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DKA triggers

2790 Views 5 Replies 4 Participants Last post by  hana
Infection, trauma, surgery are some conditions that trigger DKA.

Why is it so?

I read some where anything that increase need of insulin can trigger DKA in a patient with severe insulin impairment.
but as far as i know infection, surgery, trauma,,,all are stress conditions and stress hormones should go up NOT insulin.
please help me figure out this
thanks
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I think that Dr Z is making the point that insulin is also important as a counterregulatory hormone opposing glucagon. DKA is not so much from hyperglycemia or lack of insulin; rather, from the body being too long under the influence of glucagon: release of FFA's, beta-oxidation & production of ketone bodies -> eventual ketoacidosis.
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