Diabetic Ketoacidosis Pathophysiology Ppt

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Pediatric Critical Care Medicine

* Goals & Objectives Understand the action of insulin on the metabolism of carbohydrates, protein & fat Understand the pathophysiology of IDDM & DKA Understand the management approach to the patient with DKA Appreciate the complications that occur during treatment * Classification Type I (insulin-dependent diabetes mellitus, IDDM) Severe lacking of insulin, dependent on exogenous insulin DKA Onset in childhood ?genetic disposition & is likely auto-immune-mediated Type II (non-insulin-dependent diabetes mellitus, NIDDM) Not insulin dependent, no ketosis Older patient (>40), high incidence of obesity Insulin resistant No genetic disposition Increase incidence due to prevalence of childhood obesity IDDM: Epidemiology 1.9/1000 among school-age children in the US; 12-15 new cases/100,00 Equal male to female African-Americans: occurrence is 20-30% compared to Caucasian-Americans Peaks age 5-7 yrs and adolescence Newly recognized cases: more in autumn & winter Increase incidence in children with congenital rubella syndrome * Type I DM 15-70% of children with Type I DM present in DKA at disease onset 1/350 of type I DM will experience DKA by age 18 yo Risk of DKA increased by: Very young c Continue reading >>

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Popular Questions

  1. Becca8122

    Just wondering how many Type 1’s wear a medic alert bracelet or identifier of some sort. Where did you get it? I just started insulin this week and have to go away to conference all next week. I’m wondering if I should wear something since I’ll be on a strange eating schedule, in a strange place and am still unsure how the insulin is going to really affect my bs levels (still just trying to figure it all out). I picture myself going too low or high and ending up on the floor and no one knowing whats wrong (worry much? hahaha).



    Jun '16
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  2. anon14259252

    I got one from Medical ID Fashions before an overseas trip for the same reasons. The bracelet I selected is stainless steel so can be worn in the shower or while swimming.

  3. Uff_Da

    I bought a simple elastic sports band from the Medic Alert Foundation. It includes a 24/7 telephone number the medics or hospital can call where you can list far more information than can be included on the bracelet or necklace, including medical history and emergency contacts. Since I’m retired and usually home with my domestic partner, I don’t think there is a great likelihood of needing it. I chose the sports band since the time I’ll use it most frequently is when I go for walks alone. And since my diabetes is under good control, I think there is a greater likelihood that if I should need it, it would more likely be due to an pedestrian or auto accident or a stroke than to a hypoglycemic incident. But regardless of the reason, the medics should know that I’m a diabetic on insulin.

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