When Is Dka Diagnosed

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Diagnosis Of Diabetic Ketoacidosis, Type 1 Diabetes Results In Poor Disease Control

Children diagnosed with diabetic ketoacidosis and type 1 diabetes may have higher HbA1C levels. Findings from a new study published by Diabetes Care suggests that pediatric patients who are diagnosed with diabetic ketoacidosis (DKA) at the time of type 1 diabetes diagnosis may have an increased risk of poor disease control. Included in the study were 3364 children living in Colorado who were diagnosed with type 1 diabetes between 1998 and 2012. At baseline, 39% (1297) patients had DKA at diagnosis of type 1 diabetes. The authors found that ethnicity and health insurance status were linked to presenting DKA at diagnosis. Additionally, they discovered that these patients had higher HbA1C levels over a 15-year follow-up period, according to the study. After accounting for age, ethnicity, family history of diabetes, insurance status, and insulin pump use, 40% of patients with a dual diagnosis had poor blood glucose control. Compared with children without DKA, HbA1c was 1.4% higher among patients with severe DKA and 0.9% higher among patients presenting mild or moderate DKA at diagnosis, according to the study. The authors concluded that worsening of beta cell death that results from hy Continue reading >>

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  1. Peter Clark

    As always a history is taken. Laboratory evaluation includes serum glucose, serum electrolytes (with calculation of the anion gap), blood urea nitrogen (BUN), and plasma creatinine, urinalysis and urine ketones by dipstick, plasma osmolality, serum ketones (if urine ketones are present). That gives the needed information: diabetes with hyperosmolality and ketosis.

  2. Momina Makin

    If the person comes in with nausea, vomiting, abdominal pain(usually children), with a fruity breath, with dehydration and with increased urination and thierst we can suspect DKA

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