Ketoacidosis and alcoholism

Ketoacidosis in ethyl is often overlooked and underestimated, and raises the differential diagnosis of diabetic ketoacidosis, especially if the blood sugar is high. Treatment with insulin then presents a danger.
SYMPTOMS
The diagnosis of alcoholic ketoacidosis arises on some criteria of chronic alcoholism on vomiting and severe dehydration.
Of course, the existence of a metabolic ketoacidosis.
The diagnosis can be difficult due to high blood sugar may be, however hypophosphatemia associated with elevated liver enzymes are diagnostic.
TREATMENT
It is based on a rapid rehydration serum glucose, with the addition of sodium, potassium and phosphorus, adapted to the electrolytic analysis repeated.
Without treatment, complications are the rule: seizures, kidney failure, infections.
In addition, a massive addition of vitamin B1 avoid the appearance of Wernicke encephalopathy GAYET.
In conclusion, in case of ketoacidosis if the blood sugar is high, caution should be the rule regarding the administration of insulin in the absence of known diabetes for sure.