Low insulin prevents glucose from entering cells. The body metabolizes protein and fat into energy, leading to ketosis & acidosis
Stress, surgery, steroids, non-compliance, sepsis, & skipping insulin doses
Hydration #1. Regular Insulin drip. Correct electrolyte imbalances and acidosis. Insulin drives K+ into the cell, so watch for hypokalemia. Regular insulin is the ONLY insulin given IV
From polyuria
Pancreas produces less insulin. Less insulin to move glucose into the cell
Metabolic Acidosis
Fast breathing to blow off acid. Lungs are trying to compensate for metabolic acidosis
No acidosis and no ketones, but very high blood sugar
Stress, surgery, steroids, non-compliance, sepsis, & skipping insulin doses
Hydration #1. Insulin drip. Correct electrolyte imbalances and acidosis. Insulin drives K+ into the cell, so watch for hypokalemia. Regular insulin is the ONLY insulin given IV
↑ serum osmolality; hypernatremia, no ketones
Can be as high as 600+
No ketones
↓ LOC
