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Signs of Diabetic Ketoacidosis (DKA) Early Warning Signs of DKA Excessive thirst that doesn’t go away Frequent urination High blood sugar readings (usually above 250 mg/dL) Fatigue and weakness Dry mouth and dry skin Nausea or upset stomach Advanced DKA – The Red-Flag Symptoms Fruity-smelling breath – a distinctive sweet or acetone-like odor caused by ketones Deep, rapid breathing (known as Kussmaul breathing) – the body’s attempt to blow off acid Persistent vomiting that prevents fluid intake Severe abdominal pain often confused with a stomach virus Confusion, drowsiness, or difficulty staying awake Flushed face and dry, warm skin Rapid heart rate How Fast Does DKA Develop