LAW BLOG

Misdiagnosis and Delayed Diagnosis of Diabetic Ketoacidosis

  • By Alvin de Levie
  • 01 Jun, 2021

Diabetic ketoacidosis is largely preventable, and most will recover with early treatment. However, a misdiagnosis or delayed diagnosis of diabetic ketoacidosis can lead to devastating injuries and death. 

In its National Diabetes Statistics Report for 2020, the Centers for Disease Control (“CDC”) reported a shocking 34.2 million Americans have diabetes. While most Americans are aware of the general dangers of diabetes, diabetic ketoacidosis (“DKA”), a dangerous and deadly complication of diabetes, is not as well known. A recent study found that diabetic ketoacidosis killed approximately 835 people in the United States in 2017 and was responsible for 220,340 hospitalizations. Diabetic ketoacidosis is largely preventable, and most will recover with early treatment. However, a misdiagnosis or delayed diagnosis of diabetic ketoacidosis can lead to devastating injuries and death.

What is Diabetic Ketoacidosis and How Can it be Caused by Medical Malpractice?

According to the Mayo Clinic, diabetic ketoacidosis is a complication of diabetes, most often suffered by those with Type I diabetes. The condition occurs when an individual’s body cannot produce enough insulin to help your cells use sugar as energy. In the absence of the insulin, your body begins to use fat for energy, rather than sugar. The process of breaking down fat for energy creates a buildup of acids in your blood known as ketones. Without treatment, diabetic ketoacidosis develops as the bloodstream becomes more saturated with these ketones.

Common symptoms of diabetic ketoacidosis include:

  • Nausea and vomiting;
  • Shortness of breath;
  • Fatigue and weakness;
  • Confusion and inability to think properly;
  • Abdominal/stomach pain;
  • "Fruity-scented" breath;
  • Excessive thirst; and
  • High blood sugar

Diabetic ketoacidosis can be triggered by numerous events, including:

  • Physical trauma;
  • Missed insulin treatments;
  • Illnesses; and
  • Certain medications, particularly corticosteroids.

Diabetic ketoacidosis can lead to serious consequences, including acute kidney damage, low blood pressure, heart attacks, coma and death.

Sometimes, medical providers misdiagnose diabetic ketoacidosis for other illnesses and diseases, such as the flu or just a general feeling of unwellness. This can lead to the prescription of medications and treatments that could actually increase a patient’s blood sugar and, consequently, that patient’s risk of developing diabetic ketoacidosis. Other times, medical providers delay tests that would reveal diabetic ketoacidosis early on, such as blood sugar tests and blood gas tests, or referral to emergency rooms where intensive treatment can be provided.

What Should I Do if I or a Loved One Has Suffered Injury As a Result of a Misdiagnosis or Delayed Misdiagnosis of Diabetic Ketoacidosis?

You need to contact an experienced personal injury lawyer immediately. Because injuries caused by diabetic ketoacidosis involve medical malpractice, they require an extraordinary amount of investigation. Your attorney may need to obtain and review thousands of pages of medical records which will then need to be reviewed by an expert. This is an expensive and time-consuming process that must begin as soon as possible to determine whether you have a claim. You also need an attorney with a thorough knowledge of the practice of medicine and the resources necessary to take the case to trial.

At the Law Office of Alvin F. de Levie, Esq., we have decades of experience handling medical malpractice claims.

We handle cases throughout Pennsylvania, from Philadelphia and the surrounding counties to Allegheny County and Centre County, and from the New York border to the borders of West Virginia and Maryland. If you have suffered an injury as a result of medical malpractice, please call our firm – 24 hours a day, 7 days a week – at 844-777-2529 (Toll Free) for a consultation. One of our team members will be in immediate contact with you. We maintain offices throughout Pennsylvania in Philadelphia, State College and Bellefonte. We are willing to meet any clients throughout the Commonwealth.    



Alvin F. de Levie is a 1973, Phi Beta Kappa graduate of the Pennsylvania State University and a 1976 graduate of the Villanova University School of Law. He is an expert in Pennsylvania Law revolving around medical malpractice and personal injury. 


Mr. de Levie has consistently been voted by his peers to receive Martindale-Hubbell's "AV Preeminent" 5.0 out of 5.0 rating. An AV Preeminent rating is the highest possible rating in both legal ability and ethical standards.