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Characteristics of young adults with multiple episodes of diabetic ketoacidosis

Internal Medicine Journal Jul 18, 2019

Gupta A, et al. - Through a retrospective review of medical records of all 102 subjects with type 1 diabetes who visited a transition diabetes clinic in a teaching hospital with pediatric and adult diabetes on the same site, researchers assessed the correlation of transition from pediatric to adult diabetes care with a worsening metabolic control and hospitalization. The mean age at first visit was 19 ± 2 years, last body mass index was 25.2 ± 4.7 kg/m2, diabetes duration was 11 ± 6 years among the 91 of 102 subjects with type 1 diabetes. Out of them, 22 used continuous subcutaneous insulin infusions. The loss to follow-up was noted to be 15. Previous pregnancies and diabetic ketoacidosis since diagnosis were often seen, as were mental health problems. A higher mean glycated hemoglobin, more infrequent clinic attendances, and fewer years in the clinic were seen in those with diabetic ketoacidosis.

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