Identifying risk factors for development of diabetic ketoacidosis in type 1 diabetes mellitus


  • G. Anand Kumar Department of Pediatrics and Neonatology, KMCH Institute of Health Science and Research, Coimbatore, Tamil Nadu, India
  • Rajendran . Department of Pediatrics and Neonatology, KMCH Institute of Health Science and Research, Coimbatore, Tamil Nadu, India
  • Swaminathan . Department of Pediatrics and Neonatology, KMCH Institute of Health Science and Research, Coimbatore, Tamil Nadu, India



Cerebral edema, Diabetic keto acidosis, Dyslipidaemia, Hyper glycemia


Background: DKA [ Diabetic keto acidosis] It is the commonest cause of diabetes-related death in children. Children with diabetic ketoacidosis at diagnosis have poorer glycemic control, to identify the risk factors for the development of Diabetic Ketoacidosis in Type1 Diabetes Mellitus in a tertiary care center.

Methods: The study was conducted in Kovai Medical Centre And Hospital Coimbatore in 2018.22 children were included in present study. Each consultant followed different standard DKA treatment protocols. The two protocols used were Milwaukee and BSPED guidelines.

Results: Among the 22 children, 3 children (13%) had recurrent DKA (>1 episode). One child had his third episode and the rest 2 children had their second episode.19 children had their first episode of DKA.

Conclusions: There was no death among the 22 children treated. This was because of the care is given by the team of doctors and adherence to treatment protocol (Milwaukee or BSPED) of DKA.


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Original Research Articles