Which condition occurs due to the accumulation of acids from hyperglycemia in uncontrolled diabetes?

Study for the AAOS Emergency Care and Transport of the Sick and Injured Exam. Prepare with flashcards and multiple-choice questions, each with hints and explanations. Get ready for success!

Diabetic ketoacidosis is a serious condition that arises from a lack of insulin in the body, particularly in individuals with uncontrolled diabetes. When insulin levels are insufficient, the body's cells cannot effectively utilize glucose for energy, leading to the breakdown of fats for fuel instead. This process results in the production of ketones, which are acidic byproducts.

As ketones build up in the bloodstream, they can cause metabolic acidosis, a state where the blood becomes overly acidic. This accumulation of acids is a hallmark of diabetic ketoacidosis, and it often presents with symptoms such as excessive thirst, frequent urination, nausea, abdominal pain, weakness, and in severe cases, altered mental status. Management of this condition typically involves insulin therapy to lower blood glucose levels, rehydration, and correction of electrolyte imbalances.

Understanding the pathophysiology of diabetic ketoacidosis is critical for recognizing its symptoms early and implementing the necessary emergency care interventions to prevent severe complications.

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