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Complications of Diabetes: Diabetic Ketoacidosis Diabetic ketoacidosis or (DKA) is a complication of diabetes. When the individual's blood sugar gets very high and they are profoundly deficient in insulin, the body becomes unable to utilize blood sugar efficiently. The body then begins to burn fat stores for food Dietary Needs of the Diabetic Part IV The diabetic patient can help control their blood glucose levels in conjunction with a healthy diet. Not only can they help to control their blood glucose levels with a healthy diet, but their lipids and blood pressure as well. Nutrition recommendations are developed from the following table: So, You Are A Diabetic? So, you are a diabetic. If you have just been recently diagnosed, then there is much to learn. Be careful where you get your information. The doctor should be your first source. Your doctor should prepare you with literature and other teaching material, as well as give you referrals to help groups. Being a diabetic doesn't mean your life is going to change. Assessing the Diabetic Client In assessing the diabetic client, the nurse should identify specific body systems that the disease effects. Always look first. Is the client obese, frail, emaciated or well nourished? Notice the client's face and skin color, are they pale, flushed or diaphoretic. Ask them how they feel. Are they hungry, thirsty, do they need to use the rest room? Offer them a drink of water if they are thirsty. Dietary Teaching for the Diabetic Client Once a patient is diagnosed as having diabetes, their world suddenly changes. Now they must monitor their glucose before meals and at bedtime, they must watch the sugars that they consume and be aware of the signs and symptoms of hypoglycemia and hyperglycemia and know what actions to take. This is a lot of information to process for a diabetic of any age.