Diabetic coma is due to hyposecretion of insulin in which :

Options

A. Glucose level increased in blood
B. Keto acidosis take place
C. Dehydration process start
D. All the above

Answer

**Step-by-Step Solution:**

1. **Understanding Diabetic Coma**: Diabetic coma is a serious condition that occurs when blood sugar levels become extremely high (hyperglycemia) or extremely low (hypoglycemia). In this case, we are focusing on the hyposecretion of insulin, which leads to high blood sugar levels.

2. **Role of Insulin**: Insulin is a hormone produced by the pancreas that helps regulate blood glucose levels. When insulin secretion is low (hyposecretion), glucose cannot enter the cells effectively, leading to an increase in blood glucose levels.

3. **Option Analysis**:
- **Option 1: Glucose level increases in the blood**: This is correct. When insulin is secreted in insufficient amounts, glucose remains in the bloodstream, causing hyperglycemia.
- **Option 2: Ketoacidosis**: This is also correct. Diabetic ketoacidosis (DKA) can occur when there is a severe lack of insulin. The body starts breaking down fats for energy, leading to the production of ketones, which can cause acidosis and potentially lead to coma.
- **Option 3: Dehydration process starts**: This is correct as well. High blood sugar levels can lead to increased urination (polyuria), which can cause dehydration. Dehydration can further complicate the condition and contribute to the risk of coma.

4. **Conclusion**: All three options (increased glucose levels, ketoacidosis, and dehydration) are correct consequences of insulin hyposecretion that can lead to diabetic coma. Therefore, the answer to the question is that diabetic coma is due to the hyposecretion of insulin, leading to these complications.

**Final Answer**: Diabetic coma is due to hyposecretion of insulin, which results in increased blood glucose levels, ketoacidosis, and dehydration.

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