Neurological deterioration in diabetic ketoacidosis is it cerebral edema or something else?

Cerebral edema (CE) is the commonest cause of morbidity and mortality during the first day of treatment for (DKA) in pediatric patients, but if neurological deterioration occurs during treatment of diabetic ketoacidosis, other possibilities must also be considered. We present a 13 month old girl with DKA and meningococcal meningitis.

Impact of home blood glucose monitoring on childhood diabetes.

Ninety diabetic children each provided at least one 24-hour blood glucose profile at home using an impregnated filter paper strip. The mean 24-hour blood glucose level correlated significantly with urine control, height velocity, and Hb A1. The correlation coefficient for individual blood glucose values (r = 0.

Height and skeletal maturity in children with newly-diagnosed juvenile-onset diabetes.

Height and skeletal maturity scores (TW 2) were determined in 77 diabetic children at diagnosis and again in 48 of them after 1 to 4 years on insulin treatment. Boys, especially those of prepubertal age, were tall at onset. Girls had normal stature, but showed significant growth retardation after treatment.

A case of quinine self-poisoning in a boy.

An 11-year-old boy swallowed some of his father's quinine tablets. The use of an efficient toxicology screening service permitted an early diagnosis and appropriate management.