FREQUENCY OF RISK FACTORS ASSOCIATED WITH DIABETIC KETOACIDOSIS IN PATIENTS PRESENTING AT KHYBER TEACHING HOSPITAL PESHAWAR
DOI:
https://doi.org/10.52764/jms.23.31.4.6Keywords:
risk factors; diabetic ketoacidosis; type I diabetes; type II diabetesAbstract
ABSTRACT:
OBJECTIVE: To determine the frequency of risk factors associated with diabetic ketoacidosis in patients presenting at Khyber Teaching Hospital Peshawar
METHODS: Patients of either gender, aged between 18 and 60 years, with either type I or type II diabetes mellitus presenting with diabetic ketoacidosis with duration of diabetes > 1 year were included in the study. The diagnosis of DKA was based on clinical presentation of respective patients, serum Random Blood Sugar (RBS), and urinary ketones. Careful scrutinization was done for detection of common risk factors for DKA like infections, stroke, myocardial infarction and pancreatitis. Based on the clinical examination for Stroke and acute pancreatitis, CT imaging of the brain and CT of the abdomen with pancreatic protocol were performed.
RESULTS: Our study shows that among 111 patients, mean age was 43 years with standard deviation ± 12.05. 63(57%) patients were male while 48(43%) patients were female. More over infection was found in 54(49%) patients, stroke was found in 4(4%) myocardial infarction was found in 3(3%) patients and pancreatitis was found in 7(6%) patients.
CONCLUSION: The frequency of risk factors associated with diabetic ketoacidosis i.e., infections was 49%, stroke was 4%, myocardial infarction was 3% and pancreatitis was 6% in patients presenting at Khyber Teaching Hospital Peshawar.
KEY WORDS: risk factors; diabetic ketoacidosis; type I diabetes; type II diabetes
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Copyright (c) 2023 Muhammad Asim, Aliena Badshah, Durkho Atif, Wazir Muhammad
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