Since diagnosis, how many times have you or your child been hospitalized for DKA?
Three times or more
Total votes: 557
Since diagnosis, how many times have you or your child been hospitalized for DKA?Poll dates: June 8 - 15, 2008
Total Votes: 557
Diabetic ketoacidosis, or DKA, is severe, out-of-control diabetes (high blood sugar) that needs emergency treatment. DKA is caused by a profound lack of circulating insulin. This may happen because of illness, taking too little insulin, or getting too little exercise. It can also be a symptom at diagnosis.
In DKA, the body starts using stored fat for energy, and ketone bodies (acids) build up in the blood. DKA also accounts for most hospitalization and is the most common cause of death, mostly due to cerebral edema, in pediatric diabetes.1 Furthermore, treating DKA incorrectly can result in cerebral edema and death.
The Barbara Davis Center for Childhood Diabetes in Denver, Colorado, has prepared an excellent poster for hospital emergency rooms with the correct treatment procedures for DKA and suspected cerebral edema. Key points are slowly lowering blood glucose levels and slowly rehydrating. For full details, see Treatment of DKA.
The table below compares results of last week's poll with answers from previous years. This data seems to indicate that fewer families are returning to the hospital due to DKA, which is very good news.
Answer Jun 2008 Jun 2007 Dec 2005 Jan 2004 None 77% 80% 71% 73% Once 8% 8% 11% 8% Twice 4% 2% 3% 3% Three or more times 3% 3% 5% 5% What's DKA? 7% 4% 7% 8%
1 Diabetic Ketoacidosis (DKA): Treatment Guidelines by Arlan L Rosenbloom, M.D. and Ragnar Hanas, M.D.
Last Updated: Sunday June 15, 2008 14:54:52
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