Abstract
Diabetic ketoacidosis (DKA) is an acute and potentially fatal metabolic complication of type 1 diabetes and end-stage type 2 diabetes. Although largely preventable, it associates with morbidity and mortality, creating a large burden on the health system, particularly with recurrent presentations. This study reviewed 20 years of DKA admissions at a large regional hospital in New Zealand that serves a population of ∼500,000. Admissions for DKA were defined as new (diabetes diagnosis at admission), non-recurrent or recurrent (2 or more admissions), and they were analyzed by age group, ethnicity (indigenous Māori vs non-Māori), rurality and socioeconomic deprivation quintile.
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