Diabetic Ketoacidosis and Its Complications among Children

  • Afshin Safaei asl Department of Pediatrics, School of Medicine, Guilan University of Medical Sciences, Guilan, Iran.
  • Shohreh Maleknejad Department of Pediatrics, School of Medicine, Guilan University of Medical Sciences, Guilan, Iran.
  • Morteza Ebrahimi Kelachaye Department of Pediatrics, School of Medicine, Guilan University of Medical Sciences, Guilan, Iran.
Keywords: Ketoacidosis, Children, Complication

Abstract

In order to recognize of DKA and its complications among children with DM type I, we conducted a descriptive study and all of the children with the final diagnosis of DKA. Data regarding their demographics, disease characteristics, treatment features and outcome derived from patients' medical files and registered in a data sheet. Data were analyzed using SPSS 11.0 and exhibited in the form of frequency tables and charts. There were 33 females and 30 males (53.1% and 46.9%, respectively). They were involved with ketoacidosis most commonly in summer (42.2%). Autumn, winter and spring seasons were in the next turns (29.7%, 15.6%, and 12.5%, respectively). Data analysis showed a clear improvement in the time taken to correct the acidosis with respect to the date of admission (more than 40 hours in the initial year to less than 28 hours at the final year). It seems that the management of diabetic ketoacidosis has improved during recent years. We concluded to consider ketoacidosis even in the first admission of a diabetic child.

References

Alemzadeh R, Wyatt D. Diabetes mellitus in children. In: Behrmanv RE, Kliegman RM, Jensen HB, editors. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, PA: WB Saunders; 2004. p. 1947-72.

Sperling MA. Diabetes mellitus. In: Kaplan SA, editor. Clinical Pediatric Endocrinology. Philadelphia, Pa: WB Saunders; 2000. p. 137-43.

Wolfsdorf J, Glaser N, Sperling MA; American Diabetes Association. Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association. Diabetes Care 2006;29(5):1150-9.

Glaser N, Bosch GA.Risk factors for cerebral edema in children with diabetic ketoacidosis.N Engl J Med 2001;344(4):263-9.

Inward CD, Chambers TL. Fluid management in diabetic ketoacidosis. Arch Dis Child 2002;86(6):443-4.

Felner EI, White PC. Improving management of diabetic ketoacidosis in children. Pediatrics 2001;108(3):735-40.

Al-Magamsi MS, Habib HS. Clinical presentation of childhood type 1 diabetes mellitus in the Al-Madina region of Saudi Arabia. Pediatr Diabetes 2004;5(2):95-8.

Elamin A, Ghalib M, Eltayeb B, Tuvemo T. High incidence of type 1 diabetes mellitus in Sudanese children, 1991- 1995. Ann Saudi Med 1997;17(4):478-80.

How to Cite
1.
Safaei asl A, Maleknejad S, Ebrahimi Kelachaye M. Diabetic Ketoacidosis and Its Complications among Children. Acta Med Iran. 49(2):113-114.
Section
Articles