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Re: [IP] so sensitive to the highs-- please help!

The clinical definition of DKA is BG>300, +ketones in
blood, and serum pH<7.3 so according to it, no.
However, it is possible to have acidosis (and there is
more than one type of acidosis) with low(er) or normal
bgs. It is equally possible to have hyperglycemia and
ketones without DKA. What you are describing sounds
like ketosis which causes nausea and vomiting and *can*
lead to DKA if not treated in a timely fashion, but it
isn't DKA. To avoid the vomiting, etc, maybe you could
check for ketones earlier, at say, 200, rather than at
the typically recommended ~240? Here is some more info
about ketones, ketosis, and DKA (hope this helps!):


Ketone Bodies
Chemicals that the body makes when there is not enough
insulin in the blood and it must break down fat for its

energy. Ketone bodies can poison and even kill body
cells. When the body does not have the help of insulin,

the ketones build up in the blood and then "spill" over

into the urine so that the body can get rid of them.
The body can also rid itself of one type of ketone,
called acetone, through the lungs. This gives the
breath a fruity odor. Ketones that build up in the body

for a long time lead to serious illness and coma. See
also: Diabetic ketoacidosis.

Having ketone bodies in the urine; a warning sign of
diabetic ketoacidosis (DKA).

A condition of having ketone bodies build up in body
tissues and fluserids. The signs of ketosis are nausea,

vomiting, and stomach pain. Ketosis can lead to

Diabetic Ketoacidosis (DKA)
Severe, out-of-control diabetes (high blood sugar) that

needs emergency treatment. DKA happens when blood sugar

levels get too high. This may happen because of
illness, taking too little insulin, or getting too
little exercise. The body starts using stored fat for
energy, and ketone bodies (acids) build up in the
blood. Ketoacidosis starts slowly and builds up. The
signs include nausea and vomiting, which can lead to
loss of water from the body, stomach pain, and deep and

rapid breathing. Other signs are a flushed face, dry
skin and mouth, a fruity breath odor, a rapid and weak
pulse, and low blood pressure. If the person is not
given fluserids and insulin right away, ketoacidosis
can lead to coma and even death

Becky said:
is it possible to be in DKA at 200? the way DKA works
for me, once i start throwing up all bets are off and i
have to get IV fluids in the ER to bring it down
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