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2023, Number 2

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Acta Med 2023; 21 (2)

Diabetic ketoacidosis: an important condition in pediatrics

Oseguera BMA
Full text How to cite this article 10.35366/110263

DOI

DOI: 10.35366/110263
URL: https://dx.doi.org/10.35366/110263

Language: Spanish
References: 14
Page: 158-161
PDF size: 140.27 Kb.


Key words:

ketoacidosis, diabetes, cerebral edema, pediatrics.

ABSTRACT

Diabetes mellitus is one of the most frequent chronic diseases of the pediatric age, where ketoacidosis corresponds to a cause of morbidity and mortality in children suffering mainly from type 1 diabetes mellitus, which is one of the most common reasons for emergencies, principally in the adolescent population, which fluid therapy is of vital importance in its management, and carry out meticulous management to avoid complications among which the most feared is cerebral edema, which has been described since 1930, and is one of the leading causes of death, so it is important to know data about it, such as its criteria diagnosis and how it can be prevented and medically treated.


REFERENCES

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  2. Glaser N, Kuppermann N. Fluid treatment for children with diabetic ketoacidosis: How do the results of the pediatric emergency care applied research network Fluid Therapies Under Investigation in Diabetic Ketoacidosis (FLUID) Trial change our perspective? Pediatr Diabetes. 2019; 20 (1): 10-14.

  3. International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels, Belgium: International Diabetes Federation; 2021. 427 p.

  4. Castellanos L, Tuffaha M, Koren D, Levitsky LL. Management of diabetic ketoacidosis in children and adolescents with type 1 diabetes mellitus. Paediatr Drugs. 2020; 22 (4): 357-367.

  5. Andrade-castellanos CA. Cetoacidosis diabética : puesta al día. Med Int Méx. 2022; 38 (3): 634-641.

  6. Aguirre M, Lima MM, Villalobos M, Guillén M, Briceño Y, Paoli M. Manejo de cetoacidosis diabética en niños y adolescentes: Protocolo del Servicio de Endocrinología del Instituto Autónomo Hospital Universitario de Los Andes. Rev Venez Endocrinol Metab. 2012; 10 (1): 38-45.

  7. Belda S, Guerra V, Palacios A. Cetoacidosis diabética. An Pediatr Contin. 2014; 12 (2): 55-61.

  8. Asociación Latinoamericana de Diabetes. Guías ALAD sobre el diagnóstico, control y tratamiento de la diabetes mellitus tipo 2 con medicina basada en evidencia. ALAD; 2019. p. 125.

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  10. International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation; 2019. 176 p.

  11. Baumer-Mouradian SH, Gray MP, Wolfgram PM, Kopetsky M, Chang F, Brousseau DC, et al. Improving emergency department management of diabetic ketoacidosis in children. Pediatrics. 2019; 144 (4): e20182984.

  12. Tzimenatos L, Nigrovic LE. Managing diabetic ketoacidosis in children. Ann Emerg Med. 2021; 78 (3): 340-345.

  13. Krochik G, Zuazaga M, Fustiñana A, Martínez C, Arpi L, Pellegrini S, et al. GAP 2020. Manejo de la cetoacidosis diabética en pediatría. Coordinación de Unidad de Evaluación de Tecnología Sanitaria; 2020. pp. 1-35.

  14. Long B, Koyfman A. Emergency medicine myths: cerebral edema in pediatric diabetic ketoacidosis and intravenous fluids. J Emerg Med. 2017; 53 (2): 212-221.




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Acta Med. 2023;21