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

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