DKA at diagnosis of diabetes

Factors associated with the presence of diabetic ketoacidosis at diagnosis of diabetes in children and young adults

In this systematic review, Usher-Smith and colleagues looked at 46 studies of more than 24 000 children from 31 countries. They found that multiple factors affect the risk of developing diabetic ketoacidosis at the onset of type 1 diabetes in children and young adults, and there is potential time, scope, and opportunity to intervene between symptom onset and development of diabetic ketoacidosis for both parents and clinicians. In a linked editorial, Sasigarn A Bowden says that the findings from this study should heighten the awareness of clinicians caring for children and adolescents and continuing education should be provided on the presentation of diabetes.” –