Cetose et cetoacidose diabetiques

ABSTRACT

The aim of this prospective study is to analyse causes and management in 200 diabetic patients with ketosis or ketoacidosis. The result show that ketosis reveals diabetes mellitus in 34% of cases, occurs in diabetic type 2 in 34.5% of cases and in insulin- treated patient in 32.5%. A preciptiating event of ketoacidosis was found in 127 patients. In 76% of cases only classic symptoms of diabetes mellitus were present. Parenteral rehydratation was required for 32 patients and a supplement of bicarbonate was necessary for only 5 out of the 32 patients. Ketoacidosis required an average hospitalisation time of 7.2 +/- 2.6 days and an average resuscitation of 5 hours. So an early diagnosis and treatment of ketoacidosis can avoid serious complication