scholarly journals Diabetic ketoacidosis in children newly diagnosed with type 1 diabetes mellitus: Role of demographic, clinical, and biochemical features along with genetic and immunological markers as risk factors. A 20‐year experience in a tertiary Belgian center

2019 ◽  
Author(s):  
Alfredo Vicinanza ◽  
Anissa Messaaoui ◽  
Sylvie Tenoutasse ◽  
Harry Dorchy
2019 ◽  
Vol 6 ◽  
pp. 2333794X1987039 ◽  
Author(s):  
Shana Rose Mencher ◽  
Graeme Frank ◽  
Joanna Fishbein

Diabetic ketoacidosis (DKA) is a serious, potentially lethal complication of type 1 diabetes mellitus that may be present at diagnosis. The aim of this study was to determine factors associated with presentation in DKA in new-onset youth and compare the rate of DKA and risk factors to a similar study 15 years prior. This study was a retrospective chart review of newly diagnosed patients with type 1 diabetes mellitus from 2010 to 2013. Of the 276 patients, 29% presented in DKA, compared with 38% 15 years prior ( P < .002). Those with Medicaid, those misdiagnosed at initial encounter, and those not evaluated by a pediatrician initially were more likely to present in DKA ( P = .002, P = .002, P < .001, respectively). The diagnosis of diabetes was not elicited in one third of patients who ultimately presented in DKA. Pediatricians should be reeducated to ask about polyuria and polydipsia in routine encounters. Furthermore, public awareness initiatives are needed to reduce late presentation in DKA.


2016 ◽  
Vol 9 (2) ◽  
pp. 190-199 ◽  
Author(s):  
Mohamed Hesham Sayed ◽  
Moustafa Abdelaal Hegazi ◽  
Khairyah Abdulwahed ◽  
Khairya Moussa ◽  
Basem Salama El-Deek ◽  
...  

2005 ◽  
Vol 6 (2) ◽  
pp. 79-83 ◽  
Author(s):  
Aristides K. Maniatis ◽  
Stephanie H. Goehrig ◽  
Dexiang Gao ◽  
Arleta Rewers ◽  
Philippe Walravens ◽  
...  

2018 ◽  
Vol 19 (7) ◽  
pp. 1257-1262 ◽  
Author(s):  
José G. B. Derraik ◽  
Wayne S. Cutfield ◽  
Sarah E. Maessen ◽  
Paul L. Hofman ◽  
Timothy Kenealy ◽  
...  

2003 ◽  
Vol 42 (7) ◽  
pp. 591-597 ◽  
Author(s):  
Johanna T. Mallare ◽  
Candida C. Cordice ◽  
Barbara A. Ryan ◽  
Dennis E. Carey ◽  
Paula M. Kreitzer ◽  
...  

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Ahmad Chreitah ◽  
Kheria Hijazia ◽  
Leen Doya ◽  
Alaa Salloum

ABSTRACT Diabetic ketoacidosis (DKA) is considered as a serious complication of type 1 diabetes mellitus in pediatrics. Severe dyslipidemia in DKA is a rare eventuality. We report on a 10-year-old female presented with severe DKA. The serum was lipemic with severe hypertriglyceridemia and hypercholesterolemia. Laboratory workup: the values of glycemia, sodium and HbA1c were misleading; a method of dilution was used to obtain the correct values. Triglyceride and cholesterol returned gradually to normal levels only with the management of DKA without any complication. Mild dyslipidemia is a common feature in DKA, but severe dyslipidemia is a very rare event whose pathophysiology is not completely elucidated. It needs close surveillance because it might be responsible for acute pancreatitis and lipidemia retinalis.


Sign in / Sign up

Export Citation Format

Share Document