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1.
Article Dans Anglais | IMSEAR | ID: sea-139031

Résumé

Background. There is little information on the clinical profile and outcome of children with diabetic ketoacidosis in India. We analysed the data of children managed by us at a tertiary care hospital. Methods. We retrospectively analysed the case records of 21 children (13 boys and 8 girls) with diabetic ketoacidosis admitted to our hospital from January 2004 to August 2008. They were managed using a standard protocol including intravenous fluids and insulin infusion. Blood glucose, serum electrolytes, blood urea, arterial blood gases and urinary ketones were monitored at regular intervals. The outcomes were assessed. Results. The median age at presentation was 8 years and 17 children (80%) were detected to have diabetes mellitus at the time of presentation. Twelve children (57%) presented with severe diabetic ketoacidosis. Polyuria with polydipsia was the commonest clinical presentation (17). All of them had elevated HbA1C levels. The average length of stay in the paediatric intensive care unit was 2.9 days. The median time for the arterial blood gases to become normal was 19 hours and for urinary ketones to become non-detectable was 28 hours. None of the children received bicarbonate and there were no complications or mortality. All the children were doing well on follow up at 3 months. Conclusion. The outcome of active management of diabetic ketoacidosis in children is rewarding. The use of a standard protocol for management was associated with no complications or mortality in our series.


Sujets)
Adolescent , Glycémie , Enfant , Enfant d'âge préscolaire , Diabète , Acidocétose diabétique/traitement médicamenteux , Électrolytes/sang , Femelle , Hémoglobine glyquée , Humains , Hypertension artérielle , Cétones/urine , Mâle , Études rétrospectives , Résultat thérapeutique
2.
Pakistan Journal of Medical Sciences. 2008; 24 (1): 161-162
Dans Anglais | IMEMR | ID: emr-89467

Résumé

The purpose of this ariticle is to highlight the importance of not relying exclusively on blood glucose measurements when assessing sick type I diabetics. Urinary ketones and venous bicarbonate are essential in making the diagnosis of relatively low blood glucose plus ketoacidosis, that we call euglycaemic ketoacidosis


Sujets)
Glycémie , Corps cétoniques/urine , Cétones/urine , Hydrogénocarbonates/sang , Acidocétose diabétique/traitement médicamenteux , Prise en charge de la maladie
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