Poster Presentation Australian Diabetes Society and the Australian Diabetes Educators Association Annual Scientific Meeting 2014

Clinical Profile of Diabetic Ketoacidosis in tertiary care hospital of Eastern Nepal (#381)

robin maskey 1 , Sanjib sharma 1 , Prahlad karki 1
  1. B.P.Koirala Institute of Health Sciences, Dharan, Koshi, Nepal

Objectives: The aim of this study was to describe the demographic profile, clinical characterstics of patients admitted with diabetic ketoacidosis in BPKIHS,medical ward.

Materials & Methods: We took all the patients admitted with a diagnosis of diabetic ketoacidosis (DKA) as defined ADA 2006 consensus statement in medical ward from January 2010 to December 2010.

Results: Only sixteen patients (7 type 1 and 9 type 2DM) were with DKA. When compared to the 16 subjects with type 1 DM ,the type 2 were older (56.8 s 25.7 years) and had a significantly higher PH levels (7.11 s 7.28 p=0.04). The mean body mass index was 20.5±2.44 in both Type 1 and type 2 DM. Four were on diet control and Insulin respectively. Five were on oral hypoglycemic agents (OHA) and three on both (insulin and OHA).Infection was most common precipitating factor (56.25%) followed by poor drug compliance (37.5%) and first presentation (6.25%).

Conclusion: In conclusion we found majority of patients were type 2 DM .Metabolic acidosis has significant association in both type of diabetic .We found infection was the most common precipitating factor for DKA.