DIAGNOSIS OF DIABETIC KETOACIDOSIS- DKA
- Blood Glucose >200mg/dl
- Blood pH <7.3
- Bicarbonate <15 mmol/L
- Ketones present in blood/urine
- If you diagnose a child with DKA – refer to a higher center (preferably with PICU facilities) for further management.
Do’s & dont’s for diabetics in acute illnesses
- DO NOT STOP INSULIN injections even if child is eating less.
- Give plenty of sugar free fluids every 24 hours to prevent dehydration.
- Frequent checking of blood sugars (every 2-4 hours).
- Check for ketones in urine, even if blood sugars are between 150-200 mg/dl range.
When to consult a doctor- instructionS for parents
- Fever> 100.5 for > 2 days
- The child is unable to eat or drink anything, even small sips of water
- Persistent Vomiting & diarrhea
- Blood sugar > 200mg/dl despite insulin dosage adjustment
- Moderate to large ketones in urine
- Unsure of insulin dosage adjustment if ketones are present
- Child shows any symptoms of diabetic ketoacidosis : fruity breath, dehydration, dry lips, difficulty in breathing, stomach cramps, etc.
- Child is drowsy.