Diabetic ketoacidosis primary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Primary Prevention
Primary prevention of diabetic ketoacidosis (DKA) includes the following measures:[1][2][3]
- Recognition of early signs:
- Vomiting
- Hyperglycemia
- Large ketonuria
- Weakness
- Heavy breathing or shortness of breath
- Early recognition of inciting event of DKA:
- Missed insulin dose or error in dosing
- Intercurrent illness, especially infection
- Psychologic stress
- Surgery or trauma
- Early intervention:
- Enhanced and more frequent monitoring of blood glucose and urine ketones
- Increased fluid intake
- Seek advice from health care team
- Aggressive intervention in patients with recurrent episodes of DKA:
- Psychiatric evaluation
- Individual and family evaluation/intervention usually required
- Continuous subcutaneous insulin infusion helpful in some patients
- Possible out-of-home placement
References
- ↑ Vanelli M, Scarabello C, Fainardi V (2008). "Available tools for primary ketoacidosis prevention at diabetes diagnosis in children and adolescents. "The Parma campaign"". Acta Biomed. 79 (1): 73–8. PMID 18551826.
- ↑ "Management of Diabetic Ketoacidosis - American Family Physician".
- ↑ Zhou HC (1985). "[Preliminary studies of cardiac function in pre-eclamptic patients with echocardiography and systolic time intervals]". Zhonghua Fu Chan Ke Za Zhi (in Chinese). 20 (5): 266–9, 317. PMID 4085289.