Ketoacidotic. Hypoglycemic State

diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin.
It is a life-threatening problem that affects people with diabetes. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic.

are too low. The most common cause for hypoglycemia is diabetes medication. This is because too much insulin or medication to reduce blood sugar may drop levels too far, causing hypoglycemia.
Below normal glucose levels (< 45 mg/dL, but symptoms start at 60 mg/dL) -Counter regulation starts at 67 mg/dL -Normal blood level 80-90 mg/dL

too little, too much, or at the wrong times) can result in both transient and serious hypo- and hyperglycemia, wide glycemic excursions, severe hypoglycemia, and DKA.

become too low, signs and symptoms can include:
An irregular or fast heartbeat
Fatigue
Pale skin
Shakiness
Anxiety
Sweating
Hunger
Irritability
Tingling or numbness of the lips, tongue or cheek
As hypoglycemia worsens, signs and symptoms can include:
Confusion, abnormal behavior or both, such as the inability to complete routine tasks
Visual disturbances, such as blurred vision
Seizures
Loss of consciousness

if you have diabetes. In a diabetic coma, you are unconscious and unable to respond to your environment. You are either suffering from high blood glucose (hyperglycemia) or low blood glucose (hypoglycemia). You need immediate medical attention if you go into a diabetic coma.

During Severe Hypoglycemic state in diabetic ketoacidosis, which is more common in people with Type 1 diabetes, it includes life threatening condition when:
- blood sugar as low as 250 mg/dL or even lower in some cases.
-body uses fatty acids instead of glucose for fuel.
-Ketones develop in your urine and bloodstream.

the patient was not arousable (or responded only to pain), with a blood glucose concentration of 2.72 mmol/L (49 mg/dL) or less, and responded symptomatically (a return of consciousness) to the administration of intravenous glucose.

Hypoglycemic Coma
Hypoglycemia occurs predominantly in patients taking insulin but also in patients taking sulfonylureas, particularly long-acting preparations such as chlorpropamide and glibenclamide. The factors which commonly predispose to hypoglycemia, either alone or in combination, are:
•
too much insulin or sulfonylurea
•
too little food or delayed meal
•
too much physical exercise.

level is lower than 70 mg/dL (3.9 mmol/L), give the person an injection of glucagon. Do not try to give fluids to drink and do not give insulin to someone with low blood sugar.
If the blood sugar level is above 70 mg/dL (3.9 mmol/L) wait for medical help to arrive. Don't give sugar to someone whose blood sugar isn't low.