Neurological deterioration during an episode of diabetic ketoacidosis is usually assumed to be caused by cerebral oedema. We present a case of cerebral venous sinus thrombosis presenting in a similar manner, also associated with severe iron deficiency anaemia. Computed tomography scanning provided the correct diagnosis and allowed institution of anticoagulation with improvement in neurological ...

A 40-year-old man with diabetic ketoacidosis showed marked leukocytosis reaching 60,970/mm3 which subsided within 5 days to a level of 4,140/mm3. He had no evidence of infection. During the entire clinical course, no elevation of granulocyte colony-stimulating factor (G-CSF) was observed. No case of leukemoid reaction associated with diabetic ketoacidosis has been reported with the determinatio...

results sixty two patients had dka. the comparison of apache ii score among two groups of the patients did not show any significant difference (p = 0.597). there was no suitable cut-off point for apache ii score to predict dka. conclusions apache ii score cannot be applied in the predicting of dka in hyperglycemic patients admitted in ed. objectives the present study aims to evaluate the effica...

OBJECTIVE To identify the factors associated with diabetic ketoacidosis at diagnosis of type 1 diabetes in children and young adults. DESIGN Systematic review. DATA SOURCES PubMed, EMBASE, Web of Science, Scopus, and Cinahl and article reference lists. STUDY SELECTION Cohort studies including unselected groups of children and young adults presenting with new onset type 1 diabetes that dis...

Introduction: Ketoacidosis is one of the acute metabolic complications diabetes. It more common and has a higher death rate in India &south Asia. To our knowledge, there are very few studies done on diabetic ketoacidosis Madhya Pradesh. The aim study was to determine hospital prevalence ketoacidosis, describe their epidemio-clinical features as well look for determinants mortality patients ...

1. A. The sodium-glucose transporter-2 (SGLT-2) inhibitors, empaglifloxin (Jardiance®), dapagliflozin (Farxiga®), and canagliflozin (Invokana®) inhibit proximal tubular glucose reabsorption resulting in renal glucosuria. These drugs can cause weight loss, natriuresis with volume depletion, hypotension, bacterial or fungal UTI, and ketoacidosis even in Type 2 diabetics. Ketoacidosis is more like...

Diabetic ketoacidosis is a routinely encountered diagnosis in medicine. Physicians are trained early on to look for precipitants. Most clinicians assess for medication compliance, infection, ischemia, and the like. We present a case of pheochromocytoma presenting as "diabetic ketoacidosis." The case serves as an example for broadening the differential diagnosis for patients with similar present...

A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement of the degree of ketosis than serum ketones. Intravenous insulin and fluid replacement are the mainstays of th...

A chronic autoimmune destruction of the pancreatic beta cells results in decreasing endoge‐ nous insulin secretion and the clinical manifestation of type 1 diabetes mellitus (T1DM). The clinical onset of the disease is often acute in children and adolescents and diabetic ketoaci‐ dosis (DKA) is present in 20-74% of the patients [1-7]. DKA is a serious condition that re‐ quiring immediate interv...