What Should I Do if My Blood Sugar Remains at 20 After 5 Days of Ketoacidosis?

Ketoacidosis lasting for 5 days with blood glucose still at 20 mmol/L indicates poor glycemic control, potentially due to inadequate medication dosage or other complications, requiring targeted treatment. Ketoacidosis refers to metabolic acidosis associated with ketone body accumulation. When ketone bodies accumulate excessively in the patient's blood beyond the body's compensatory capacity, ketoacidosis occurs. The main manifestations include polyuria, fatigue, weight loss, appetite loss, and more.

1. Inadequate Medication Dosage: Generally, ketoacidosis requires insulin therapy. If the medication dosage is insufficient, it may lead to blood glucose remaining at mmol/L levels after 5 or even 20 days of treatment. The patient should inform the physician of this situation, and the physician will increase the medication dosage based on the patient's condition to alleviate the patient's discomfort.

2. Other Complications: Ketoacidosis can easily lead to other complications such as severe infections and myocardial infarction, which can cause the aforementioned symptoms of discomfort. In cases of severe infections, medication such as levofloxacin and azithromycin should be used under the guidance of a physician. For myocardial infarction, thrombolytic therapy and coronary intervention are required.