History

Diabetes history (duration, treatment, complications)

Polydipsia, polyuria, weight loss?

Nausea, vomiting, abdominal pain?

Possible precipitant of DKA? Consider:

• Inappropriate reduction in, or poor compliance with, insulin therapy
• Error in insulin prescription or administration
• Alcohol or substance use
• Emotional stress
• Infection
• Acute coronary syndrome

Pregnancy?

Examination

Physiological observations

Focus of infection? Check feet and perineum

Abdominal signs?