Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get StartedWhen to seek medical advice
By Mayo Clinic staffSigns and symptoms of diabetic ketoacidosis may mimic those of the flu, so it can be tricky to know whether you have a viral infection or a more serious health problem. If you feel ill, stressed, or you've had a recent illness or injury, check your blood sugar level often. You might also try an over-the-counter urine ketones testing kit.
Contact your doctor if:
- You're vomiting and unable to tolerate any food or liquid
- Your blood sugar level is higher than your target range and doesn't respond to home treatment
- Your urine ketone level is moderate or high
Seek emergency care if:
- Your blood sugar level is consistently higher than 300 milligrams per deciliter (mg/dL) or 16.5 millimoles per liter (mmol/L)
- You have excess ketones in your urine and can't reach your doctor for advice
- You have multiple symptoms of diabetic ketoacidosis — excessive thirst or urination, nausea and vomiting, abdominal pain, loss of appetite, shortness of breath, fruity-scented breath, confusion
Remember, untreated diabetic ketoacidosis can be fatal.