The Evaluation and Management of Pediatric Diabetic Ketoacidosis: A Comprehensive Review

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Abstract

Diabetic ketoacidosis (DKA) is a common, serious acute complication in children with diabetes mellitus (DM). DKA can accompany new-onset type 1 insulin-dependent DM, or it can occur with established type 1 DM, during the increased demands of an acute illness or with decreased insulin delivery due to omitted doses or insulin pump failure. In addition, DKA episodes in children with type 2 DM are being reported with greater frequency. Although the diagnosis is usually straightforward in a known diabetes patient with expected findings, a sizable proportion of patients with new-onset DM present with DKA. The purpose of this comprehensive review is to acquaint clinicians with details regarding the pathophysiology, treatment caveats, and potential complications of DKA.

Original languageEnglish
Pages (from-to)551-564
Number of pages14
JournalClinical Pediatrics
Volume62
Issue number6
DOIs
StatePublished - Jun 2023

Keywords

  • cerebral edema
  • diabetes
  • hyperglycemia
  • insulin
  • ketoacidosis

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