Diabetic ketoacidosis and lactic acidosis?

Welcome, folks! Today we’re going to dive deep into the vast chasm of two terms you’ve probably heard but never understood. Don’t worry; we got your back on this one.

What is Diabetic Ketoacidosis?

Diabetic ketoacidosis (DKA) sounds like a title for a new punk rock album with leanings toward health awareness- it’s that cool. However, there is nothing cool about DKA, especially if you have diabetes. In layman’s terms DKA happens when your body doesn’t produce enough insulin or can’t use it properly, and blood sugar levels rise high as giraffe balls.

Not Just Any Old Acid

Now many of us think “Acid,” Holy Moses!, amirite? It’s not just any regular ole’ acidic pH here in DKA land because ketones also play an essential role in causing ‘metabolic’ acid(base) deficiency, indeed these little fellas aid towards tweaking those hydrogen ion concentrations outta whack.

So Tada!! Finito, ladies and gentlemen: basically speaking; too much glucose + lack of insulin = ouchies!

Symptoms & Treatments?

Symptoms include thirsty mouth syndrome, upset tummy depression, seething confusion combined with sluggish movements feeling like taking concrete pants off getting nowhere fast all followed by sweet sweet bathroom releases…just joking I meant crapping yourself oh hey now look at that joke^1 right there!
But boy are our doctors clever people so they will get you right as rain once again.

One could treat their way out by adding some liquid flows intravenous wise (I.V.) or even give themselves shots but please consult someone who knows which end to hold before doing so(you know whom i’m talking about, the white coat person that reeks of latex and cleanliness).

On a serious side note, do what their butts are telling you.

Lactic Acidosis

Lactic acidosis! Sounds like an experimental phase for removing stains from clothes using milk- it’s not. This is just another branch on our acid tree(nah).

Some unfortunate people suffer this scarring illness when the body makes too much lactic acid, which leads to dangerous (and potentially deadly) imbalances in your system’s chemical composition. Lactate, being one of those tiny little organic molecules that play switcheroo with all sorts of processes in the body such as energy usage during exercise.

‘Anaerobic’ Workouts & Symptoms

You might be asking yourselves, “but why does my lactose-laden acidic state matter?” Well, strange friend; we’re so glad you did inquire because let me tell y’all something: When your muscles try to save up energy during intense exercises like lifting weights or running they use glucose aka sugar first then latchup onto stored glycogen reserves (which will never beat money at saving some important things for rainy days), and if your oxygen levels drop too low[2] these exact same muscles switch up into total modeanaerobic metabolics. It means producing more lactate than can get rid off through healthy living rhythm methods -Okay stop giggling now- causing muscle fatigue and symptoms galore till one finally recovers(assuming you made it through).

Examples include:

 Excess sweating(no stinky gym armpits please)

  Nausea/upset stomachs(fun fun!)

   Rapid breathing sounds(like sucking helium balloons while talking)

    Clumsiness(made worse by aforementioned^1 nausea medication dipsies)

      Feeling cold/weak/tired/scared/jumpish(literally anything here pick two!)

Differences in the Similarities

Now that we’ve gotten some serious topics over with let’s compare and contrast our two acid elements.

While DKA is more common in those with diabetes type 1, lactate level increases might not appear until later stages of other underlying problems which could also point towards a lesser grip on this reality.

Overdosing & Hangovers

Remember your youth? On nights when you may or may not have cheered a bit too heartily(okay scratchthat who are we kidding too much alcohol), greeted the porcelain ‘if ya know what I mean’. Your body made lactic acid because it’s needing to quickly oxidize all molecules back into glorywhich then goes through your liver for detoxification- So think of lactic as hangover fuel, while ketoacidosis beckoning at one’s door means that coming close to an overdosage on something somewhat necessary(that being sugar) then morphs into nastiness(which ain’t no fun).

Prevention and Treatment

Similar prevention methods exist(trust us). In dealing exclusively with lactate build-up dialysis gets used(oh my goodness there it is someone besides buzzfeed said the word!). We’re talking about blood flow filtration machines here so hold unto y’alls hats folks! Where inside just like magic sorcery-‘cept well-science-your own red cells become artificially purified and make sure no fluid from leftover junk can tease out any unnecessary chemicals.Attempts at fixing DKA involve insulin, hydration(Remember drinking water matters!!!^2), fluids, electrolytes(sodium/potassium/magnesium/zinc/etc.), et voila(mon dieu):(It means ‘there you go’, keep up!). You’re done (no staying over).

There’s really only one thing left to discover: How often do these occur?

On average both can happen anywhere between once/twice yearly for those unlucky fellas spread within a spectrum of maybe once every three years or even up to ten in rare cases which doesn’t sound too good does it? But we’re just some internet writers so what do we truly know.


So there you have it folks, acidosis in two different varieties- now with extra humor! Remember, consult professionals(kindly asking Siri does not trouble-check), stay hydrated(+tepidness works best) & replenish those electrolytes(gatorade banzai!).

Until next time gang peace out![2]


  1. Jokes aside though seriously speaking kid make sure that its the doc holding the needle!!
  2. Yes, this is true – Look up interventions for controlling symptoms of pica

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