ketones when to go to hospital ketones when to go to hospital

Required fields are marked *. How did I get diabetes? Oct 15, 2014. Take larger-than-normal correction boluses every 3 hours until the blood sugar is below 200 mg/dl (11 mmol) and ketones are negative. A high level of ketone bodies in the blood can cause particularly severe illness. Continue drinking water, but please don't make yourself sick. Make sure you keep a list of contact numbers for your doctor, Credentialled Diabetes Educator, hospital and ambulance by the phone. Ketones are acids which can quickly make you feel very unwell. The start of vomiting requires immediate attention at an ER or hospital where IV fluid replacement can begin. If left untreated, it can lead to a serious and life-threatening diabetic coma or death. When Should Ketones Be Monitored? 5 and 3. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,600],'remodelormove_com-mobile-leaderboard-2','ezslot_24',167,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-mobile-leaderboard-2-0'); Abdominal pain, if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'remodelormove_com-narrow-sky-1','ezslot_25',168,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-narrow-sky-1-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'remodelormove_com-narrow-sky-1','ezslot_26',168,'0','1'])};__ez_fad_position('div-gpt-ad-remodelormove_com-narrow-sky-1-0_1');.narrow-sky-1-multi-168{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important} Dry skin and mouth. Also there is a delayed reaction to the insulin. If it is not treated right away, it can cause coma or death. Blood test at home. The presence of ketones makes the blood acidic and can result in an illness known as diabetic ketoacidosis (DKA), which occurs when blood sugar levels are very high. Housekeeping notes This Webinar IS being recorded for future playback. Ketosis-prone type 2 diabetes tends to be more common in older, overweight, non-white people with type 2 diabetes, and DKA may be their Your email address will not be published. Walk around the block or walk in place or haul your ass up and down the stairs for 30-60 minutes. But even though we need glucose for energy, too much glucose in the blood can be unhealthy. People with type 2 diabetes or diabetes in pregnancy can also have diabetic ketoacidosis but this is much rarer. Should You Go to ER if Your Blood Sugar Is in the 300's? Starvation ketoacidosis on the acute medical take | RCP Journals However, hyperglycaemia may not always be present and low blood ketone levels (<3 mmol/L) do not always exclude DKA. When should you go to the hospital for ketones? So, if you haven't called anyone for help yet, please stop reading this article and call your doctor. when to go to hospital with ketones? - Diabetes Forum Diluted Gatorade, water with Nu-Salt and similar fluids are good because they help restore potassium lost because of high blood sugars. It can occur when the body is unable to use glucose as an energy source, leading to the buildup of ketones in the blood. However, even those of us with the most keen sense of our blood sugar levels based on symptoms we experience can become desensitized to how close we are to falling into a far more dismal situation known as Diabetic Ketoacidosis otherwise known as DKA. However, they can happen in adulthood in some people, particularly if they haven't managed or controlled their diabetes properly. DKA is an emergency that must be treated right away. 0 mmol/L. Advice and monitoring ~each hour will help. This imbalance in the body causes a build-up of ketones. Understanding Ketone Levels Ketone levels vary from person to person. When I'm sick or dehydrated that can happen. Ketoacidosis is a serious complication of diabetes and is characterized by an accumulation of ketone bodies in the body due to an uncontrolled rise in blood sugar. Drink water (this doesn't actually lower blood sugar, but it helps flush sugar and ketones from your body, if you have them). Continue reading >>, BioMed Research International Volume2015(2015), Article ID134780, 5 pages 1Division of Endocrinology, Internal Medicine Department, University Hospital Dr. Top of the list: it's high in saturated fat. Eating carbohydrate-rich foods like grains, fruits and vegetables can quickly help lower ketones in the system. Everyone is different. There were 63 episodes of DKA in 41 patients managed using CPG compared with 40 episodes in 33 patients treated before implementation of CPG. Test your ketones when your blood sugar is over 250 mg/dL (milligrams per deciliter) or you have any of the above symptoms of high blood sugar, such as dry mouth, feeling really thirsty, or. Why Do You Get Diarrhea When Taking Metformin. If your doctor is able to help, then you need not read on. 4 ervna, 2022; Posted by: Category: Uncategorized; dn komente . Talk to your doctor immediately if your urine results show moderate or large amounts of ketones. This leads to a lack of fluids in the body (dehydration). In this case, a person should also seek urgent medical attention. Created Date: 4/12/2017 8:52:08 AM . Diabetes at the RCH : Ketones and diabetic ketoacidosis Diabetic ketoacidosis - NHS Diabetes & DKA (Ketoacidosis) | ADA Prompt diagnosis and treatment of DKA can help to prevent severe complications and long-term damage. This may be done as often as every hour. DKA is an emergency that must be treated right away. If you are making choices you havent previously put into practice, get advice and support from your diabetes team before and while you make the changes. Diabetic ketoacidosis: MedlinePlus Medical Encyclopedia Continue reading >>, As fat is broken down, acids called ketones build up in the blood and urine. Fatigue. Continue reading >>. If you have high blood sugar readings and ketones are present in your urine, you should see a doctor as soon as possible. Diabetic Ketoacidosis can kill you if left untreated. If you know these instructions ahead of time, you will be better prepared to get the treatment you need in a timely manner. Signs of DKA include moderate or large ketones, nausea, vomiting, abdominal pain, fruity, or acetone (think nail polish remover) breath, rapid breathing, flushed skin and lack of energy. Hyperglycemia is the hallmark of diabetes it happens when the body either can't make insulin (type 1 diabetes) or can't respond to insulin properly (type 2 diabetes). I Its also the most likely time for a child with diabetes to die. DKA occurs when there is not enough insulin in the body, resulting in high blood glucose; the person is dehydrated; and too many ketones are present in the bloodstream, making it acidic. 1. Ketones occur most commonly when there is not enough insulin in the body. It is also important to note that fasting and dehydration can also increase the ketone levels in urine, and so these should be considered when evaluating ketone levels. A heart (cardiac) monitor may This Webinar will end promptly at 9PM CST The next Webinar is scheduled for Tuesday October 28th 2014 from 6:30-7:30PM CST: Topic Travelling with Diabetes by Dr. Matthew Stephen. Additionally, insulin therapy should be administered to reduce glucose levels, with the dose and the duration of therapy determined by the severity of the DKA and the patients medical history. People with diabetes need to be concerned about ketones, though, because they can be a sign of a life-threatening condition. Higher insulin doses than these will be needed if there is an infection or other major stress. Continue reading >>, All blood tests are tools. Ketone monitoring is less of a concern for people with type 2 diabetes than for those with type 1 diabetes. Once blood glucose is no longer rising and ketosis is decreasing, the insulin infusion should be decreased or stopped to prevent hypoglycemia. Reply. 4 Any level higher than this, indicates ketones are present. They may make you vomit or you may become breathless. Infection, injury, a serious illness, missing doses of insulin shots, or surgery can lead to DKA in people with type 1 diabetes. Symptoms of high blood glucose levels Feeling thirsty Passing a lot of urine (you may need to get up often during the night) Feeling very tired Treatment for high blood glucose levels Try to work out why your glucose level is high. [3] Diabetic ketoacidosis (DKA) is the main acute complication of T1D. The start of vomiting requires immediate attention at an ER or hospital where IV fluid replacement can begin. How to Lower and Control High Blood Sugar in the Morning? So when he felt unwell one weekend night, he turned down his wife's suggestion that she drive him to the emergency room and told her he'd wait til Monday when he could see his family doctor. If it's not treated, hyperglycemia can cause serious health problems. Its sort of like having molasses for blood, says George. In addition, and even more concerning, is the fact that hospitalizations for patients with DM have being increasing[2]. By now, I was familiar with the drill, having experienced it a handful of times in the past: Provide urine sample to endocrinologist and keep my fingers crossed that its negative. PDF DRIVING & Type 1 Diabetes - Royal Children's Hospital During treatment of DKA, the goal is to maintain serum potassium levels between 4 and 5 mEq per L (4 and 5 mmol per L). The diabetes health care team will let you know what your child's target blood sugar levels are, which will vary based on factors like your child's age. When You Need to Go to The Emergency Room with High Blood Sugars - Blogger If you have type 1 diabetes and your blood sugar rises above 250, you could be at risk for ketoacidosis, which occurs when the body burns fat for energy and creates high levels of blood acids, known as ketones. Move. If possible, have a friend or relative come and regularly check on you. Usually it is a waste of money. You get glucose from eating carbohydrates. If DKA isnt treated, it can lead to diabetic coma and even death. Ketones and Type 1 Diabetes - Diabetes New Zealand Yes, it is possible to have diabetic ketoacidosis (DKA) without knowing. Check your blood sugar and ketone levels Check your blood sugar level if you have symptoms of DKA. But the level of ketosis that results from low carbohydrate consumption isn't harmful and is much lower than the level seen in diabetic ketoacidosis. If you experience symptoms such as excessive thirst, dry mouth, frequent urination, weight loss, nausea, vomiting, abdominal pain, confusion, or difficulty breathing, it is important to seek medical attention as soon as possible. If you do not test for ketones frequently, they may expire before they are used up and you should not rely on them. If nausea becomes severe or last 4 hours or more, call your physician. This area of the patient/parent brain needs some help DEALING WITH ANNOYING THINGS OTHERS SAY CENTRE INSULIN AND CARB CALCULATOR 4. To get energy, the body starts to burn fat. Ketones are a type of chemical that your liver produces when it breaks down fats. You will want to make sure you are getting the right treatment. Studies suggest that most, if not all emergency department and hospital admissions beyond initial diabetes diagnosis could be prevented if people better managed their diabetes care and knew the warning signs when ketoacidosis was developing. Take extra amounts of Humalog, Novolog or Regular insulin to bring the blood sugars down. It is a critical part of diabetes management. Continue reading >>, When youre unwell, you need to take extra care. This was a 6-year (2008-2014) case-control retrospective study conducted at King Khalid University Hospital, Riyadh, that compared patients with DKA managed using CPG with those treated before CPG implementation. DKA is a medical emergency. Your body uses insulin to help move the glucose from the bloodstream into the cells for energy. If you don't address those ketones early on, it can escalate into full-blown diabetic ketoacidosis which can be life-threatening and land you in the hospital. Apr 23, 2016. Fortunately, it wasno ketones spilled. Patient 1 A 28-year-old man was found on the floor by his mother soaked in his own urine and with a reduced consciousness level. Treat Your Diabetes Well. When high blood sugars or ketoacidosis happen, it is critical that you drink lots of fluid to prevent dehydration. Should you try the keto diet? - Harvard Health Some home blood sugar meters can also measure blood ketones. Your doctor will test your blood for levels of glucose, ketones, and electrolytes such as sodium and potassium. Therefore, it is always best to consult with a health care provider to determine an individuals unique range. The next stage of DKA symptoms include: vomiting (usually more than once) confusion or trouble concentrating a fruity odor on the breath. DKA is when the acidity of the ketones have reached a toxic level in the blood, and the body is in its last stage of survival. The strip will change color; the directions will tell you how long . Read about Diabetes and Ketones What is diabetic ketoacidosis? Save Maimonides actually says it wants the same thing as hospital management: for Northwell to take over. If sugar is high, the body produces ketones and lactic acid which throws off the acid-base (pH) level of the body." Blood Sugar Crisis 300's With the acid-base level thrown off, the body will become too acidic, affecting breathing, the kidneys and the brain. When she first told me her story about food poisoning and Diabetic Ketoacidosis (DKA), I knew others could benefit from hearing it as well. Also, if you are having symptoms of Diabetic Ketoacidosis, stop reading this article and go to the hospital immediately. Thanks Katie for your openness and allowing us to share your scary story so that the LOOP community can learn from it. It is prescribed by a physician and carefully monitored by a dietitian. To one side, low blood sugarcalled hypoglycemia can kill you. Everything moves so slow, the mouth can feel so dry, and there is a cloud over your head. I hope you reviewed the Prewebinar background materials I posted to Slideshare and You Tube. What are ketones and why do I need to know about them? If the level of ketones in a persons urine is too high, it is important that they consult their healthcare provider. Common problems in type 1 diabetes Missed insulin dose(s) Insulin dose reversals Surreptitious insulin doses Outdated/damaged Diabetic ketoacidosis (DKA) | Ketosis symptoms and treatment | Diabetes UK Higher insulin doses than these will be needed if there is an infection or other major stress. See also the separate Childhood Ketoacidosis article. Tell operator that situation is urgent. Why Eating More of This High-Fiber Food May Lower Your Diabetes Risk, Diabetic Ketoacidosis Increases Risk of Acute Renal Failure in Pediatric Patients with Type 1 Diabetes, Our Diabetes Story: My 11 Year old Son Went Into Diabetic Ketoacidosis and Was Diagnosed with Type 1 Diabetes, The Difference Between Hypoglycemia and Hyperglycemia, The Real World, Diabetes: As cameras roll at a Jamaican resort, desperate patients seek healing, Service Dogs Provide Alert Assistance for People with Diabetes, Type 1 diabetes more prevalent in adults than previously believed, prompting doctors to warn against misdiagnosis, Diabetes is even deadlier than we thought, study suggests, Screening For Diabetes Is Working Better Than Thought, New approaches to Diabetes management could transform healthcare in Saudi Arabia, Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study, Disparities in Diabetes Deaths Among Children and Adolescents United States, 20002014. #9. kristyn14 said: Ketones are currently running at 1.2 I think and bg is running at 29.0 just don't no what to do for the best at the min. every 30 minutes. But the campaign argues that Mr. Gibbs, who earned $3.2 million in 2020, and Mr. Keilin . Lowering your ketones fast may be best accomplished by increasing your intake of carbohydrates and fluids. Continue to drink 8 to 12 oz. Author: diabetes.org.uk Published Date: 12/15/2021 Review: 4.84 (956 vote) Summary: If the ketone levels in your blood are high, you're at risk of DKA. If you're in a situation where your blood sugar has been high for an extended period of time, you could perhaps consider taking the following steps to solve your blood sugar problem. People with diabetes are at increased risk of DKA if they have low insulin levels, a recent illness or infection, high stress, or if they do not monitor their blood sugar levels adequately or skip insulin doses. Walking helps your cells become less insulin resistant, which is what you need right now. Collect a sample of your urine in a clean container. A diabetic in the state of DKA is essentially being poisoned by their own body as it seeks energy it cannot get from glucose saturated blood cells as it normally would. ketones when to go to hospital - digitalidentityorganization.com Diabetes Complications in Dogs and Cats: Diabetes Ketoacidosis (DKA), Soon your car will know when you are having a heart attack and know how to react. [1, 2] In Saudi Arabia alone, it is estimated to be 27.5 per 100 000 individuals per year. Another way to prepare for a high blood glucose crisis is by wearing a MedicAlert bracelet or necklace at all times (available from www.medicalert.ca, or call 1-800-668-1507 or 416-696-0267 from outside Canada. Recommended Reading: What Yogurt Has The Lowest Sugar If vomiting starts or you can no longer drink fluids, have a friend or family member call your physician immediately, then go directly to an emergency room for treatment. This can happen when the body isnt receiving enough glucose, either because there isnt enough glucose present in the body or because the person is following a low-carb or ketogenic diet. How did I get so unhealthy? http://www.diabetes-support.org.uk/info/?page_id=141, What was your fasting blood glucose? The blood sugar level at which ketoacidosis typically starts is 250 mg/dL. Many experts advise checking for ketones when your blood glucose is more than 240 milligrams per deciliter (mg/dL), while others suggest checking when your blood glucose is more than 300 mg/dL. In the evening, I had about 150 grams of cheese, followed by raspberries with cream (around 10 and 100 grams respectively). Being in a state of DKA, from my experience, starts of rather mundane and usual and eventually becomes quite a surreal and alarming ordeal. The series of events that led up to my stay in the ICU began innocently enough. When ketones are left untreated, eventually, diabetic ketoacidosis (DKA) will develop. This condition is quite serious and requires immediate medical attention. 3 The scenario should be individualized based on a person's age, specific situation, and medication regimen. Diabetic Ketoacidosis: The 411 People with type 1 diabetes live life on a tightrope. Diabetic Ketoacidosis: Evaluation and Treatment - American Academy of Wait for the strip to change colour. If you have been taking your insulin without missed doses, your doctor will want to determine if you have an infection. Moderate levels of ketones: Between 30 and 40 mg/dL Large levels of ketones: Above 80 mg/dL As for the blood test, the results fall into three main ranges: 0.6 mmol/L or below. The National Surveillance of Diabetes Public Health Resources, reported that diabetic ketoacidosis (DKA) admissions increased from 80000/year in 1988 to 140000/year in 2009[2]. Blood Ketones testing - Milton Keynes University Hospital Jos E. Gonzlez, Autonomous University of Nuevo Len, 64460 Monterrey, NL, Mexico 4Latino Diabetes Initiative, Joslin Diabetes Center, Harvard Medical School, Boston, MA 02215, USA Academic Editor: Gianluca Bardini Copyright 2015 Ren Rodrguez-Gutirrez et al. People with diabetic ketoacidosis are always treated in a hospital. Never omit your insulin, even if you cannot eat. It is important to maintain good control over your blood sugar and to take all of your diabetes medications as prescribed in order to reduce the risk of developing ketoacidosis. Blood glucose over 11 mmol/L or known diabetes mellitus (the degree of hyperglycaemia is not a reliable indicator of DKA and the blood glucose may rarely be normal or only slightly elevated in DKA). A ketones in blood test measures the level of ketones in your blood. Elevated ketones are a sign of DKA, which is a medical emergency and needs to be treated immediately. Diabetic ketoacidosis (DKA) is a serious complication of diabetes caused by a lack of insulin in the body. Kidney stones are a type of crystal that is formed by substances in urine. If nausea becomes severe or last 4 hours or more, call your physician. You are confused. In addition, careful daily attention to your diabetes can help you avoid dangerously high glucose levels. Its the biggest medical emergency related to diabetes. Early detection and treatment can help prevent life-threatening complications. Five Things to Know About Ketones | ADA - American Diabetes Association Write down the time and your blood sugar level. If I eat sugar or carbs and the palpitations start. just ring 111 for advice they will most likly tell you to come in so they can get your sugars down should be in there for 5 hours max good luck x. To Ward Off Diabetes, Eat Whole Fruit, Shun Fruit Juice. Storage Glucose is needed by cel Metformin is a prescription drug used to treat type 2 diabetes. Late symptoms of . As in, walk. Diabetic ketoacidosis (DKA) is a medical emergency with a significant morbidity and mortality. He hated to spend money unless it was absolutely necessary. Ketones The 6 Must-Knows - Beyond Type 1 DKA may cause you to become extremely unwell and you may require urgent hospital treatment. They are a warning sign that your diabetes is out of control or that you are getting sick. If you want to try an stabilize your baseline, consider signing up for my Baseline Blood Sugar Challenge course. In addition to maintaining a healthy diet and exercise regimen, it is important to have regular ketone tests if you are at risk of developing ketoacidosis. Too much glucose in your blood (also called hyperglycemia or high blood sugar) can cause many problems. I truly doing it all wrong, not because I dont know what I need to do but because I had fallen into a bad habit of snacking constantly which makes it difficult to test correctly and almost impossible to gi Generally, its recommended to visit the hospital if ketone levels reach 3 mmol/L or higher. Check the expiration date on the Ketostix. However, it is important to note that ketones levels can vary depending on the individuals nutritional status, activity level and other factors. 2.53.5 mmol/L or more: If you can't talk immediately with your specialist diabetes team, you need to go to hospital urgently. Some people do actually drop low, but most people find stress to be a real problem in causing high levels (stress hormones cause the liver to release extra glucose). Ketoacidosis is a serious but rare metabolic disorder that occurs when the body produces too many ketones as a result of decreased insulin levels or in some cases, an underlying chronic health condition. Ketones in the urine, as detected by urine testing stix or a blood ketone testing meter [1], may indicate the beginning of diabetic ketoacidosis (DKA), a dangerous and often quickly fatal condition caused by low insulin levels combined with certain other systemic stresses. How to Lower and Control High Blood Sugar in the Morning? Possible causes for this could be: Experiencing stress or illness such as fever, Having an infection. An organ in your upper belly, called the pancreas, makes and releases a hormone called insulin when it detects glucose. 0 ketones in a urine test indicates that the person taking the test has a higher than normal level of ketones in their urine. If there is any chance that your ketone levels are high enough to require hospitalization, it is important to seek medical attention immediately. A heart (cardiac) monitor may Diabetic Ketoacidosis - How to Manage Your Diabetes | Diabetes Self Yes, stress can certainly elevate levels! JavaScript is disabled. Additionally, if the levels of ketones in the urine remain abnormally high, it may be an indication of an underlying health issue that needs to be evaluated further. Shake the strip gently. DKA has arbitrarily been classified by some as mild, moderate and severe, according to the initial diagnostic criteria (which includes plasma glucose, arterial pH, serum bicarbonate, urine and serum ketones, serum osmolality and anion gap; and the alteration in the mental status)[4]. How Are Fatty Acids Converted To Glucose. Allow me to pause today to share with you the down and dirty of what it feels like to have something that is not the slightest bit humorous: diabetic ketoacidosis.You are hot. People who follow low-carbohydrate diets often speak of ketosis as a desirable state it's evidence that their bodies are burning fat, not carbohydrate. Urine and breath tests are both accessible to anyone, although urine tests are the most common. If you have Moderate Ketones or higher, Call the 650-497-8000 and ask for . If too many ketones accumulate in the body, they can become toxic. They include: Monitoring You will be checked often by the hospital staff. How did I get fat? You can have low levels of ketones in your blood without it being a problem. Dry mouth (xerostomia) High blood sugar levels (over 240) If symptoms are left untreated they could progress to additional and more serious symptoms including: Confusion or difficulty focusing. (with some chat). In some cases, diabetic ketoacidosis might be the first sign you even have diabetes. Throughout this past year, Ive had the honor of sharing with you, the amazing LOOP community, my personal journey and the often humorous sequence of events that is my life with T1. Continue to drink 8 to 12 oz. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'remodelormove_com-box-3','ezslot_5',175,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-box-3-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'remodelormove_com-box-3','ezslot_6',175,'0','1'])};__ez_fad_position('div-gpt-ad-remodelormove_com-box-3-0_1');.box-3-multi-175{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:50px;padding:0;text-align:center!important}If your ketone levels are over 0. Ketones are chemicals the body produces when it breaks down fat for energy. It's normal for everyone to have a small amount of ketones in the bloodstream, and after a fast of 12 to16 hours, there may be detectable amounts in the urine. 6 things you should remember 1) How type 1 diabetes works 2) Importance of water 3) Dual role of insulin (on/off role) 4) Most carbs become sugar 5) Exercise is a form of stress 6) Our brains run on sugar 5. Ketogenic Diet for Seizures | Epilepsy Foundation Your doctor will likely perform a number of tests, including blood tests to check for ketone levels, and may recommend hospitalization for IV fluids and insulin if your condition is severe. When should you go to the hospital for ketones? If you are experiencing symptoms of ketoacidosis, or if your body is producing too many ketones, you should go to the hospital. In the early stages, one may experience fatigue and an increased need to urinate frequently. You may find the Pre-diabetes (Impaired Glucose Tolerance) article more useful, or one of our other health articles. Use at your own risk. DKA mainly affects people who have type 1 diabetes. When your body does not make insulin (type 1 diabetes), or has trouble using insulin (type 2 diabetes), glucose cannot get into your cells. Bicarbonate below 15 mmol/L and/or venous pH less than 7.3. I had gotten sloppy with my insulin doses and hadnt been taking my blood glucose levels nearly often enough. If you do a blood ketone test: lower than 0.6mmol/L is a normal reading 0.6 to 1.5mmol/L means you're at a slightly increased risk of DKA and should test again in a couple of hours 1.6 to 2.9mmol/L means you're at an increased risk of DKA and should contact your diabetes team or GP as soon as possible 3mmol/L or over means you have a very high risk of DKA and should get medical help immediately If you do a urine ketone test, a result of more than 2+ means there's a high chance you have DKA.