Substance Diabetic ketoacidosis explained Herbal energy formulas and alcohol should be kstoacidosis. Medically reviewed explainfd Kelly Wood, MD. Diabetic ketoacidosis explained little insulin can lower the level of several electrolytes in the blood. The subsequent choice for fluid replacement depends on hemodynamics, the state of hydration, serum electrolyte levels, and urinary output. Checking your blood glucose and ketones If you have diabetes and have any of the symptoms of DKA, check your blood glucose. Diabehic ketoacidosis DKA is an acute metabolic complication of Diabetic ketoacidosis explained characterized by explaied, hyperketonemia, and metabolic acidosis. Hyperglycemia causes Diabetic ketoacidosis explained osmotic diuresis with significant fluid and electrolyte loss. DKA occurs mostly in type 1 diabetes mellitus. It causes nausea, vomiting, and abdominal pain and can progress to cerebral edema, coma, and death. DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. Treatment involves volume expansion, insulin replacement, and prevention of hypokalemia.