Management of adult diabetic ketoacidosis
Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: D...
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Dove Medical Press
2014
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oai:doaj.org-article:ae56a7841f52429fa67973d7503e08e82021-12-02T06:17:42ZManagement of adult diabetic ketoacidosis1178-7007https://doaj.org/article/ae56a7841f52429fa67973d7503e08e82014-06-01T00:00:00Zhttp://www.dovepress.com/management-of-adult-diabetic-ketoacidosis-a17420https://doaj.org/toc/1178-7007 Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKDGosmanov ARGosmanova EODillard-Cannon EDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2014, Iss default, Pp 255-264 (2014) |
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Specialties of internal medicine RC581-951 |
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Specialties of internal medicine RC581-951 Gosmanov AR Gosmanova EO Dillard-Cannon E Management of adult diabetic ketoacidosis |
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Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKD |
format |
article |
author |
Gosmanov AR Gosmanova EO Dillard-Cannon E |
author_facet |
Gosmanov AR Gosmanova EO Dillard-Cannon E |
author_sort |
Gosmanov AR |
title |
Management of adult diabetic ketoacidosis |
title_short |
Management of adult diabetic ketoacidosis |
title_full |
Management of adult diabetic ketoacidosis |
title_fullStr |
Management of adult diabetic ketoacidosis |
title_full_unstemmed |
Management of adult diabetic ketoacidosis |
title_sort |
management of adult diabetic ketoacidosis |
publisher |
Dove Medical Press |
publishDate |
2014 |
url |
https://doaj.org/article/ae56a7841f52429fa67973d7503e08e8 |
work_keys_str_mv |
AT gosmanovar managementofadultdiabeticketoacidosis AT gosmanovaeo managementofadultdiabeticketoacidosis AT dillardcannone managementofadultdiabeticketoacidosis |
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