From Jerusalem, Israel:
You recently answered a question about severe cerebral edema after DKA [diabetic ketoacidosis] and mentioned that in nearly all cases of severe DKA, there is some edema.
Our three and a half year old daughter was diagnosed at age 12 months with sudden, severe onset of DKA and was non-responsive for about 48 hours. We were not told that she was in a coma, but she did not follow things with her eyes, and we're not sure she recognized us. I do know that during our hospital stay, a neurologist looked into her eyes with some equipment. She seems to have been developing normally, is bright, and is in decent control with the help of an insulin pump. Should we be concerned about any long lasting effects of her initial DKA almost three years ago?
"All's well that ends well", and I don't think that you need be concerned about any significant lasting cerebral impairment. The neurologist was probably using an ophthalmoscope to look at the back of her eyes for evidence of edema. Of course you all deserve a medal for having a three year old doing so well on an insulin pump, not a record, but certainly in the'magna cum laude' bracket.
Original posting 28 Nov 2001
Posted to Hyperglycemia and DKA
Last Updated: Tuesday April 06, 2010 15:09:28
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.