Dear Concerned.,
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.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Ex-Navy.