Abstract
BACKGROUND: Hyperglycemia, hyperosmolarity, accelerated lipolysis, ketonemia, and metabolic acidosis are all symptoms of diabetic ketoacidosis (DKA). It is characterised by absolute or relative insulin insufficiency, with a 5- percent overall mortality rate in hospitals.AIMS AND OBJECTIVES:A prospective study in a tertiary care hospital to identify risk variables and clinical characteristics in diabetic ketoacidosis (DKA).MATERIALS AND METHODS: The study includes 50 patients with diabetic ketoacidosis who match the inclusion criteria for diabetic ketoacidosis. According to the inclusion criteria,diabetic ketoacidosis was diagnosed. Hyperglycemia >250 mg/dl, acidosis (blood pH 7.3),and ketones in urine.RESULTS:A total of 50 patients were enrolled in the trial.A total of 50 patients were tested, with 21 (42%) having type I diabetes and 29 (58%) having type II diabetes.There were 23 (46 percent) males and 27 (54 percent) females among the 50 patients.The majority of the patients (12%) were between the ages of 30 and 60 years old. Nausea and vomiting were the most common presenting symptoms in 34 of the patients (68 percent). Drug noncompliance was the most common precipitating factor, accounting for 16 (32 percent), followed by urinary tract infections (12 (24 percent), and random blood sugar levels of more than 300 mg/dL in 48 (96 percent) of patients at the time of presentation. CONCLUSION: Diabetic ketoacidosis (DKA) was common in people with type 2 diabetes (58 percent ). DKA was more prevalent in persons between the ages of 30-40 (24%) and 50-60 (24%) years old. The most prevalent presenting complaints were nausea/vomiting (68 percent) and shortness of breath (66 percent). Drug noncompliance (32 percent) and infection are the most common triggering causes. At the time of presentation, the majority of patients have blood sugar levels of 200-300 mg/dL (30%).To avert issues,extensive patient education should be offered.
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