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Research ArticleOriginal Article
Open Access

Precipitating factors for diabetic ketoacidosis

Faiza A. Qari
Saudi Medical Journal February 2002, 23 (2) 173-176;
Faiza A. Qari
Assistant Professor, Department of Medicine, King Khalid Abdulaziz Medical College, PO Box 13042, Jeddah 21943, Kingdom of Saudi Arabia. Fax. +966 (2) 6743781. E-mail: [email protected]
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Abstract

OBJECTIVE: The aim of this study is to identify the precipitating factors from a medical and social point of view, in addition to discussing some clinical and laboratory aspects of diabetic ketoacidosis.

METHODS: Sixty-eight patients were admitted to King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, over a 2 year period, (April 1999 through to April 2001). Diagnosis of diabetic ketoacidosis was based on: clinical features, serum sugar >12 mmol\L with ketonuria, bicarbonate and base deficit.

RESULTS: The mean age was 22.5 years (0.5-87) years with a male to female ratio of 1.4:1. Poor compliance to continue the treatment and infection were the most common precipitating factors being responsible for 54.4% and 28% cases. A low mortality rate of 2.9% in our study compared favorably with other studies, which contributed to a high level of medical care in King Abdulaziz University Hospital.

CONCLUSION: Diabetic ketoacidosis is a fatal complication among our diabetic patients. Implementing a patient education program to increase awareness of the disease is the most important step in the prevention of this complication. The authorities should ensure availability of insulin to all patients, either free or at lower prices. The role of cultured and socioeconomic factors in aggravating or precipitating diabetic ketoacidosis should always be considered and where possible, eliminated.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 23 (2)
Saudi Medical Journal
Vol. 23, Issue 2
1 Feb 2002
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Precipitating factors for diabetic ketoacidosis
Faiza A. Qari
Saudi Medical Journal Feb 2002, 23 (2) 173-176;

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Precipitating factors for diabetic ketoacidosis
Faiza A. Qari
Saudi Medical Journal Feb 2002, 23 (2) 173-176;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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