Diabetic Ketoacidosis: Symptoms and what to do when having Urine Ketones

Diabetic Ketoacidosis: Symptoms and what to do when having Urine Ketones

Generally this situation will appear gradually, however, in some cases, it can develop quickly especially if the person is sick with a cold, fever, flu or infection. If vomiting occurs, this condition can develop within hours.

The first symptoms of Ketoacidosis include:

  • Thirst or dry mouth.
  • Frequent urination.
  • High blood sugar levels (Hyperglycemia).
  • Urine ketones.

If this condition is left untreated, other symptoms may occur such as:

  • Feeling tired, sleepy, weak.
  • Lack of concentration, confusion.
  • Dry Skin.
  • Difficulty breathing (rapid, deep breathing).
  • Fruity-smelling breath.
  • Nausea and vomiting.
  • High blood glucose levels (240 mg/dl or more).
  • High urine ketone levels.

It’s very important for you to be aware of any of these symptoms, because if you have blood ketones and don’t take the necessary precautions and act quickly to counter the problem, this situation could worsen, in which case you’ll need to visit an emergency room immediately.

What should I do if I have Ketoacidosis?



Ketoacidosis is a serious and dangerous condition. If you have any of the symptoms of ketoacidosis, call your doctor immediately, as this is something you can’t treat by yourself.

Your doctor may give you instructions through the phone and will tell you whether you should get more insulin or take more fluids. Don’t exercise when you have urine ketones and high blood glucose levels (Hyperglycemia) as this could further increase your glycemia levels. If you can’t talk to your doctor, visit the nearest emergency room.

More about …
Diabetic Ketoacidosis (blood ketones)