Insulin deficiency can lead to diabetic ketoacidosis (DKA), a serious condition where ketone bodies accumulate in the body due to lack of insulin. This causes hyperglycemia, which leads to excessive urination and dehydration. Signs and symptoms of DKA include thirst, frequent urination, abdominal pain, vomiting, fruity breath, and changes in mental status. Treatment of DKA involves intravenous fluids, insulin therapy, monitoring electrolytes like potassium, and administering bicarbonate if needed to raise pH levels. Nursing care focuses on addressing fluid volume deficit, nutritional imbalances, risks of infection and sensory changes, and fatigue.