ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
Precipitating factors and symptoms in patients with diabetic ketoacidosis
Tatjana Bačun 1,2 , Željka Dragila 1 , Klara Ćosić 1 , Ivana Grubešić 1 , Ivan Lekić 1,3 , Srđan Čalošević 4 & Krešimir Šolić 1,5
1Faculty of Medicine, Osijek, Croatia; 2Clinical Medical Center Osijek, Department of Internal Medicine, Osijek, Croatia; 3Dom Zdravlja Zagreb - Centar, Zagreb, Croatia; 4Department of Emergency Medicine Osijek-Baranja County, Osijek, Croatia; 5Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Osijek, Croatia
Aim: The aim of the study was to determine the most common precipitating factors and symptoms of diabetic ketoacidosis and whether there is a difference in regard to age, gender and severity of diabetic ketoacidosis.
Patients and Methods: Medical records from 1 January 2017 to 31 December 2019 were reviewed and patients with the diagnosis of diabetic ketoacidosis were selected.
Results: The study included 52 patients. The median age was 34 years (interquartile range 21-56 years). There was no statistically significant difference between male and female gender. The severity of diabetic ketoacidosis was moderate in the majority of cases (65.4%; P=0.005). The most common precipitating factor was infection (61.7%). In patients with moderate diabetic ketoacidosis, respiratory infections were more common, while gastrointestinal infections were more common in severe diabetic ketoacidosis (33% and 25%; P=0.03). Nausea (median age 32 years; P=0.004) and vomiting (median age 31 years; P=0.01) were more common in the younger age groups, while altered mental status was more common in the older age group (median age 61 years; P=0.001).
Conclusion: Infection was the most common precipitating factor. The most common symptoms in the younger age groups were nausea and vomiting and in the older age group altered mental status.
Keywords: diabetes mellitus, diabetic ketoacidosis, infection, nausea, vomiting
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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