FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL
Morsy, E., Sabry, A., Alkafafy, A., Guirguis Baskharon, M., Aiad, A. (2024). FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL. EKB Journal Management System, 6(3), 53-54. doi: 10.21608/alexpo.2024.313989.1928
Eman Youssef Morsy; Ahmed Aabdelfatah Sabry; Asmaa Mohamed Alkafafy; Mina Guirguis Baskharon; Ahmed Abdelmajeed Aiad. "FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL". EKB Journal Management System, 6, 3, 2024, 53-54. doi: 10.21608/alexpo.2024.313989.1928
Morsy, E., Sabry, A., Alkafafy, A., Guirguis Baskharon, M., Aiad, A. (2024). 'FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL', EKB Journal Management System, 6(3), pp. 53-54. doi: 10.21608/alexpo.2024.313989.1928
Morsy, E., Sabry, A., Alkafafy, A., Guirguis Baskharon, M., Aiad, A. FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL. EKB Journal Management System, 2024; 6(3): 53-54. doi: 10.21608/alexpo.2024.313989.1928

FACTORS AFFECTING TIME TO RECOVERY FROM DIABETIC KETOACIDOSIS IN ADULT DIABETIC PATIENTS IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL

ALEXMED ePosters
Article 1, Volume 6, Issue 3, July 2024, Page 53-54  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2024.313989.1928
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Authors
Eman Youssef Morsy1; Ahmed Aabdelfatah Sabryorcid 2; Asmaa Mohamed Alkafafyorcid 3; Mina Guirguis Baskharonorcid 4; Ahmed Abdelmajeed Aiad email orcid 5
1Department of Internal Medicine, Faculty of Medicine, University of Alexandria
2Department of Surgery , faculty of medicine , Alexandria university
3Department of Emergency Medicine Faculty of Medicine Alexandria University
4Department of Emergency Medicine3, Faculty of Medicine, Alexandria University
5Department of Emergency Medicine, Faculty of Medicine, Alexandria University
Abstract
Diabetic ketoacidosis (DKA) represents a critical metabolic consequence of absolute or relative insulin deficiency in DM. This deficiency disrupts glucose utilization, promoting lipolysis and formation of ketone bodies as alternative fuel,this uncontrolled ketogenesis leads to ketonemia and metabolic acidosis. DKA diagnosis and classification depend on American Diabetes Association (ADA) criteria:blood glucose > 200 mg/dl, arterial pH < 7.3, bicarbonate ≤ 18 mEq/L, presence of ketonemia or ketonuria. Missed insulin doses and infections are the most common precipitating factors. Early symptoms include nausea, vomiting, polyuria, and polydipsia. Progression to Kussmaul breathing, dehydration signs, and coma can occur if untreated. DKA may be the initial presentation in undiagnosed DM. Management necessitates ICU admission within the first 24-48 hours for fluid resuscitation, insulin therapy, electrolytes correction, correctionof acid-base abnormalities, and treating the precipitating factor. Prompt diagnosis and early intervention are crucial to prevent significant morbidity and mortality associated with DKA.

Aim of the work:
The aim of this study was to identify the factors affecting time of recovery from DKA in adult diabetic patients including patient related factors (e.g. age, severity of illness, electrolyte imbalance, time of presentation) and treatment related factors (e.g., type and timing of insulin therapy, fluid management, electrolyte replacement).
Keywords
DKA; diabetes; resolution time
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