Preventing Diabetic Ketoacidosis

被引:55
作者
Jefferies, Craig A. [1 ,2 ]
Nakhla, Meranda [3 ]
Derraik, Jose G. B. [2 ]
Gunn, Alistair J. [1 ,4 ]
Daneman, Denis [5 ]
Cutfield, Wayne S. [1 ,2 ]
机构
[1] Starship Childrens Hlth, Paediat Endocrinol Serv, Auckland Dist Hlth Board, Auckland 1142, New Zealand
[2] Univ Auckland, Liggins Inst, Auckland 1023, New Zealand
[3] McGill Univ, Montreal Childrens Hosp, Dept Paediat, Montreal, PQ H3H 1P3, Canada
[4] Univ Auckland, Dept Physiol, Auckland 1023, New Zealand
[5] Univ Toronto, Hosp Sick Children, Dept Pediat, Toronto, ON M5G 1X8, Canada
关键词
Type 1 diabetes mellitus; Diabetic ketoacidosis; Prevention; Education; Recurrent; Noncompliance; Girls; RANDOMIZED CONTROLLED-TRIAL; CEREBRAL EDEMA; PSYCHOSOCIAL PREDICTORS; MULTISYSTEMIC THERAPY; INITIAL PRESENTATION; ACUTE COMPLICATIONS; EATING-DISORDERS; GLYCEMIC CONTROL; YOUNG-CHILDREN; RISK-FACTORS;
D O I
10.1016/j.pcl.2015.04.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Diabetic ketoacidosis (DKA) is a major cause of morbidity and mortality in children with type 1 diabetes mellitus (T1DM). This article examines the factors associated with DKA in children with T1DM, both at first presentation and in recurrent cases. The challenge for future research is to find effective ways to improve primary care physician and general community awareness of T1DM to reduce DKA at presentation and develop practical, cost-effective programs to reduce recurrent DKA.
引用
收藏
页码:857 / +
页数:16
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