Diabetic ketoacidosis is a complication of relative or absolute insulin deficiency. It can present in a myriad of ways and can be life threatening if not detected early enough. High index of suspicion is required to diagnose the condition. This is a report of experience with two newly diagnosed cases of diabetic ketoacidosis in a correctional facility. Considerations for correctional health care are discussed.
Get full access to this article
View all access options for this article.
References
1.
American Diabetes Association. (2003). Management of diabetes in correctional institutions. Diabetes Care, 26(Suppl. 1), S129-S130.
2.
Kitabchi, A. E., Umpierrez, G. E., Murphy, M. B., Barrett, E. J., Kreisberg, R. A., Malone, J. I., et al. (2001). Management of hyperglycemic crises in patients with diabetes. Diabetes Care, 24, 131-153.
3.
Kitabchi, A. E., Umpierrez, G. E., Murphy, M. B., Barrett, E. J., Kreisberg, R. A., Malone, J. I., et al. (2003). Hyperglycemic crises in patients with diabetes mellitus. Diabetes Care, 26(Suppl. 1), S109-S117.
4.
Lorber, D. L., ChavezS., DormanJ., Fisher, L. K., GuerkenS., Haas, L. A., et al. (2004). Diabetes management in correc-tional institutions. Diabetes Care, 27(Suppl. 1), S114-S121.
5.
Malone, M. L., GennisV., & Goodwin, J. S. (1992). Characteristics of diabetic ketoacidosis in older versus younger adults. Journal of the American Geriatrics Society, 40, 1100-1104.
6.
Mehta, S. H., Brancati, F. L., Strathdee, S. A., Pankow, J. S., NetskiD., CoreshJ., et al. (2003). Hepatitis C virus infec-tion and incident type 2 diabetes. Hepatology, 38, 50-56.
7.
Musey, V. C., Lee, J. K., CrawfordR., Klatka, M. A., McAdamsD., & Phillips, L. S. (1995). Diabetes in urban African-Americans. I. Cessation of insulin therapy is the major precipitating cause of diabetic ketoacidosis. Diabetes Care, 18, 483-489.
8.
National Commission on Correctional Health Care. (2001, November). Clinical Guideline for Correctional Facilities: Diabetes Chronic Care. Chicago: Author.
9.
Report of the Expert Committee on the Diagnosis and Classifica-tion of Diabetes Mellitus. (1997). Diabetes Care, 20, 1183-1197.
10.
UmpierrezG., & Freire, A. X. (2002). Abdominal pain in patients with hyperglycemic crises. Journal of Critical Care, 17, 63-67.
