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Misdiagnosis and Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes: Patient and Caregiver Perspectives. | LitMetric

AI Article Synopsis

  • - Diabetic ketoacidosis (DKA) is a serious complication primarily affecting those with type 1 diabetes, often occurring at diagnosis and leading to high mortality rates in children.
  • - A survey revealed that 25% of participants were misdiagnosed, with misdiagnosis linked to an 18% higher risk of developing DKA.
  • - Healthcare providers need to be aware of the possibility of type 1 diabetes during type 2 diabetes diagnoses and should check for type 1 in kids displaying vague viral symptoms.

Article Abstract

Diabetic ketoacidosis (DKA) is a life-threatening complication that frequently occurs at diagnosis of type 1 diabetes, occurs more commonly when a patient is misdiagnosed, is the leading cause of death in children with type 1 diabetes, and is associated with worse long-term outcomes. Our retrospective online survey found that 25% of all participants were misdiagnosed and that misdiagnosis was associated with an 18% increased risk for DKA compared to those correctly diagnosed. Adult providers should consider type 1 diabetes when diagnosing type 2 diabetes, and pediatric providers should rule out type 1 diabetes when a patient reports nonspecific viral symptoms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6640891PMC
http://dx.doi.org/10.2337/cd18-0088DOI Listing

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