Abstract
Objectives. Type 2 diabetes (T2D) with ketosis was common because of late diagnosis and lacking adequate treatment in rural regions of China. This study aimed to provide the data of T2D with ketosis among inpatients in a south-west border city of China. Methods. Data of 371 patients of T2D with ketosis who were hospitalized between January 2011 and July 2015 in Baoshan People's Hospital, Yunnan, China, were analyzed. New-onset and old-diagnosed T2D patients presenting with ketosis were compared according to clinical characteristics, laboratory results, and chronic diabetic complications. Results. Overall, the blood glucose control was poor in our study subjects. Male predominated in both groups (male prevalence was 68% in new-onset and 64% in old-diagnosed groups). Overweight and obesity accounted for 50% in new-onset and 46% in old-diagnosed cases. Inducements of ketosis were 13.8% in new-onset and 38.7% in old-diagnosed patients. Infections were the first inducements in both groups. The prevalence of chronic complications of diabetes was common in both groups. Conclusions. More medical supports were needed for the early detection and adequate treatment of diabetes in rural areas of China.
Highlights
The prevalence of type 2 diabetes (T2D) in rural regions is rising rapidly and has been a great challenge to the local health care programs [1]
Ketosis or ketoacidosis has been regarded as trait of type 1 diabetes (T1D)
We showed the characteristic of T2D with ketosis in rural areas of south-west part of China
Summary
The prevalence of type 2 diabetes (T2D) in rural regions is rising rapidly and has been a great challenge to the local health care programs [1]. Ketosis was frequently presented in these patients. The situations of type 2 diabetes presenting with ketosis prior to admission in the south-west rural region were unclear. Ketosis is a symbol of acute disorder of glucose and lipids metabolism in diabetic patients. Ketosis or ketoacidosis has been regarded as trait of type 1 diabetes (T1D). Patients with T2D were susceptible to ketosis or ketoacidosis under extreme hyperglycemia. Because of backward in economy, quite a few patients did not get duly treatment until severe hyperglycemia or diabetic complications occurred. T2D patients with ketosis were frequently seen at clinic in rural areas. Our present study was to investigate the prevalence and characteristics of T2D presenting with ketosis in rural areas aiming to suggest more efforts for the prevention and control of diabetes in rural areas of China
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