ABSTRACT
Carbohydrate Metabolism The primary event that causes a disruption in normal carbohydrate metabolism is relative insulin withdrawal (Part A). In diabetic animals, this may not necessarily mean an absolute decrease in the amount of insulin the patient receives, but rather a sudden and unexpected increase in the insulin requirement. Diabetic ketoacidosis may be precipitated by an infection, physical trauma, or emotional distress, all of which tend to increase the need for insulin, or it may be initiated by the omission of insulin. Sometimes there is vomiting, which is then followed by inadequate food and water assimilation.
