Diabetic Ketoacidosis in Type 1 Diabetes Mellitus
DOI:
https://doi.org/10.32734/sumej.v7i1.11837Keywords:
Diabetic Ketoacidosis, Diabetes Mellitus type 1Abstract
Diabetic ketoacidosis (DKA) is a state of metabolic decompensation/disorder characterized by the triad of hyperglycemia, acidosis and ketosis, caused by absolute or relative insulin deficiency and increased counter-regulatory hormones. Immediate therapy in DKA patients determines the patient's prognosis. A 19-year-old male treated in the internal medicine ward of Dr. M djamil Padang with diabetic ketoacidosis, type 1 DM, and Abscess capitis. The patient was treated with rehydration and intravenous insulin infusion can show clinicall improvement. The diagnosis in patients is based on anamnesis, physical examination and supporting examinations. Immediate therapy is needed in the management of DKA in patients. After DKA is resolved, look for the causes of the risk of DKA. On the third day of treatment the patient's condition improved clinically and the laboratory.
Downloads
References
Tarigan TJ. Ketoasidosis diabetik. Dalam: Buku ajar Ilmu Penyakit Dalam. 6th ed. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam. 2014;2375–80.
American Diabetes Association. Hyperglycemic crisis in diabetes. Diabetes Care. 2019;27(1):94–102.
Hong JYH, Jalaludin MY, Mohamad AB, et al. Diabetic ketoacidosis at diagnosis of type 1 diabetes mellitus in Malaysian children and adolescents. Malaysian Physician. 2015;10(3):11–18.
Seth P, Kaur H, Kaur M. Clinical profile of diabetic ketoacidosis: a prospective study in a tertiary care hospital. J Clin Diagn Res. 2015;9:1–4.
Shaltout AA, Channanath AM, Thanaraj TA, et al. Ketoacidosis at first presentation of type 1 diabetes mellitus among children: a study from Kuwait. Sci Rep. 2016;6:27519.
Gosmanov RA, Gosmanova EO, Kitabchi EA. Hyperglicemic crises: diabetic ketoacidosis (DKA) and hiperglycemic hiperosmolar state (HHS). National Instituteof Health. 2018.
National Institute for Health and Care Excellence. Type 1 diabetes in adults: diagnosis and management. NICE guideline. 2022.
Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335–43.
Published
How to Cite
Issue
Section
Copyright (c) 2024 Sumatera Medical Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Sumatera Medical Journal (SUMEJ) and Faculty of Medicine as well as TALENTA Publisher Universitas Sumatera Utara as publisher of the journal.
Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, will be allowed only with a written permission from Sumatera Medical Journal (SUMEJ).
The Copyright Transfer Form can be downloaded here.
The copyright form should be signed originally and sent to the Editorial Office in the form of original mail or scanned document.