Abstract
English
Highlights
Diabetes mellitus (DM) prevalence is continuously increasing globally
From our searches no prior study has shown the prevalence of hyperglycaemic patients with diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar state (HHS) complications presenting to EDs in total and breaking it down by sex and into age groups
Within our population in Queensland DKA and HHS were present in 0.10% and 0.03% respectively of the emergency presentations to three major hospitals
Summary
The International Diabetes Federation estimated in 2015 there were 415 million individuals and this is estimated to rise to 642 million in 2040 [1]. On top of this a large percentage of the population remain undiagnosed. T1DM account for about 5-10%, T2DM for 85-90% and GDM for 5-10% of all diabetics [3]. The two most serious acute complications of hyperglycaemic crisis are diabetic ketoacidosis (DKA) and a hyperglycaemic hyperosmolar state (HHS) due to relative or absolute deficiency of insulin. DKA is more common in younger individuals while HHS occurs more commonly in the elderly, but both can occur across the age spectrum [4]
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