Ketoacidosis causes dehydration and electrolyte depletion. Ketosis episode is due to low or no insulin. Therefore, ketosis treatment starts with insulin therapy and electrolyte replacement.
- Insulin therapy - Insulin reverses the processes that cause diabetic ketoacidosis, along with fluids and electrolytes. Receive insulin therapy, usually through the vein. When the blood-glucose level falls below 250 mg/dL (14 mmol/L), and blood is no longer acidic. Then stop intravenous insulin therapy and resume normal insulin therapy.
- Fluid replacement – Re-hydrate by fluid either orally or through the vein (intravenously). These fluids will replace those lost through excessive urination and helps to dilute the glucose in blood.
- Electrolyte replacement - Electrolytes are minerals in blood such as sodium, potassium, and chloride. Absence of insulin can lower the level of several electrolytes in the blood. Replace electrolytes through veins to help keep heart, muscles, and nerve cells function normally.