Dka In Children. Dka is the first presentation of diabetes in 30 40 of paediatric cases. Headache only early then. 1 2 3 overall the most common cause of dka is new onset type 1 diabetes mellitus t1dm. Diabetic ketoacidosis dka is a life threatening condition caused by dangerously high blood sugar levels.
Dka is the first presentation of diabetes in 30 40 of paediatric cases. Headache only early then. This is because acidosis drives. Children with dka may present with any or all of the following common features of the condition. Diabetic ketoacidosis dka is a life threatening condition caused by dangerously high blood sugar levels. Diabetic ketoacidosis dka in children is defined as a blood glucose level over 11 mmol l venous ph below 7 3 or serum bicarbonate level below 15 mmol l and either the presence of ketonemia.
Young children are more likely to have dka as the first presentation of type 1 diabetes than older children.
This is because acidosis drives. In dka a normal or low serum potassium in the presence of acidosis is evidence of severe total body potassium depletion. Insulin helps move sugar out of the blood so it can be used for energy. Children with type 2 diabetes mellitus t2dm may also present in dka. Young children new diagnosis large fall in osmolarity severity of acidosis 3 24 hours after start of fluid therapy. Dka is the first presentation of diabetes in 30 40 of paediatric cases.