is also released into the blood. This causes ketoacidosis. This isn't a problem for the body in small, occasional doses. However, when it is massive and prolonged, the blood chemistry changes drastically. If left untreated for too long, or if treatment is left till too late, the condition can result in fatality. To reiterate, the high-risk population is especially vulnerable to diabetic ketoacidosis, but the others are just a little less likely to develop diabetic ketoacidosis. So everyone should beware this condition!

The main reason that diabetic ketoacidosis goes undetected and untreated for too long is that the symptoms of this condition become evident only when the condition has reached a critical level. So it is wiser to detect the telltale signs of this condition as early as possible. These are:

The skin is the first give-away of diabetic ketoacidosis. It becomes dry, even the lips become dry. It is either flushed or extremely pale. Though the body temperature may be normal, the skin temperature is elevated.

The severe change in the blood chemistry can cause blurred vision and similar vision problems.

The breath can acquire a peculiar odor best described as sickly "sweet smelling".

Listless behavior.

Diabetic ketoacidosis severely reduces the appetite. Sometimes, a person will not be able to keep the food down, bringing it up almost immediately after eating it.

Mental confusion and lack of comprehension.

The only effective treatment of diabetic ketoacidosis is a prolonged one. The patient should cooperate with the doctors and take the prescribed treatment exactly as advised. The patient must avoid dehydration, taking rehydrating solutions if necessary. The blood glucose must be monitored round-the-clock to avoid it going over or below the normal limits. If these guidelines are followed, diabetic ketoacidosis can be beaten, rest assured!

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