Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age
One hundred and forty episodes in 112 patients (58 boys) with diabetic ketoacidosis (96 episodes) and diabetic ketosis (44 episodes) were studied to elucidate the clinical and laboratory risk factors for altered level of consciousness at presentation and to analyze the outcome of a distinct p...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hacettepe University Institute of Child Health
2005-10-01
|
| Series: | The Turkish Journal of Pediatrics |
| Online Access: | https://turkjpediatr.org/article/view/2741 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850041995664293888 |
|---|---|
| author | Nuren Yordam E Nazli Gönç Nurgün Kandemir Ayfer Alikaşifoğlu Alev Ozön |
| author_facet | Nuren Yordam E Nazli Gönç Nurgün Kandemir Ayfer Alikaşifoğlu Alev Ozön |
| author_sort | Nuren Yordam |
| collection | DOAJ |
| description |
One hundred and forty episodes in 112 patients (58 boys) with diabetic ketoacidosis (96 episodes) and diabetic ketosis (44 episodes) were studied to elucidate the clinical and laboratory risk factors for altered level of consciousness at presentation and to analyze the outcome of a distinct protocol in the treatment of diabetic ketoacidosis. The patients were analyzed according to demographic data and clinical and laboratory findings at admission. The treatment protocol involved use of 0.45% sodium chloride (NaCl) in 2.5% dextrose as the initial fluid therapy following volume expansion. Dextrose content of the fluid was doubled once the serum glucose level fell below 250 mg/dl. The mean ages at presentation with diabetic ketoacidosis and ketosis were 10.3 +/- 4.4 and 10.2 +/- 4.0 years, respectively. Thirty-one percent of patients had altered consciousness at presentation. The level of consciousness correlated negatively with serum bicarbonate level (r=-0.485; p |
| format | Article |
| id | doaj-art-ca8e3cfadfbf48e18c448b5b0d17344f |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2005-10-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-ca8e3cfadfbf48e18c448b5b0d17344f2025-08-20T02:55:39ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212005-10-01474Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric ageNuren Yordam0E Nazli GönçNurgün KandemirAyfer AlikaşifoğluAlev OzönEndocrinology Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. One hundred and forty episodes in 112 patients (58 boys) with diabetic ketoacidosis (96 episodes) and diabetic ketosis (44 episodes) were studied to elucidate the clinical and laboratory risk factors for altered level of consciousness at presentation and to analyze the outcome of a distinct protocol in the treatment of diabetic ketoacidosis. The patients were analyzed according to demographic data and clinical and laboratory findings at admission. The treatment protocol involved use of 0.45% sodium chloride (NaCl) in 2.5% dextrose as the initial fluid therapy following volume expansion. Dextrose content of the fluid was doubled once the serum glucose level fell below 250 mg/dl. The mean ages at presentation with diabetic ketoacidosis and ketosis were 10.3 +/- 4.4 and 10.2 +/- 4.0 years, respectively. Thirty-one percent of patients had altered consciousness at presentation. The level of consciousness correlated negatively with serum bicarbonate level (r=-0.485; phttps://turkjpediatr.org/article/view/2741 |
| spellingShingle | Nuren Yordam E Nazli Gönç Nurgün Kandemir Ayfer Alikaşifoğlu Alev Ozön Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age The Turkish Journal of Pediatrics |
| title | Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age |
| title_full | Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age |
| title_fullStr | Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age |
| title_full_unstemmed | Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age |
| title_short | Ten-year experience in management of diabetic ketoacidosis and ketosis: 140 episodes at pediatric age |
| title_sort | ten year experience in management of diabetic ketoacidosis and ketosis 140 episodes at pediatric age |
| url | https://turkjpediatr.org/article/view/2741 |
| work_keys_str_mv | AT nurenyordam tenyearexperienceinmanagementofdiabeticketoacidosisandketosis140episodesatpediatricage AT enazligonc tenyearexperienceinmanagementofdiabeticketoacidosisandketosis140episodesatpediatricage AT nurgunkandemir tenyearexperienceinmanagementofdiabeticketoacidosisandketosis140episodesatpediatricage AT ayferalikasifoglu tenyearexperienceinmanagementofdiabeticketoacidosisandketosis140episodesatpediatricage AT alevozon tenyearexperienceinmanagementofdiabeticketoacidosisandketosis140episodesatpediatricage |