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Rationale:
- Despite nausea, vomiting, or diminished appetite, insulin requirements may increase during illness.
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Evidence:
- Studies have shown that intercurrent illness is an important precipitating event in the development of diabetic ketoacidosis
(1).
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Comments:
- Illness may commonly include infection such as pneumonia and UTI, as well as stroke, myocardial infarction, trauma, alcohol
abuse, psychological stress, pregnancy, and concomitant drug use such as corticosteroids. Access to health care professionals
including diabetes nurse specialists can significantly reduce the incidence of diabetic ketoacidosis.
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Ebenezer A. Nyenwe, MD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Heather Lochnan, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Deborah Korenstein, MD, FACP, Co-Editor, PIER, has no financial relationships with pharmaceutical companies, biomedical device
manufacturers, or health-care related organizations. Richard B. Lynn, MD, FACP, Co-Editor, PIER, has no financial relationships
with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted © 2012 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Diabetic Ketoacidosis
> Prevention
