Document Type
Article
Department
Diabetes/Endocrinology and Metabolism
Abstract
Sixty-two consecutive episodes of diabetic ketoacidosis (DKA) were studied at Aga Khan University Hospital, Karachi. Forty-four (71%) were type I and 18 (29%) type II diabetics. Mean age was 28.1 years and mean duration of diabetes 4.1 years. Infections were the most common precipitating factor accounting for 28 episodes (45.2%). Twenty-two patients (35.5%) had hyperosmolality (serum osmolality > 320 mosmol/L). Mean serum Na+ was 131.7 mmol/L and K+ 4.6 mmol/L. Twenty-three (37.1%) were hyperkalemic at presentation with seven patients (11.3%) being comatosed and 35 (56.5%) alert. Mean random blood glucose (RBG) was 624 mg/dl, mean pN 7.09, osmolality 316 mosmol/L and the neurological status correlated statistically significantly with mean RBG, pH and osmolality. A leukemoid response was seen in 83.9% episodes. Mortality rate was 8.0% in patients with DKA managed in this hospital.
Publication (Name of Journal)
Journal of Pakistan Medical Association
Recommended Citation
Akhter, J.,
Jabbar, A.,
Islam, N.,
Khan, M. A.
(1993). Diabetic ketoacidosis in a hospital based population in Pakistan. Journal of Pakistan Medical Association, 43(7), 137-139.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_med_diabet_endocrinol_metab/42
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.