Abstract
Since high blood glucose levels might result from inadequate insulin levels, diabetic ketoacidosis is more
common in those with insulin-dependent diabetes mellitus. Diabetic ketoacidosis develops only when there is
insufficient insulin in the body to convert blood sugar into energy. The liver then uses the acids created by this
process, known as ketones, to breakdown fat for energy. Osmotic diuresis, which results in significant amounts of
urine production and volume depletion, as well as dehydration, occurs when an excessive amount of glucose enters
the renal tubules of an individual with diabetes. Non-insulin-dependent diabetes mellitus can be more likely to
cause hyperglycemic hyperosmolar nonketotic syndrome. More often than not, people with non-insulin-dependent
diabetes mellitus who do not have their diabetes under control will experience hyperglycemic and hyperosmolar
non-ketotic syndrome. The majority of cases of hyperglycemic hyperosmolar non-ketotic syndrome occur in people
with non-insulin-dependent diabetes mellitus who also have another condition that reduces fluid intake.
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