Diabetic Ketoacidosis in a 39-Year-Old Female; A Case Report and Review of Literature

Authors

  • Ossama Iqbal Senior House Officer-Wrexham Maelor Hospital, Wales, UK

Keywords:

Diabetic Ketoacidosis, Type 2 Diabetes, Insulin Therapy, Fluid Resuscitation, Electrolyte Management, Clinical Case Report

Abstract

Diabetic ketoacidosis (DKA) is a serious and potentially life-threatening complication of diabetes mellitus, characterized by hyperglycemia, ketonemia, and metabolic acidosis. This case report describes the clinical presentation, diagnostic evaluation, and management of a 45-year-old female with newly diagnosed type 2 diabetes who developed DKA. The aim is to highlight key aspects of DKA presentation, diagnostic criteria, and treatment strategies to improve early recognition and management.

References

Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335-1343.

Arora P, Vellanki P, Umpierrez GE. Diabetic ketoacidosis: A clinical review. Diabetes Research and Clinical Practice. 2020;163:1-8.

American Diabetes Association. Standards of medical care in diabetes—2020. Diabetes Care. 2020;43(Supplement 1)

Dhatariya KK, Brown J, Heller SR. Management of diabetic ketoacidosis and hyperosmolar hyperglycemic state. Clinical Medicine. 2019;19(4):290-293.

McCoy RG, Van Houten HK, Clark JM. Insulin infusion protocols in diabetic ketoacidosis. Endocrine Practice. 2018;24(8):748-758.

Moffitt M, El-Khatib F, Schwenk M. Potassium management in diabetic ketoacidosis. Critical Care Medicine. 2018;46(7):1140-1146.

Spasovski G, Vanholder R, Allolio B, et al. Clinical practice guideline on diagnosis and treatment of diabetic ketoacidosis and hyperglycemic hyperosmolar state. Kidney International. 2014;85(4):1042-1053.

Pasquel FJ, Umpierrez GE. Management of diabetic ketoacidosis in adults. In: Feingold KR, Anawalt B, Boyce A, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000.

Reddy M, Egede LE. The effectiveness of diabetes education in the management of type 2 diabetes. American Journal of Lifestyle Medicine. 2016;10(4):258-266.

Ayub R, Raza SS, Ahsan J, Hussain AK, Nadeem MD. Bacterial culture isolates from infected diabetic foot tissue specimens and their sensitivity to antimicrobial agents. Journal of Medical Sciences. 2016 Nov 1;24(4):273-7.

Carmody JB, Dufour S, Deslauriers C, et al. Diabetic ketoacidosis: Diagnosis and management. Medical Clinics of North America. 2018;102(4):747-758.

Montagnani A, Johnson E, Harris W. The management of diabetic ketoacidosis. Journal of Diabetes Science and Technology. 2015;9(1):183-189.

Rehman H, Mohmand AK, Shah SS, Raza SS, Shah SA, Hoor A. To Find Out the Association of Diabetic Retinopathy and Vitamin D Deficiency in Type 2 Diabetic Patients. InMed. Forum 2022 Apr (Vol. 33, No. 4, p. 67).

Published

2024-09-01

How to Cite

Iqbal, O. (2024). Diabetic Ketoacidosis in a 39-Year-Old Female; A Case Report and Review of Literature. THE STETHO, 5(5). Retrieved from http://thestetho.com/index.php/ts/article/view/75