Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 
 
 Our general interest e-newsletter keeps you up to date on a wide variety of health topics. 
 
 Symptoms By Mayo Clinic Staff 
 
 Diabetic ketoacidosis signs and symptoms often develop quickly, sometimes within 24 hours. For some, these signs and symptoms may be the first indication of having diabetes. You may notice: 
 
 Excessive thirst 
 
 Frequent urination 
 
 Nausea and vomiting 
 
 Abdominal pain 
 
 Weakness or fatigue 
 
 Shortness of breath 
 
 Fruity-scented breath 
 
 Confusion 
 
 More-specific signs of diabetic ketoacidosis — which can be detected through home blood and urine testing kits — include: 
 
 High blood sugar level (hyperglycemia) 
 
 High ketone levels in your urine 
 
 When to see a doctor 
 
 If you feel ill or stressed or you've had a recent illness or injury, check your blood sugar level often. You might also try an over-the-counter urine ketones testing kit. 
 
 Contact your doctor immediately if: 
 
 You're vomiting and unable to tolerate food or liquid 
 
 Your blood sugar level is higher than your target range and doesn't respond to home treatment 
 
 Your urine ketone level is moderate or high 
 
 Seek emergency care if: 
 
 Your blood sugar level is consistently higher than 300 milligrams per deciliter (mg/dL), or 16.7 millimoles per liter (mmol/L) 
 
 You have ketones in your urine and can't reach your doctor for advice 
 
 You have multiple signs and symptoms of diabetic ketoacidosis — excessive thirst, frequent urination, nausea and vomiting, abdominal pain, shortness of breath, fruity-scented breath, confusion 
 
 Remember, untreated diabetic ketoacidosis can be fatal. 
 
 
 
 ||||| Two Sydney parents have been charged with the manslaughter of their diabetic six-year-old son, who died after attending a "self-healing" course where he was allegedly deprived of insulin and food. 
 
 Emergency services found the Year 1 student unconscious and not breathing at the Ritz Hotel in Hurstville on April 30, 2015, after the boy had left the workshop held at a nearby clinic. He died at the scene. 
 
 SHARE 
 
 Share on Facebook SHARE 
 
 Share on Twitter TWEET 
 
 Link Hongchi Xiao, the "healer" who treated the six-year-old boy. 
 
 Police on Tuesday arrested the boy's father, 56, and mother, 41, at their home in Prospect in Sydney's west and took them into custody, alleging their "gross negligence" caused the boy's death. Authorities believe the parents were complicit in the deliberate denial of food and medicine. 
 
 But the man who ran the $1800 week-long course continues to elude police in Australia as well as Britain, where he was recently detained on suspicion of manslaughter over another death. 
 
 SHARE 
 
 Share on Facebook SHARE 
 
 Share on Twitter TWEET 
 
 Link Danielle Carr-Gomm, 71, died during a weekend retreat run by Hongchi Xiao. Photo: Supplied 
 
 Hongchi Xiao, a Chinese born self-described "healer" who left Australia in the days after the death, practises his own form of therapy called "paidalajin", which combines fasting, stretching and slapping the skin to the point of bruising. 
 
 "You have to be hard a little bit, cruel a little bit, but not too much," Mr Xiao said when describing paidalajin in a video last year. 
 
 Advertisement 
 
 He was treating Danielle Carr-Gomm, a 71-year-old diabetic, when she died suddenly in October during a retreat he ran in south-west England. Police then released him on bail. 
 
 Mr Xiao, who has promoted himself in Australia with the help of his Queensland convert Ben James, compared his treatment to yoga and taichi. 
 
 "In each of my books and seminars, I have emphasised that I am not a doctor," Mr Xiao said in a message posted to Facebook that rejected responsibility for the boy's death. 
 
 The same post linked to what he called a "strictly controlled" Indian study of 25 people that recommended paidalajin for diabetes while referring to "healing crises". 
 
 "[Type 1 diabetes patients] recorded improvements in their clinical condition," the report said. 
 
 "However, during the Healing crisis and fasting when their blood sugars went up [they] needed medical support in the form of calories, fluids and rapid action insulin to prevent ketoacidosis." 
 
 Ketoacidosis is a medical emergency caused by a lack of insulin, according to Diabetes Australia. 
 
 The Tasly Healthpac Centre in Hurstville where the boy attended the workshop has previously said that Mr Xiao "rented a room from our centre to conduct what was described to us as a series of health seminars". The clinic has said the boy was not a patient of the clinic. 
 
 The parents, granted conditional bail, were both due to appear before local courts this week. They each face a maximum of 25 years' jail if convicted.
– In 2015, Australian 6-year-old Aidan Fenton attended a controversial week-long "self-healing" workshop meant to treat his diabetes. After attending a course and returning to a nearby hotel, the boy collapsed in his family's room; his parents' screams got the attention of staff, who called police, but Aidan died at the scene, the Washington Post reports. Now, nearly two years later, his parents, ages 56 and 41, have been arrested and charged with their son's manslaughter. Police say Aidan was denied food and insulin, and they say his parents were complicit in that denial; their "gross negligence" caused his death, police say, per the Sydney Morning Herald. If convicted, they face 25 years in jail. The workshop was run by Hongchi Xiao, a Chinese man who describes himself as a "healer" and practices what he calls "paidalajin" therapy. It involves fasting, stretching, and slapping the skin until it bruises in order to release "poisoned blood." He has not been charged in Aidan's death, and in a Facebook post shortly after the incident he denied responsibility. But he was arrested in November in the UK on suspicion of manslaughter after a 71-year-old woman with diabetes died during one of his retreats. He's currently out on bail. Xiao insists that a study shows his paidalajin therapy can "cure" diabetes, though he notes that during a "healing crisis" while undergoing the therapy, patients needed treatment including "rapid action insulin to prevent ketoacidosis," a medical emergency that can lead to death. (A family faces charges in the death of a teen after a 68-day fast.)