In a state of diabetic ketoacidosis,

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Diabetic ketoacidosis is a complication of uncontrolled diabetes mellitus, in which high levels of ketone bodies (acids) accumulate in the blood due to the breakdown of fats for energy in the absence of sufficient glucose. This leads to a dangerous increase in acidic molecules in the blood, lowering its pH and causing a state of acidosis. The brain can still use ketone bodies for energy, but if left untreated, diabetic ketoacidosis can lead to coma or death. Kidney function may also be impaired in this condition.

In a State of Diabetic Ketoacidosis