Diabetic Ketoacidosis: Causes, Risks, and What You Need to Know

When your body can't use sugar for energy because of diabetic ketoacidosis, a life-threatening condition where the body breaks down fat too fast, creating toxic acids called ketones. Also known as DKA, it most often happens in people with type 1 diabetes but can strike type 2 users under stress, illness, or missed insulin doses. This isn’t just high blood sugar—it’s your body going into emergency mode because it’s starving for fuel and burning fat instead.

Without enough insulin, glucose piles up in your blood while your cells scream for energy. Your liver responds by dumping out even more sugar and starting to break down fat into ketones. Too many ketones make your blood acidic. That’s when symptoms hit hard: extreme thirst, frequent urination, nausea, vomiting, fruity-smelling breath, confusion, and trouble breathing. If you’ve got diabetes and feel this way, don’t wait. DKA can kill in hours if ignored. It’s not rare—it’s common enough that ERs see it daily, especially when people skip insulin or get sick with infections like pneumonia or the flu.

People managing diabetes often overlook how easily DKA can sneak up. A missed insulin shot, a bad cold, or even stress can trigger it. Some never know they have type 1 diabetes until they end up in the hospital with DKA. Others with type 2, especially those on SGLT2 inhibitors, are now being warned about a quieter form called euglycemic DKA—where blood sugar doesn’t look sky-high, but ketones are still building up. That’s why checking for ketones with urine strips or a blood meter matters, especially when you’re sick or your sugar stays above 240 mg/dL.

What you’ll find in these articles isn’t just theory. Real cases, real risks, and real fixes. You’ll see how insulin deficiency, the core problem behind DKA connects to medications like metformin and how alcohol can make things worse. You’ll learn how infections and other drugs can push someone into danger, and what steps to take before it’s too late. This isn’t about fear—it’s about awareness. You need to know the signs, understand what triggers it, and have a plan. Because when DKA hits, there’s no time for guesswork.

Canagliflozin & Diabetic Ketoacidosis: Essential Facts & Safety Tips
Oct, 17 2025

Canagliflozin & Diabetic Ketoacidosis: Essential Facts & Safety Tips

Learn how Canagliflozin can trigger diabetic ketoacidosis, who’s at risk, warning signs, prevention tips, and what to do if DKA occurs.