Medical Emergencies · single question

Diabetic ketoacidosis (DKA) and hypoglycemia represent which relationship to each other, in terms of blood glucose direction?

  1. Opposite metabolic states
  2. The same underlying metabolic state with different names
  3. DKA is simply a severe form of hypoglycemia
  4. Hypoglycemia always progresses directly into DKA if untreated
Show answer and explanation

Correct answer: A. Opposite metabolic states

DKA is fundamentally a hyperglycemic crisis (driven by insulin deficiency, unchecked gluconeogenesis, and ketone body accumulation), while hypoglycemia is, by definition, a low blood glucose state — these represent opposite directions of glucose derangement and require opposite emergency management (glucose administration for hypoglycemia; insulin and fluid management for DKA), making it critical not to confuse the two in an emergency.

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