Diabetic Ketoacidosis in Type 1 Diabetes Mellitus

Lukman Nurhakim, Rudy Afriant, Dinda Aprilia
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Abstract

Introduction: Diabetic ketoacidosis (DKA) is a state of metabolic decompensation/disorder characterized by the triad of hyperglycemia, acidosis and ketosis, caused by absolute or relative insulin deficiency and increased counter-regulatory hormones. Immediate therapy in DKA patients determines the patient's prognosis Case Report: A 19-year-old male treated in the internal medicine ward of Dr. M djamil Padang with diabetic ketoacidosis, type 1 DM, and Abscess capitis. The patient was treated with rehydration and intravenous insulin infusion can show clinical improvement. Conclusion: The diagnosis in patients is based on anamnesis, physical examination and supporting examinations. Immediate therapy is needed in the management of DKA in patients. After DKA is resolved, look for the causes of the risk of DKA. On the third day of treatment the patient's condition improved clinically and the laboratory.
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1 型糖尿病患者的糖尿病酮症酸中毒
简介糖尿病酮症酸中毒(DKA)是一种代谢失代偿/紊乱状态,其特征是高血糖、酸中毒和酮症三联征,由胰岛素绝对或相对缺乏以及反调节激素增加引起。对 DKA 患者的及时治疗决定着患者的预后 病例报告:一名 19 岁男性患者因糖尿病酮症酸中毒、1 型糖尿病和脓疱疮在 M djamil Padang 医生的内科病房接受治疗。患者接受补液和静脉注射胰岛素治疗后,临床症状有所改善。结论对患者的诊断主要基于患者的病史、体格检查和辅助检查。在治疗患者的 DKA 时需要立即进行治疗。在 DKA 缓解后,寻找导致 DKA 危险的原因。在治疗的第三天,患者的临床和实验室情况都有所改善。
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