the relation between serum osmolality, glucose, sodium, bicarbonate, arterial ph, bun and level of consciousness was studied in 189 patients with diabetic ketoacidosis (dka). there was much overlap between all laboratory values among various groups, even when there was a statistically significant difference. to find a better predictor, we defined a new factor as serum osmolality/arterial ph. th...

BACKGROUND This study is to explore the clinical characteristics, laboratory diagnosis, and treatment outcomes in pediatric patients with non-diabetic ketoacidosis. METHODS Retrospective patient chart review was performed between March 2009 to March 2015. Cases were included if they met the selection criteria for non-diabetic ketoacidosis, which were: 1) Age ≤ 18 years; 2) urine ketone positi...

OBJECTIVE The development of diabetic ketoacidosis in pregnancy is a medical emergency, requiring treatment in an intensive care setting. Both the mother and the fetus are at risk for significant morbidity and mortality. Physiologic changes unique to pregnancy provide a background for the development of diabetic ketoacidosis. An understanding of these physiologic changes assists in the manageme...

The authors discussed the results of the treatment of 50 patients who had been admitted to hospital with diabetic ketoacidosis. The purpose of the investigation was to prove the effectiveness and reliability of therapy of diabetic ketoacidosis using small doses of insulin in combination with the administration of a sufficient amount of liquid, potassium and, when indicated, sodium bicarbonate. ...

Diabetic ketoacidosis is a major source of morbidity and mortality in children and adolescents with type I diabetes mellitus. Although diabetic ketoacidosis is often associated with dehydration and electrolyte disturbances, cases with gastrointestinal tract complications due to shock remain particularly unusual. Herein, we reported on a five-year-old girl who had severe diabetic ketoacidosis co...

Tubular function was investigated in patients with diabetic ketoacidosis and those with poorly controlled type I diabetes. Urinary excretion of beta 2 microglobulin and that of certain enzymes: gamma glutamyltransferase, leucine aminopeptidase, and N-acetyl-beta-D-glucosaminidase activities were significantly raised during ketoacidosis in 11 patients compared with healthy controls. In 13 poorly...

Diabetes mellitus is a worldwide disease that leads to several acute complications including diabetic ketoacidosis, hyperosmolar hyperglycemia, and hypoglycemia. In addition, diabetes causes many chronic complications that lead to debilitation and diminished quality of life. Diabetic ketoacidosis is one of the serious acute complications; however, it is usually preceded by infection, acute myoc...

Hypoglycemia in diabetic patients is usually caused by excessive exogenous insulin or the administration of an insulin secretagogue relative to the prevailing glucose concentration. Thus, the clinical manifestations of hypoglycemia are usually not observed in diabetic patients after either insulin or an oral hypoglycemic agent is discontinued. In contrast, diabetic ketoacidosis results from rel...