Volume: 8 Issue: 1
Year: 2020, Page: 24-28,
Introduction: Defined by the triad hyperglycemia, acidosis, and ketonuria, DKA can be inaugural or complicate known diabetes. With many improvements in the treatment of DKA and in understanding of the metabolic and electrolyte changes and their treatment, it is possible to prevent and treat this condition.
Objectives: To assess the seasonal trends laboratory profile of patients presenting as Diabetic Ketoacidosis (DKA).
Methodology: It is a descriptive observational study was conducted at Department of Medicine, Dr. Shankarrao Chavan Medical College and Hospital, Nanded. The study included 77 patients of diabetic ketoacidosis (DKA) from Male Medicine ward, Female Medicine ward, Medical Intensive Care Unit. The study was carried out during Jan 2012 to October 2013. The data was analyzed using SPSS 24.0 version.
Results: 40.3% patients were from 10-20 years age group. Overall incidence of DKA was 0.33% and slightly more in males (0.35%) than in females (0.30%). Cases were more in summer and spring especially high summer i.e. 18.66%. Maximum patients i.e. 47% have blood sugar level above 600 mg/dl. 38(49%) patients showed sodium level slightly lower than normal. Hypokalemia was observed in 13(17%) patients.
Conclusion: Cases were more in summer and spring especially during high summer i.e. 18.66%. BSL was above 600 mg/dl in almost half of the DKA patients. Hyponatremia and hypokalemia were predominant findings in our study.
Keywords: Diabetes ketoacidosis, type 1 DM, seasonal trends, investigations
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