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Journal of Preventive Medicine and Holistic Health


Profile of precipitating factors in Diabetic Ketoacidosis: Data from a rural teaching hospital


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Author Details: Amol Hartalkar, Sheetal Hartalkar, Krithika Peshwe, Bhola Nath

Volume : 1

Issue : 2

Online ISSN : 2454-6712

Print ISSN : 2454-6704

Article First Page : 92

Article End Page : 95


Abstract

Background: Diabetic ketoacidosis (DKA) is a known presenting clinical feature of type 1 Diabetes mellitus (T1DM). It is a common acute medical complication in already known patients of all types DM, especially after altering / stopping the therapy and any infective etiology.
Objective: To describe the profile of precipitating factors of DKA.
Methods: This retrospective descriptive study was done in Department of Medicine, of a rural teaching hospital. Precipitating factors were identified by clinical examination & laboratory investigation in hospitalized & diagnosed cases of DKA.
Results: Among 50 patients, 22 were males. The mean age was 38.3 ± 15.7 years. 10 patients (20%) were diagnosed as DM for the first time during hospitalization and rest were already known diabetic.
Severe DKA was not common. A Major precipitating factor was an infection (40%) and next was noncompliance (28%). Less common factors included acute pancreatitis, myocardial infarction, surgery and stroke. No definite factor could be found in 14% patients.
Conclusion: Commonest precipitants of DKA were infection & non-compliance. Hence, it may be stated that with appropriate patient counselling about compliance to therapy and management of any illness, many cases of DKA may be avoidable.

Key words: Diabetic ketoacidosis, Diabetes mellitus, Risk factors, Precipitating factors.