Symptoms and causes Causes: DKA is most common in people with type 1 diabetes due to a lack of insulin, but can also occur in people with type 2 diabetes, notes Breakthrough T1D. It can also be triggered by illness, stress, or missing insulin doses. Symptoms: Increased thirst and frequent urination Nausea, vomiting, and abdominal pain Weakness or fatigue Shortness of breath or deep, gasping breathing Fruity-scented breath Confusion or difficulty paying attention Treatment and prevention Treatment: DKA requires immediate medical attention and is treated in a hospital, usually in the emergency room. Intravenous (IV) fluids: are given to replace fluids lost through frequent urination. Insulin therapy: is administered to stop the body from breaking down fat and to lower blood sugar levels. Electrolyte replacement: helps correct imbalances in minerals like potassium, sodium, and chloride. Prevention: Monitor blood sugar levels regularly: and follow your healthcare provider's instructions for managing your blood sugar. Test for ketones: when blood sugar levels are high (over 240 mg/dL) or when you are sick. Take your insulin and other medications as prescribed: and don't miss doses. Stay hydrated: by drinking plenty of water or sugar-free beverages. Follow your meal plan and exercise program: consistently. Create a DKA emergency plan: with your doctor, including steps to take if you have high blood sugar or ketones.