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Abstract
This article addresses the management of diabetic ketoacidosis (DKA), a severe complication of diabetes mellitus. In the introduction, the complexity of DKA management is highlighted, emphasizing the need for updated therapeutic strategies. The methodology involved a comprehensive review of recent literature, focusing on studies and reviews from the last 10 years in major databases. In the development, strategies such as fluid resuscitation, insulin therapy, correction of electrolyte disturbances, and treatment of precipitating factors were discussed based on current evidence. The conclusion emphasizes the importance of patient education, continuous monitoring, and a personalized approach to optimize clinical outcomes.
References
Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335-1343.
Savage MW, Dhatariya KK, Kilvert A, et al. Joint British Diabetes Societies guideline for the management of diabetic ketoacidosis. Diabet Med. 2011;28(5):508-515.
Nyenwe EA, Kitabchi AE. Evidence-based management of hyperglycemic emergencies in diabetes mellitus. Diabetes Res Clin Pract. 2011;94(3):340-351.
Hirsch IB, Emmett M, Stanga CY, et al. Hyperglycemic crises in adult patients with diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2006;29(12):2739-2748.
Barski L, Nevzorov R, Harman-Boehm I, et al. Comparison of diabetic ketoacidosis in patients with type-1 and type-2 diabetes mellitus. Am J Med Sci. 2013;345(4):326-330.
Duhon B, Attridge RL, Franco-Martinez AC, Maxwell PR, Hughes DW. Intravenous sodium bicarbonate therapy in severely acidotic diabetic ketoacidosis. Ann Pharmacother. 2013;47(7-8):970-975.
Westerberg DP, Ahuja T, Ward K, Hsi A. Diabetic ketoacidosis in a community-based adult population: presentation, precipitating factors, and outcome. J Diabetes Complications. 2017;31(7):1148-1152.
Rodriguez-Gutierrez R, Marquez-Lopez Z, Haidar EA, et al. Efficacy of individualized insulin therapy in the management of severe hyperglycemia in hospitalized patients with diabetes. Endocr Pract. 2018;24(4):362-368.
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Copyright (c) 2023 Bruna de Aquino Morais da Silva , José Lucas Moura Vasconcelos, Cledson Alves de Oliveira Júnior, Daniel Alvares Vasconcelos, Eduardo Peltier de Queiroz Neves da Rocha, Emili Mariane Machado Gonçalves, Gabriel Martins Garcia, Géssica Lima Ribeiro, Giulia Bellinghausen Pagliarussi, Guilherme Souza Silva, Kalielley ketlen Araújo Sales Santos, Leonardo Dias Azevedo, Lucca Bortoletto Mello, Maria Eduarda Bertaia Stefanini Matos, Pedro Henrique Pereira da Silva Alves, Rafaella Cançado Constantino de Giácomo, Rodrigo Alcantara Normanha, Sarah Barretto de Almeida, Thaís da Silva Torres, Thiago Reis Morais Costa