Randy Jackson’s struggle with obesity began as a child in Louisiana, with its super spicy, often super-fatty cuisine. Even as an adult, Jackson still doesn't dream of sugarplums at Christmastime. Instead, he dreams of waltzing andouille sausage and grits, jigging jambalaya, and shimmying beignets and bread pudding with bourbon sauce.
“For the old Dawg, a holiday party was a chance to have something to eat, drink, and be merry, but the new Randy does not drink or eat at parties,” says Jackson, 52,...
Because the cells cannot receive
sugar for energy, the body begins to break down fat and muscle for energy. When this
ketones, or fatty acids, are produced and enter the
bloodstream, causing the chemical imbalance (metabolic acidosis) called
What causes DKA?
Ketoacidosis can be caused by not
getting enough insulin, having a severe infection or other illness, becoming
dehydrated, or some combination of these things. It
can occur in people who have little or no
insulin in their bodies (mostly people with
type 1 diabetes but it can happen with
type 2 diabetes, especially children) when their blood sugar levels are
What are the symptoms?
Your blood sugar may be
quite high before you notice symptoms, which include:
Flushed, hot, dry skin.
Feeling thirsty and urinating a lot.
Drowsiness or difficulty
waking up. Young children may lack interest in their normal
Rapid, deep breathing.
A strong, fruity
Loss of appetite, belly pain, and
How is DKA diagnosed?
Laboratory tests, including
blood and urine tests, are used to confirm a diagnosis of
diabetic ketoacidosis. Tests for
ketones are available for home use. Keep some test strips nearby in case your blood sugar
level becomes high.
How is it treated?
ketoacidosis is severe, it must be treated in the hospital, often in an
intensive care unit. Treatment involves giving insulin and fluids through your
vein and closely watching certain chemicals in your blood (electrolytes). The doctors and nurses will watch you closely to be sure that your brain does not swell as the fluids treat your dehydration.
It can take several days for your blood
sugar level to return to a target range.