Do you have symptoms of ketoacidosis? Symptoms of ketoacidosis include:Flushed, hot, dry skin.A strong, fruity breath odor (similar to nail polish remover or acetone). Restlessness, drowsiness or difficulty waking up. Young children may lack interest in their normal activities.Rapid, deep breathing.Loss of appetite, abdominal pain, and vomiting.Confusion.

Do you have symptoms of moderate dehydration?Symptoms of dehydration in a childSymptoms of dehydration in an adult

Do you have nausea or vomiting and are unable to keep fluids down?

Do you have a moderate to large amount of ketones in your urine?

Do you have signs of infection? These signs may include:Increased pain, swelling, redness, or warmth around the affected area.Red streaks extending from the affected area.Drainage of pus from the area.

Do you have a fever or think you have a fever but you are unable to measure your temperature?

Do you have symptoms of mild to moderate high blood sugar (symptoms of high blood sugar), and your symptoms are increasing after taking steps to lower your blood sugar level?

Do you have symptoms of mild dehydration, and your symptoms are increasing after taking steps to lower your blood sugar level?Symptoms of dehydration in a childSymptoms of dehydration in an adult

Is your blood sugar level over 400 mg/dL after you test your blood twice and your usual plan for lowering your blood sugar is not working, but you do not have symptoms of high blood sugar?

Is your blood sugar level high and continues to rise after you have taken steps to lower your blood sugar level, but you do not have symptoms of high blood sugar?

Is your blood sugar level over 200 mg/dL and you are not sure what you should do?

Are you concerned that your episodes of high blood sugar levels are occurring more frequently?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

After a half-hour of initiating steps to raise your blood sugar level, is your level under 70 mg/dL?

Are you concerned that your episodes of low blood sugar levels are occurring more frequently?

Have you had low blood sugar levels without any symptoms?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

You have answered "Yes" to a question that indicates you may need immediate care. Call your health professional now to discuss your symptoms and arrange for your care.

• Symptoms are likely to worsen without medical care.
• If you do not have a health professional, seek emergency care.
• Emergency transportation is not needed. However, if you are not able to travel safely either by driving yourself or having someone else drive you, call an ambulance.

You do not need to answer any of the other questions.

You have answered "Yes" to a question that indicates you need to call your health professional to discuss your symptoms and arrange for care.

• An appointment today is usually needed.
• Symptoms are unlikely to improve without medical care.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.

You have answered "Yes" to a question that indicates you may wait to see if your symptoms improve over the next 24 hours (or the specified time period). If symptoms improve, no appointment is needed.

• If symptoms do not improve after 24 hours (or the specified time period), an appointment within the next 24 hours is usually needed.
• If appropriate, try home treatment to relieve your symptoms.
• Check your symptoms in 24 hours, or sooner if there is any change.
• Call your health professional if symptoms get worse.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.