In our study, QTC prolongation was described during DKA
and DK in 15 of 40 patients.
Conclusion: This study showed that the frequency of DKA
among children with newly diagnosed T1DM in our country is still high.
Further investigation of abdominal pain in DKA
should be reserved for patients who suffer from persisting pain after resolution of ketoacidosis [11-15].
Waiting another day specifically to confirm the hyperglycaemia in a fasting state is unnecessary, and if ketones are present in blood or urine, treatment needs to be urgently initiated as otherwise DKA
can evolve rapidly (Craig et al, 2014; Diabetes UK, 2012).
Our study showed no decline in the frequency of DKA
in children and adolescents with newly recognized type 1 diabetes admitted to our hospital between 2006 and 2007 and five years later between 2013 and 2014.
If not diagnosed and treated urgently DKA
can cause mental confusion, rapid heartbeat and breathing, sickness and unconsciousness - and can be life threatening.
Diagnosis of DKA
was made and the patient was placed on insulin, intravenous fluids and antibiotic.
"Even a single case of DKA
developing in hospital is unacceptable because it suggests that insulin has been withheld from that person for some time.
We recently demonstrated that plasma D-lactate concentrations were greatly increased in DKA
compared with the concentrations in diabetic patients or a healthy control group (3).
is the increased acidity of the blood due to the accumulation of ketones and results from the body's inability to use insulin to make energy.
Both Walsall Manor and Russells Hall, Dudley, also had incidents of DKA
The frequency of DKA
as an initial diagnosis in type 1 diabetes is between 15% and 70% in Europe and North America.