Diabetic ketoacidosis with alkalemia
David Jerrard, MD
, Jeahan Hanna, MD
Department of Emergency Medicine, VA Hospital, Baltimore, MD
University of Maryland, Baltimore, MD
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—A common complication of diabetes mellitus is ketoacidosis which results from the accumulation of acetoacetic and B-Hydroxybutyric acids. A less often seen and recognized metabolic alteration is diabetic ketoacidosis with alkalemia This disorder is a mixed acid-base disorder in which diabetic ketoacidosis exists alongside a state of metabolic alkalosis. Blood pH will be determined by which disorder predominates. Diuretic use, vomiting, alkali ingestion, and hypercortisolism have all been implicated as causes of this disorder.
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© 2001 W.B. Saunders Company. Published by Elsevier Inc. All rights reserved.
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