Diabetic ketoacidosis

被引:26
作者
Calimag, Angela Pauline P. [1 ]
Chlebek, Sylvia [1 ]
V. Lerma, Edgar [2 ]
Chaiban, Joumana T. [3 ,4 ]
机构
[1] Advocate Christ Med Ctr, Dept Internal Med, Oak Lawn, IL USA
[2] Univ Illinois, Advocate Christ Med Ctr, Dept Internal Med, Sect Nephrol, Chicago 60607, IL USA
[3] Univ Illinois, Advocate Christ Med Ctr, Dept Internal Med, Sect Endocrinol, Oak Lawn, IL USA
[4] Internal Med Dept, Oak Lawn, IL 60453 USA
来源
DM DISEASE-A-MONTH | 2023年 / 69卷 / 03期
关键词
Diabetes Mellitus; Diabetic Ketoacidosis; Diabetic Emergency; Anion Gap; Metabolic acidosis; Ketosis; Hyperglycemia; Insulin; Euglycemia; CEREBRAL EDEMA; ANION GAP; HYPERGLYCEMIC CRISES; CONSENSUS STATEMENT; MANAGEMENT; ENDOCRINOLOGY; CHILDREN; THERAPY; SOCIETY; UPDATE;
D O I
10.1016/j.disamonth.2022.101418
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic ketoacidosis (DKA) is a form of a hyperglycemic emergency mainly characterized by the triad of hyperglycemia, ketosis, and anion gap metabolic acidosis. DKA may be the initial presentation in approximately 25-40 % of patients with type 1 diabetes. It may also occur in at least 34% of patients with type 2 diabetes. DKA has economic as well as med-ical implications. This review aims to explore and discuss diabetic ketoacidosis, its patho-physiology, clinical presentation, diagnosis, and management, including nuances in special populations such as pediatrics, obstetrics, and patients with chronic kidney disease.(c) 2022 Elsevier Inc. All rights reserved.
引用
收藏
页数:17
相关论文
共 75 条
[1]   Fluid and electrolyte therapy in childhood diabetic ketoacidosis management: A rationale for new national guideline [J].
Agwu, Juliana Chizo ;
Ng, Sze M. .
DIABETIC MEDICINE, 2021, 38 (08)
[2]  
al Sadhan A, 2021, OMAN MED J, V36, P241
[3]  
Baagar KA, 2017, ENDOCRINOL METABOL S, V06
[4]  
Banting FG, 2007, INDIAN J MED RES, V125, pA141
[5]   Should the actual or the corrected serum sodium be used to calculate the anion gap in diabetic ketoacidosis? [J].
Beck, LH .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 2001, 68 (08) :673-674
[6]   Trends in Diabetic Ketoacidosis Hospitalizations and In-Hospital Mortality - United States, 2000-2014 [J].
Benoit, Stephen R. ;
Zhang, Yan ;
Geiss, Linda S. ;
Gregg, Edward W. ;
Albright, Ann .
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2018, 67 (12) :362-365
[7]   Ketoacidosis associated with SGLT2 inhibitor treatment: Analysis of FAERS data [J].
Blau, Jenny E. ;
Tella, Sri Harsha ;
Taylor, Simeon I. ;
Rother, Kristina I. .
DIABETES-METABOLISM RESEARCH AND REVIEWS, 2017, 33 (08)
[8]  
Blicker Jamie, 2004, CJEM, V6, P281
[9]   Euglycemic Ketoacidosis [J].
Bonora, Benedetta Maria ;
Avogaro, Angelo ;
Fadini, Gian Paolo .
CURRENT DIABETES REPORTS, 2020, 20 (07)
[10]   Diabetic ketoacidosis [J].
Casteels, K ;
Mathieu, C .
REVIEWS IN ENDOCRINE & METABOLIC DISORDERS, 2003, 4 (02) :159-166