Registered Dietitian Exam Prep

Category - Nutrition Care

Which of the following does not occur in diabetic ketoacidosis?
  1. Loss of bicarbonate buffer in the blood
  2. Incomplete catabolism of fatty acids
  3. Elevated osmotic load accompanied by dehydration
  4. Decreased blood levels of glucagon and epinephrine
Explanation
Answer: D - Levels of the counter-regulatory hormones glucagon and epinephrine are elevated in diabetic ketoacidosis and contribute to hyperglycemia. Loss of bicarbonate buffer leads to disruptions in the body’s acid-base balance. Incomplete oxidation of fatty acids leads to the formation of ketone bodies. The elevated osmotic load cause by hyperglycemia leads to increased diuresis and eventual dehydration.
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