Diet For Diabetic Ketoacidosis Patient
Maintaining a high blood glucose level missing doses of insulin or being sick can cause ketones to form in the blood.
Diet for diabetic ketoacidosis patient. When to start sc insulin and bridge with insulin drip after the dka has resolved and when the patient is able to eat start sc basal insulin like insulin glargine. A healthy balanced diet that implies eating routine meals lots of vegetables and fruit and eating less saturated fat sugar and salt. Diabetic ketoacidosis can be detected by the signs and symptoms the patient presents. Pain due to dka vs gastroenteritis or gastritis or pud or pancreatitis or cholecystitis or diverticulitis or uti initial workup.
Diabetic ketoacidosis is a triad of hyperglycemia ketonemia and acidemia each of which may be caused by other conditions 1 although diabetic ketoacidosis most often occurs in patients with. Exactly what is recommended in the long term. Diet for diabetic ketoacidosis patient. Teach patients and caregivers of the warning signs symptoms of dka.
Diabetic 1800 calorie diet diabetic standard 2000 calorie diet iv fluids sodium chloride 0 9 iv to run at 100 ml hr switch to d5 0 45 ns if ordered prn bg 250. Patient meets diagnostic criteria for dka. Diabetic ketoacidosis dka is a life threatening condition caused by dangerously high blood sugar levels. However to confirm the diagnosis laboratory test can be performed american diabetic association 2019.
A patient with diabetic ketoacidosis will display results of metabolic acidosis in the arterial blood gases that contain low bicarbonate and low ph. Dka ketoacidosis ketones diabetic ketoacidosis dka is a serious condition that can lead to diabetic coma passing out for a long time or even death. In addition order a pre meal insulin lispro regimen ac tid continue iv insulin infusion for 2hrs after starting the sc insulin glargine to create a 2 hour bridge. Educate patients on healthy diet and lifestyle to prevent dka.
Your blood sugar levels become high because your body does not have enough insulin. Following a healthy balanced diet will help to manage blood sugar blood fats and high blood pressure as well as. For patients with uncomplicated dka regular insulin should be given as an initial dose of 0 4 to 0 6 units kilogram half as iv bolus and half given. A diagnosis of diabetic ketoacidosis dka was established and the patient was admitted to the intensive care unit and started on treatment with intravenous fluids insulin potassium and pantoprazole.
The lack of insulin forces your body to use fat instead of sugar for energy. When your cells don t get the glucose they need for energy your body begins to burn fat for energy which produces ketones.