Epidemiological Profile of Diabetic Ketoacidosis

Abstract

Diabetic ketoacidosis is a real public health problem in our context with an incidence of 12.67%. Diabetic ketoacidosis is a therapeutic emergency that requires rigorous management, especially in the acute phase, while respecting the therapeutic particularities of each patient and taking care to detect the etiologies. The etiological research of ketoacidotic decompensation has enabled us to determine, as the main triggering factors, therapeutic non-compliance and then infections, predominated by urinary infections and pneumonia. Initial treatment is based on rehydration, insulin therapy and correction of electrolyte and acid-base disorders, of course, with rigorous and essential monitoring combating possible complications, particularly iatrogenic, represented in our context mainly by the hypokalemia, hypoglycemia, cerebral edema and acute renal failure. The analytical statistical study allowed us to conclude that death was essentially linked to complications occurring during the hospital stay, notably septic shock, cerebral involvement, renal failure and the use of mechanical ventilation.