What Is Alcoholic Ketoacidosis?

Alcoholic ketoacidosisKetoacidosis is accompanied by mild hyperglycemia, without an increase in blood alcohol content.

Alcoholic ketoacidosis

Alcoholic ketoacidosisKetoacidosis is accompanied by mild hyperglycemia, without an increase in blood alcohol content.

This symptom occurs in patients with potential damage to insulin secretion. Stop drinking and starvation are used in combination with endogenous insulin secretion, and stimulate increased free fatty acid (FFA) release and enhanced ketogenic effect. Some chronic drinkers may have recurrent severe vomiting And the tendency for abdominal pain.

The characteristic medical history is that heavy drinking caused vomiting, and he could not eat or drink for more than 24 hours. During hunger, he went to the doctor for repeated vomiting and severe abdominal pain. The degree of blood glucose elevation (such as blood glucose <150mg / dl, that is <8.33mmol / L) is obviously Meets ketoacidosis (DKA) criteria. Most patients have pancreatitis, and many patients show impaired glucose tolerance or mild type 2 diabetes after recovery from an acute attack. Begin treatment with a 5% glucose saline solution intravenously, plus vitamin B1 And other water-soluble vitamins, supplement potassium if necessary. Ketoacidosis and gastrointestinal symptoms usually improve quickly (for patients with atypical DKA, insulin is appropriate).