Treatment for diabetic ketoacidosis

If a person is suspected of diabetic ketoacidosis, they will have to undergo a series of physical exams and blood tests. Doctors will check the blood sugar level, ketone level and blood acidity before starting treatment. Additional tests may include urinalysis and chest X-ray.


Treatment for diabetic ketoacidosis usually involves:

  • Fluid replacement
    Those who are diagnosed will have symptoms such as frequent urination and extreme thirst. Therefore they will receive fluids orally or through an IV. The fluids will replace the ones that were lost excessively, rehydrate the body and dilute the excess sugar in the blood.
  • Electrolyte addition
    The low level of insulin causes lesser electrolytes produced in the blood. Electrolytes are minerals that are present in the blood, carrying electric charge such as sodium, potassium and chloride. In order to maintain the level, one will receive an external source of electrolytes through an IV that helps keep the heart, muscles and nerve cells to function as normal.
  • Insulin therapy
    Besides fluids and electrolytes, insulin is added through an IV until the blood sugar level falls below 240 mg/dL and is no longer acidic.


A person with diabetic ketoacidosis may take their own steps to prevent the disorder, including:

  • Routine tests to check blood sugar level in order to prevent it going high
  • Checking ketone levels in the urine during illness or after an injury
  • Constantly stay hydrated with water
  • Taking oral and intravenous diabetes medication based on prescriptions
  • Consulting doctor on coming up with a treatment plan such as adjusting the insulin dosage, particularly if blood sugar level is higher than expected.


Diabetes is a long term disease and will need to be managed with care. At Regency Specialist Hospital, our Diabetes Care Unit is equipped with specialists and supporting healthcare professionals who are ready to help you improve your health condition.

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