What is a common complication associated with uncontrolled diabetes?

Prepare for the ITE Board General Internal Medicine test. Utilize structured study resources, flashcards, and multiple choice questions with hints and explanations to ensure exam success!

Diabetic ketoacidosis (DKA) is a serious and potentially life-threatening complication that occurs commonly in individuals with uncontrolled diabetes, particularly type 1 diabetes. It arises when there is a lack of insulin in the body, leading to high levels of glucose in the blood. As a result, the body starts breaking down fats for energy, which produces ketones. When the level of ketones rises significantly, they can cause the blood to become acidic, leading to a state of acidosis.

Signs and symptoms of DKA include excessive thirst, frequent urination, nausea, abdominal pain, weakness, confusion, and even a fruity-smelling breath due to the presence of ketones. The condition requires immediate medical attention, often necessitating hospitalization for fluids, electrolytes, and insulin therapy to restore normal metabolism.

Understanding the potential for DKA in patients with uncontrolled diabetes highlights the importance of effective diabetes management, diabetes education, and regular monitoring of blood glucose levels to prevent such severe complications.

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