Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis
Jørn Ditzel, Hans-Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: The acute effects of intracellular phosphate depletion and hypophosphatemia on organs and tissues i...
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Dove Medical Press
2010
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oai:doaj.org-article:6e8dd1bd4d3145118539d05f36aaa8c22021-12-02T06:10:23ZDisturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis1178-7007https://doaj.org/article/6e8dd1bd4d3145118539d05f36aaa8c22010-09-01T00:00:00Zhttp://www.dovepress.com/disturbance-of-inorganic-phosphate-metabolism-in-diabetes-mellitus-cli-a5320https://doaj.org/toc/1178-7007Jørn Ditzel, Hans-Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: The acute effects of intracellular phosphate depletion and hypophosphatemia on organs and tissues in and during recovery from diabetic ketoacidosis (DKA) have been reviewed. When insufficient phosphate and/or oxygen are available for high energy phosphate synthesis, cell homeostasis cannot be maintained and cell integrity may be impaired. The clinical consequences are recognized as occasional cause of morbidity and mortality. Although phosphate repletion has not been routinely recommended in the treatment of DKA, physicians should be aware of these clinical conditions and phosphate repletion in such situations should be considered.Keywords: high energy phosphates, hypoxia, fructose 1,6-diphosphate Jørn DitzelHans-Henrik LervangDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2010, Iss default, Pp 319-324 (2010) |
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Specialties of internal medicine RC581-951 Jørn Ditzel Hans-Henrik Lervang Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
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Jørn Ditzel, Hans-Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: The acute effects of intracellular phosphate depletion and hypophosphatemia on organs and tissues in and during recovery from diabetic ketoacidosis (DKA) have been reviewed. When insufficient phosphate and/or oxygen are available for high energy phosphate synthesis, cell homeostasis cannot be maintained and cell integrity may be impaired. The clinical consequences are recognized as occasional cause of morbidity and mortality. Although phosphate repletion has not been routinely recommended in the treatment of DKA, physicians should be aware of these clinical conditions and phosphate repletion in such situations should be considered.Keywords: high energy phosphates, hypoxia, fructose 1,6-diphosphate |
format |
article |
author |
Jørn Ditzel Hans-Henrik Lervang |
author_facet |
Jørn Ditzel Hans-Henrik Lervang |
author_sort |
Jørn Ditzel |
title |
Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
title_short |
Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
title_full |
Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
title_fullStr |
Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
title_full_unstemmed |
Disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
title_sort |
disturbance of inorganic phosphate metabolism in diabetes mellitus: clinical manifestations of phosphorus-depletion syndrome during recovery from diabetic ketoacidosis |
publisher |
Dove Medical Press |
publishDate |
2010 |
url |
https://doaj.org/article/6e8dd1bd4d3145118539d05f36aaa8c2 |
work_keys_str_mv |
AT jamposlashrnditzel disturbanceofinorganicphosphatemetabolismindiabetesmellitusclinicalmanifestationsofphosphorusdepletionsyndromeduringrecoveryfromdiabeticketoacidosis AT hanshenriklervang disturbanceofinorganicphosphatemetabolismindiabetesmellitusclinicalmanifestationsofphosphorusdepletionsyndromeduringrecoveryfromdiabeticketoacidosis |
_version_ |
1718400056790351872 |