Pediatric Type 1 Diabetes: Reducing Admission Rates for Diabetes Ketoacidosis

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Pediatric Type 1 Diabetes: Reducing Admission Rates for Diabetes Ketoacidosis

BACKGROUND Diabetes ketoacidosis (DKA) is a life-threatening complication of type 1 diabetes mellitus (T1DM). Reducing DKA admissions in children with T1DM requires a coordinated, comprehensive management plan. We aimed to decrease DKA admissions, 30-day readmissions, and length of stay (LOS) for DKA admissions. METHODS A multipronged intervention was designed in 2011 to reach all patients: (...

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Frequency of Diabetic Ketoacidosis and Severe Hypoglycemia in Children with Type 1 Diabetes

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S ubstance abuse has increased among type 1 diabetic patients (1) and can lead to life-threatening diabetic ketoacidosis (DKA). This is the first study examining the impact of substance abuse on acidosis in DKA. A retrospective review was performed on 19 type 1 diabetic patients who presented with DKA (glucose Ͼ15 mmol/l, presence of urinary and/or plasma ke-tones , and pH Ͻ7.2) during a 10-mon...

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Diabetic ketoacidosis in type 2 diabetes mellitus.

Diabetic ketoacidosis is usually associated with type 1 diabetes; however, it is increasingly being recognised in type 2 diabetes. The three main mechanisms suggested are: insulinopaenia, elevation in counter-regulatory hormones as a stress response, and increase in free fatty acids. This review aims to highlight the mechanism of diabetic ketoacidosis in type 2 diabetes, the difference compared...

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ژورنال

عنوان ژورنال: Quality Management in Health Care

سال: 2016

ISSN: 1063-8628

DOI: 10.1097/qmh.0000000000000109