2022, Number 07
<< Back Next >>
Revista Médica Sinergia 2022; 7 (07)
Management of diabetic ketoacidosis
Padilla EDS, Chaves MKP, Vargas FR
Language: Spanish
References: 16
Page:
PDF size: 268.31 Kb.
ABSTRACT
Diabetic ketoacidosis is part of the hyperglycemic emergencies found in patients with diabetes mellitus, either type 1 or 2. It is a metabolic disorder, characterized by being made up of the triad hyperglycemia, ketosis, and metabolic acidosis. The pathophysiological mechanisms that lead to its development are insulin deficiency and an increase in the concentration of counterregulatory hormones. It is utmost to make a prompt and timely diagnosis, in order to initiate early fluid therapy, ketoacidosis correction, management of the corresponding electrolyte disorder and to establish insulin therapy.
REFERENCES
Fayfman M, Pasquel F, Umpierrez G. Management of hyperglycemic crises: diabetic ketoacidosis and hyperglycemic hyperosmolar state. Med Clin North Am. [Internet]. 2017 [cited Apr 25, 2022];101(3):587-606. Doi: https://doi.org/10.1016/j.mcna.2016.12.011
Gosmanov AR, Gosmanova EO, Kitabchi AE. Hyperglycemic Crises: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State. MDText.com. [Internet]. 2021 [cited Apr 25, 2022]:1-51. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279052/?report=reader
Eledrisi M, Elzouki A-N. Management of diabetic ketoacidosis in adults: a narrative review. Saudi J Med Med Sci. [Internet]. 2020 [cited May 23, 2022];8(3):165-71. Doi: https://doi.org/10.4103/sjmms.sjmms_478_19
Islam T, Sherani K, Surani S, Vakil A. Guidelines and controversies in the management of diabetic ketoacidosis – A mini-review. World J Diabetes. [Internet]. 2018 [cited May 23, 2022];9(12):226-28. Doi: https://doi.org/10.4239/wjd.v9.i12.226
Tran TT, Pease A, Wood AJ, Zajac JD, Mårtensson J, Bellomo R, et al. Review of evidence for adult diabetic ketoacidosis management protocols. Front Endocrinol (Lausanne) [Internet]. 2017 [cited Apr 25, 2022];8:106:1-11. Doi: https://doi.org/10.3389/fendo.2017.00106
Evans K. Diabetic ketoacidosis: update on management. Clin Med [Internet]. 2019 [cited Apr 25, 2022];19(5):396-98. Doi: https://doi.org/10.7861/clinmed.2019-0284
Plewa MC, Bryant M, King-Thiele R. Euglycemic Diabetic Ketoacidosis. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing [Internet]. 2022 [cited Apr 28, 2022]. 1-15. Available fom: https://www.ncbi.nlm.nih.gov/books/NBK554570/
Rawla P, Vellipuram AR, Bandaru SS, Pradeep Raj J. Euglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma. Endocrinol Diabetes Metab Case Rep [Internet]. 2017 [cited Apr 28, 2022];2017(1):1-4. Doi: https://doi.org/10.1530/EDM-17-0081
Karslioglu French E, Donihi AC, Korytkowski MT. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients. BMJ [Internet]. 2019 [cited Apr 28, 2022];365:I1114:1-12. Doi: https://doi.org/10.1136/bmj.l1114
10.Hamdy O. Diabetic Ketoacidosis (DKA). Medscape.com. [Internet]. 2021 [cited Apr 25, 2022]. Available from: https://emedicine.medscape.com/article/118361-overview
Vitale RJ, Valtis YK, McDonnell ME, Palermo NE, Fisher NDL. Euglycemic diabetic ketoacidosis with COVID-19 infection in patients with type 2 diabetes taking SGLT2 Inhibitors. AACE Clin Case Rep [Internet]. 2021 [cited Apr 25, 2022];7(1)10-13. Doi: https://doi.org/10.1016/j.aace.2020.11.019
Bornstein SR Rubino F, Khunti K, Mingrone G, Hopkins D, Birkenfeld AL, et al. Practical recommendations for the management of diabetes in patients with COVID-19. Lancet Diabetes. Doi: https://doi.org/10.1016/j.aace.2020.11.019
Jameson J, Fauci A, Kasper D, Hauser S, Longo D, Loscalzo J. Diabetes Mellitus: Management and therapies. Powers A, Niswender K, Rickels M. Harrison’s principles of internal medicine. Vol. 2. 20th ed. United States: Mc Graw Hill; 2018. 2870-2872p.
Lee MH, Calder GL, Santamaria JD, MacIsaac RJ. Diabetic ketoacidosis in adult patients: an audit of factors influencing time to normalisation of metabolic parameters. Intern Med J [Internet]. 2018[cited Apr 28, 2022];48(5):529-33. Doi: https://doi.org/10.1111/imj.13735
Chen Y-L, Weng S-F, Yang C-Y, Wang J-J, Tien K-J. Long-term risk of stroke in type 2 diabetes patients with diabetic ketoacidosis: a population-based, propensity score-matched, longitudinal follow-up study. Diabetes Metab [Internet]. 2017 [cited Apr 28, 2022];43(3):223-8. Doi: https://doi.org/10.1016/j.diabet.2016.11.003
16.American Diabetes Association. Standards of Medical Care in Diabetes-2021. Diab Care [Internet]. 2021 [cited Apr 25, 2022];44(suppl. 1):S1-S232. 1. Availble from: https://www.diabetes.org/newsroom/press-releases/2020/ADA-releases-2021-standards-of-medical-care-in-diabetes