Title:An Approach to Diabetic Ketoacidosis in an Emergency Setting
Volume: 15
Issue: 4
Author(s): Dario Pitocco*, Mauro Di Leo, Linda Tartaglione, Emanuele Gaetano Rizzo, Salvatore Caputo, Alessandro Rizzi and Alfredo Pontecorvi
Affiliation:
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, Roma,Italy
Keywords:
Type 1 diabetes mellitus, diabetic ketoacidosis, mortality, medicine, glycemic control, insulin pump therapy,
complications, children.
Abstract:
Background: Diabetic Ketoacidosis (DKA) is one of the most commonly encountered
diabetic complication emergencies. It typically affects people with type 1 diabetes at the onset of
the disease. It can also affect people with type 2 diabetes, although this is uncommon.
Methods: Research and online content related to diabetes online activity is reviewed. DKA is
caused by a relative or absolute deficiency of insulin and elevated levels of counter-regulatory hormones.
Results: Goals of therapy are to correct dehydration, acidosis, and to reverse ketosis, gradually restoring
blood glucose concentration to near normal.
Conclusion: It is essential to monitor potential complications of DKA and, if necessary, to treat
them and any precipitating events.