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MANAGEMENT OF SEVERE DIABETIC KETOACIDOSIS IN A YOUNG ADULT

VESNA VUCELIĆ ; Sestre milosrdnice University Hospital Centre, Department of Medicine, 1Department of Intensive Care, Zagreb, Croatia
ŽELJKO VUČIČEVIĆ ; Sestre milosrdnice University Hospital Centre, Department of Medicine, 1Department of Intensive Care, Zagreb, Croatia
VESNA DEGORICIJA ; Sestre milosrdnice University Hospital Centre, Department of Medicine, 1Department of Intensive Care, Zagreb, Croatia
GORANA MIROŠEVIĆ ; Sestre milosrdnice University Hospital Centre, Department of Endocrinology, Zagreb, Croatia
VESNA TRKEŠ ; Zagreb University Hospital Centre, Jordanovac Hospital for Lung Diseases, Zagreb, Croatia

Abstract

We present a case of severe diabetic ketoacidosis in a 19-year-old male with a history of poor compliance to insulin therapy. At arrival to our Emergency Department, the patient was comatose with extreme hyperglycemia, severe diabetic ketoacidosis, lactic acidosis and dehydration. The treatment consisted of intensive fl uid replacement and correction of all metabolic disturbances until complete recovery. In the vast majority of severe diabetic ketoacidosis cases, relatively fast and successful treatment result can be expected if intensive therapy is applied and if ketoacidosis is not triggered by a serious illness. Some essential contemporary guidelines and the importance of individual treatment approach are pointed out in the article. The role of high serum procalcitonin value in diabetic ketoacidosis is discussed.

Keywords

diabetic ketoacidosis; hyperosmolar state; hypovolemia; treatment of diabetic ketoacidosis

Hrčak ID:

224713

URI

https://hrcak.srce.hr/224713

Publication date:

6.9.2019.

Article data in other languages: croatian

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