The epidemiology of diabetic acidosis: a population-based study

American Journal of Epidemiology
G FaichS E Ellis

Abstract

A 12-month epidemiologic study in 1979 and 1980 of all diabetic acidosis admissions to all acute care hospitals in Rhode Island detected 152 episodes occurring in 137 persons. Eleven per cent of diabetic acidosis admissions presented in coma and the overall death-to-case ratio was 9%. Newly diagnosed diabetes accounted for 20% of these episodes, while persons having multiple episodes during the year accounted for 15% of the admissions. The annual rate of diabetic acidosis was 46 per 10,000 diabetics. Highest rates of diabetic acidosis were found for the elderly, those admitted from nursing homes and those residing in one geographic area of the state. For known diabetics with an admission for acidosis, 87% were on insulin prior to admission and 81% were nonobese. Patients seldom contacted physicians prior to admission. Insulin dose or frequency was often (40%) changed in the two weeks prior to admission. Most of the known diabetic cases of acidosis had emergency admissions for diabetes in the three-year period prior to admission and few had any structured diabetic outpatient education. Infection and noncompliance were the most frequently identified precipitants of diabetic acidosis occurring in known diabetics.

Citations

Nov 1, 1991·Journal of General Internal Medicine·T J WachtelP S O'Sullivan
Jan 1, 1987·The Diabetes Educator·P M HaleP Vardi
Oct 1, 1983·American Journal of Public Health·L V Klerman
Feb 15, 2001·The New England Journal of Medicine·N GlaserUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
Dec 1, 2004·QJM : Monthly Journal of the Association of Physicians·T M Wallace, D R Matthews
May 13, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rosanne NaunheimJanet McGill
May 14, 2014·Medizinische Klinik, Intensivmedizin und Notfallmedizin·W A Scherbaum, C R Scherbaum
May 27, 2016·Clinical Medicine Insights. Endocrinology and Diabetes·Mussa H AlmalkiFahad Alshahrani
Mar 23, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·R J BarrancoG E Umpierrez
Nov 1, 1992·Journal of the American Geriatrics Society·M L MaloneJ S Goodwin
Sep 1, 1986·Indian Journal of Pediatrics·D G Patel, S C Kalhan
Oct 1, 1983·American Journal of Public Health·O P Ganda
Dec 2, 2000·International Anesthesiology Clinics·G W GrahamD B Coursin
Feb 24, 2001·Diabetes Care·A E KitabchiB M Wall
May 24, 2003·Current Diabetes Reports·N Glaser
Jul 3, 2004·Pediatric Emergency Care·Nicole Glaser, Nathan Kuppermann
Mar 25, 2005·Diabetic Medicine : a Journal of the British Diabetic Association·S-H KoH-Y Son
Mar 6, 2009·Pediatric Diabetes·Alba E Morales, Kerri A Daniels
May 23, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·J Antonio QuirosNicole Glaser
Nov 24, 2011·QJM : Monthly Journal of the Association of Physicians·D G Van ZylE Delport
Jan 23, 2016·The Cochrane Database of Systematic Reviews·Carlos A Andrade-CastellanosDaniel A Gonzalez-Padilla
Sep 1, 1994·Postgraduate Medicine·Lisa H Fish
Aug 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·A D WrightM G FitzGerald
Dec 1, 1989·Diabetes/metabolism Reviews·M WalkerK G Alberti
Jul 28, 2004·Diabetes Care·Guillermo E UmpierrezAbbas E Kitabchi
Mar 16, 2004·Pediatric Diabetes·Thao P BuiFergus J Cameron
Sep 19, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·J PfütznerA Pfützner
Nov 2, 2012·Current Diabetes Reports·Devin W SteenkampMarie E McDonnell
Mar 31, 2009·Current Medical Research and Opinion·Christian WeberShashank R Joshi
Sep 17, 2013·Diabetes/metabolism Research and Reviews·Xiao-Jing XieXiao-Ming Mao
Dec 31, 2011·Indian Journal of Pediatrics·Sandeep Kumar KanwalVirendra Kumar
Oct 23, 2002·Clinical Endocrinology·Stamatis P EfstathiouTheodore D Mountokalakis
Dec 6, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E AzoulayB Schlemmer
May 6, 2005·Treatments in Endocrinology·Guillermo E Umpierrez, Abbas E Kitabchi
Jul 18, 2008·Diabetes·Natalie YuenMartha E O'Donnell
Jun 16, 2004·Experimental Lung Research·Laryssa L McCloudJohn D Catravas

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.