Profile of diabetic ketoacidosis at a teaching hospital in Benghazi, Libyan Arab Jamahiriya.

Original article

English

Elmehdawi RR, Elmagerhei HM.

Department of Internal Medicine, Faculty ofMedicine, Al-Arab Medical University, Benghazi, Libyan Arab Jamahiriya. rafikal2002@yahoo.com

East Mediterr Health J. 2010 Mar;16(3):292-9.

Abstract

This study describes the profile of 100 cases of diabetic ketoacidosis (DKA) at a teaching hospital in 1 Benghazi, Libyan Arab Jamahiriya. DKA was more frequent in young women with type 1 diabetes and mostly due to preventable causes, e.g., disrupted insulin treatment and/or infection. DKA also occurred in type 2 diabetics, with a higher mortality rate, as they were older patients with co-morbidity. Polyurea, fatigue, abdominal pain and vomiting were the most common clinical features, while coma was rarer. A high number of cases were first presentations of type 1 diabetes; hence this diagnosis should be considered in all patients with acute abdomen or decreased level of consciousness. The reasons for high mortality rate in this study (10%) were multifactorial.

Keywords: Profile of diabetic ketoacidosis at a teaching hospital in Benghazi, Libyan Arab Jamahiriya.

Link/DOI: http://www.emro.who.int/publications/emhj/1603/article8.htm