ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents

D. B. Dunger, M. A. Sperling, C. L. Acerini, D. J. Bohn, D. Daneman, T. P A Danne, Nicole Glaser, R. Hanas, R. L. Hintz, L. L. Levitsky, M. O. Savage, R. C. Tasker, J. I. Wolfsdorf

Research output: Contribution to journalArticle

216 Scopus citations

Abstract

Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in children with type 1 diabetes mellitus (TIDM). Mortality is predominantly related to the occurrence of cerebral oedema; only a minority of deaths in DKA are attributed to other causes. Cerebral oedema occurs in about 0.3-1% of all episodes of DKA, and its aetiology, pathophysiology, and ideal method of treatment are poorly understood. There is debate as to whether physicians treating DKA can prevent or predict the occurrence of cerebral oedema, and the appropriate site(s) for children with DKA to be managed. There is agreement that prevention of DKA and reduction of its incidence should be a goal in managing children with diabetes.

Original languageEnglish (US)
Pages (from-to)188-194
Number of pages7
JournalArchives of Disease in Childhood
Volume89
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Dunger, D. B., Sperling, M. A., Acerini, C. L., Bohn, D. J., Daneman, D., Danne, T. P. A., Glaser, N., Hanas, R., Hintz, R. L., Levitsky, L. L., Savage, M. O., Tasker, R. C., & Wolfsdorf, J. I. (2004). ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents. Archives of Disease in Childhood, 89(2), 188-194. https://doi.org/10.1136/adc.2003.044875