Clinical, para-clincal and outcomes of diabetes ketoacidosis in Vietnam national hospital pediatrics

Results On average: each year, patients with DKA were admitted. 72% of these cases were first presentation with diabetes. Up to 36% of cases had misdiagnosis for other diseases. Clinical: dehydration 100%; 92% altered consciousness; vomiting 72%; thirsty 72%; weight loss 78%. The clinical presentation of DKA in patients who the newly diagnosed of DM1 was more severe than that in preciously diagnosed patients. The risk factors: 64% infection for all; 57.1% non-compliance with treatment for patients being treated insulin before. Laboratory: Blood glucose 36.8 ± 13.5 mol/l (from 14 to70 mol/l). Severe and moderate acidosis was seen in 56%. Abnormality of sodium levels were found in 11/25 patients (44%), of which only 3/25 patients actually decreased serum sodium (adjusted sodium); hyperkalemia in 6/25 patients (24%). The time of infusion insulin was 18.9 ± 27.56 hours. Average time replacing fluid was 37.7±21.1 hours. The duration of ketonuria was 37.9 ± 17.5 hours. Patients were alert after 12.04 ± 11.52 hours.