Muñoz Cynthia, Floreen Anna, Garey Colleen, Karlya Tom, Jelley David, Alonso G Todd, McAuliffe-Fogarty Alicia
University of Southern California (USC) Keck School of Medicine, Los Angeles, CA.
USC UCEDD & Endocrinology, Children's Hospital Los Angeles, Los Angeles, CA.
Clin Diabetes. 2019 Jul;37(3):276-281. doi: 10.2337/cd18-0088.
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.
糖尿病酮症酸中毒(DKA)是一种危及生命的并发症,常在1型糖尿病诊断时出现,在患者被误诊时更常见,是1型糖尿病患儿的主要死因,且与更差的长期预后相关。我们的回顾性在线调查发现,所有参与者中有25%被误诊,与正确诊断的患者相比,误诊与DKA风险增加18%相关。成年医疗人员在诊断2型糖尿病时应考虑1型糖尿病,儿科医疗人员在患者报告非特异性病毒症状时应排除1型糖尿病。