Thanks for writing to us.
You have been diagnosed to have Diabetes Mellitus
. In your history you have not indicated your blood sugar levels//urine sugar levels//whether you have been an insulin dependant //NIDDM.
Please get investigated on admission to a Hospital within your area as it is a life threatening condition in an uncontrolled /poorly controlled diabetics when body starts utilising fats instead of Glucose to produce energy and the end products of metabolism
being ketones(acetone/acetoacetic acid and B-hydroxybutyric acid). Clinical features include Vomiting , dehydration
, deep gasping breathing , confusion and occasionally coma are typical symptoms. DKA is diagnosed with blood and urine tests ; it is distinguished from other, rarer forms of ketoacidosis
by the presence of high blood sugar levels in Diabetes.
Investigations;-Blood Glucose FBS//PPBS//corresponding Urine Sugars.In addition HBa1C levels and Ketones. Restart your Insulin if you have been on Insulin as per the Sliding Scale prescribed by your Diabetologist
. Monitor regularly so that your Ketonuria
becomes Nil.In addition get your dehydration treated//water and electrolyte imbalance//Acid Base imbalance also will have to be corrected. This has to be done only in a hospital setting.
I strongly advice you to get admitted to a nearest Emergency Room at the earliest and after situation stabilises start your regular dosage of Insulin under regular followup care of an MD.
As the FBS gets within 140mg%//PPBS gets within 199mg%//Ketone bodies
disappear, then your excessive thirst(Polydypsea),excessive urination(polyurea)will automatically disappear.
wishing you a speedy recovery.,
Dr Lt Cdr ASN Bhushan.,