One really serious complication with type 1 diabetes is called diabetic ketoacidosis, or DKA.

1型糖尿病有一种很严重的并发症，叫作糖尿病酮症酸中毒，或DKA。

But if I were to spike too high, it's DKA.

但如果我要飙升太高，那就是 DKA。

Less than one month after going off of his parents' insurance, Alec died from DKA.

在失去父母的保险后不到一个月，Alec 就死于 DKA。

I've mentioned DKA a few times as a deadly consequence, but I want to walk you through what that looks like.

我已经多次提到 DKA 是一种致命的后果，但我想向您介绍一下它的样子。

Less than one month after going off of his parents' insurance, Alec died from DKA. He instead paid for the price of insulin with his literal life.

在失去父母的保险后不到一个月，Alec 就死于 DKA。相反，他用真实的生活为胰岛素付出了代价。

Treatment of a DKA episode involves giving plenty of fluids, which helps with dehydration, insulin which helps lower blood glucose levels, and replacement of electrolytes, like potassium; all of which help to reverse the acidosis.

DKA的治疗包括大量饮水以缓解脱水，使用胰岛素来降低血糖水平，以及补充电解质，如钾；这些都会缓解酸中毒。

In HHS, you can sometimes see mild ketonemia and acidosis, but not to the extent that it's seen in DKA, and in DKA you can see some hyperosmolarity, so there is definitely overlap between these two syndromes.

HHS中，有时会出现轻度酮血症和酸中毒，但不会进展到DKA那么严重；在DKA中，可看到一些高渗症状，所以上述两种综合征之间确实有部分相同症状。