Clinical manifestations-diabetic ketoacidosis

(Diabetes Care 2009;32:1335 & 2016;39:S99)

參考➡️ Guidelines for management of diabetic ketoacidosis: time to revise?

• Polyuria, polydipsia, & dehydration → ↑ HR, HoTN, dry mucous membranes, ↓ skin turgor
• N/V, abdominal pain (either due to intra-abdominal process or DKA), ileus
• Kussmaul’s respirations (deep) to compensate for metabolic acidosis with odor of acetone
• Δ MS → somnolence, stupor, coma; mortality ~1% even at tertiary care centers

吃多喝多尿多、噁吐腹痛昏喘

Explain by ChatGPT

• Diabetic ketoacidosis is a condition where the body produces high levels of blood acids called ketones.
• Symptoms include increased urination, thirst, and dehydration. This can lead to rapid heartbeat, high blood sugar, and dry mouth.
• Other symptoms may include nausea and vomiting, abdominal pain, and shortness of breath.
• In severe cases, a person may become confused, sleepy, or even go into a coma.
• Diabetic ketoacidosis can be deadly, even with treatment.

窩的英文不太好

• 糖尿病酮症酸中毒是一種身體產生高水平血液酸（稱為酮）的病症。
• 症狀包括排尿增多、口渴和脫水。這會導致心跳加快、高血糖和口乾。
• 其他症狀可能包括噁心和嘔吐、腹痛和呼吸急促。
• 在嚴重的情況下，一個人可能會變得神誌不清、昏昏欲睡，甚至會陷入昏迷。
• 即使經過治療，糖尿病酮症酸中毒也可能致命。