Management of adult diabetic ketoacidosis
Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Di...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2014-06-01
|
| Series: | Diabetes, Metabolic Syndrome and Obesity |
| Online Access: | http://www.dovepress.com/management-of-adult-diabetic-ketoacidosis-a17420 |
| _version_ | 1828045455697641472 |
|---|---|
| author | Gosmanov AR Gosmanova EO Dillard-Cannon E |
| author_facet | Gosmanov AR Gosmanova EO Dillard-Cannon E |
| author_sort | Gosmanov AR |
| collection | DOAJ |
| description | Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKD |
| first_indexed | 2024-04-10T18:11:47Z |
| format | Article |
| id | doaj.art-ae56a7841f52429fa67973d7503e08e8 |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T18:11:47Z |
| publishDate | 2014-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-ae56a7841f52429fa67973d7503e08e82023-02-02T10:57:21ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072014-06-012014default25526417420Management of adult diabetic ketoacidosisGosmanov ARGosmanova EODillard-Cannon EAidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKDhttp://www.dovepress.com/management-of-adult-diabetic-ketoacidosis-a17420 |
| spellingShingle | Gosmanov AR Gosmanova EO Dillard-Cannon E Management of adult diabetic ketoacidosis Diabetes, Metabolic Syndrome and Obesity |
| title | Management of adult diabetic ketoacidosis |
| title_full | Management of adult diabetic ketoacidosis |
| title_fullStr | Management of adult diabetic ketoacidosis |
| title_full_unstemmed | Management of adult diabetic ketoacidosis |
| title_short | Management of adult diabetic ketoacidosis |
| title_sort | management of adult diabetic ketoacidosis |
| url | http://www.dovepress.com/management-of-adult-diabetic-ketoacidosis-a17420 |
| work_keys_str_mv | AT gosmanovar managementofadultdiabeticketoacidosis AT gosmanovaeo managementofadultdiabeticketoacidosis AT dillardcannone managementofadultdiabeticketoacidosis |