Treatment is directed at the DKA and any underlying conditions. For example, antibiotics or surgery may be needed for an infection. Fluids and insulin are generally given through an intravenous line, or IV. An IV is a thin tube that is placed into a person's vein, usually in the arm. Salt replacement is also commonly needed and is supplied through the IV. People often need care in an intensive care unit with frequent monitoring. Treatment may last several hours or several days.
Getting too much fluid or the wrong kind of fluid can cause swelling of the brain, known as cerebral edema. A low blood glucose level is rarely a problem, but may occur if too much insulin is given. Antibiotics may cause allergic reactions, stomach upset, and other side effects.
People who have diabetes need lifelong treatment. After an episode of DKA, the individual may need further instruction about diabetes. Education includes information on diet, exercise, insulin dosage, and blood glucose monitoring. A person's insulin dose may need to be changed in some cases.
The individual may have frequent visits with the healthcare provider until the diabetes is well controlled. Any new or worsening symptoms should be reported to the provider.