Effective Management of Diabetic Ketoacidosis.

Cho,  Dong Hyeok

doi:2018.19.4.208

J Korean Diabetes > Volume 19(4); 2018 > Article

Focused Issue

The Journal of Korean Diabetes 2018;19(4):208-213.
DOI: https://doi.org/10.4093/jkd.2018.19.4.208 Published online January 8, 2019.

당뇨병성 케톤산증의 효과적인 치료

조동혁

Effective Management of Diabetic Ketoacidosis.

Dong Hyeok Cho

Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea. choshua@chol.com

Abstract

Diabetic ketoacidosis (DKA) is serious complication of diabetes mellitus that requires prompt recognition, diagnosis and treatment. It is characterized by a triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration. The overall DKA mortality rate recorded among children and adults is < 1%. For patients with DKA, appropriate administration of intravenous fluids and insulin with attention to associated fluid and electrolyte disorders can effectively and rapidly resolve metabolic dysregulation. Following acute management and restoration of physiological glucose levels, DKA requires identification of the precipitating cause to prevent recurrence of potentially life-threatening diabetic complications.

Key Words: Diabetes mellitus, Diabetic ketoacidosis, Hyperglycemia, Ketonemia