Who Gets Ketoacidosis

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Pediatric Diabetic Ketoacidosis

Practice Essentials Diabetic ketoacidosis, in pediatric and adult cases, is a metabolic derangement caused by the absolute or relative deficiency of the anabolic hormone insulin. Together with the major complication of cerebral edema, it is the most important cause of mortality and severe morbidity in children with diabetes. Signs and symptoms Symptoms of acidosis and dehydration include the following: Symptoms of hyperglycemia, a consequence of insulin deficiency, include the following: Patients with diabetic ketoacidosis may also have the following signs and symptoms: Cerebral edema Most cases of cerebral edema occur 4-12 hours after initiation of treatment. Diagnostic criteria of cerebral edema include the following: Major criteria include the following: Minor criteria include the following: See Clinical Presentation for more detail. Laboratory studies The following lab studies are indicated in patients with diabetic ketoacidosis: Imaging studies Head computed tomography (CT) scanning - If coma is present or develops Chest radiography - If clinically indicated Electrocardiography Electrocardiography (ECG) is a useful adjunct to monitor potassium status. Characteristic changes ap Continue reading >>

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Popular Questions

  1. Glenn Herman

    More importantly he is a risk for total loss of control of his diabetes, and that could be manifest as either hyperosmolar coma or as diabetic ketoacidosis. Both are potentially lethal. Actually the evolution of ketoacidosis can be very very rapid, and he is in trouble if he gets any infection.

  2. Michael George

    Please see your endo quickly, this is really endangering your life and your health. My son is a T1 diabetic (he makes no insulin at all) — he typically wakes up between 90 and 120. Please see your doctor!

  3. Raksheeth Agarwal

    There is a possibility that you have diabetes. You should directly consult an internist/ endocrinologist for a blood sugar checkup. The doctor would also suggest how to best manage the condition

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