Barone B, Rodacki M, Cenci MCP, Zajdenverg L, Milech A, Oliveira JEPD. [Diabetic ketoacidosis in adults--update of an old complication].
ACTA ACUST UNITED AC 2009;
51:1434-47. [PMID:
18209885 DOI:
10.1590/s0004-27302007000900005]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2007] [Accepted: 06/22/2007] [Indexed: 12/21/2022]
Abstract
Diabetic ketoacidosis is an acute complication of Diabetes Mellitus characterized by hyperglycemia, metabolic acidosis, dehydration, and ketosis, in patients with profound insulin deficiency. It occurs predominantly in patients with type 1 diabetes and is frequently precipitated by infections, insulin withdrawal or undiagnosed type 1 diabetes. The authors review its pathophysiology, diagnostic criteria and treatment options in adults, as well as its complications.
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