Indian Journal of Critical Care Medicine

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VOLUME 23 , ISSUE 11 ( November, 2019 ) > List of Articles

LETTER TO THE EDITOR

Is There Any Lower Limit of Serum Bicarbonate in Diabetic Ketoacidosis?

Keywords : Diabetic ketoacidosis, High anion gap acidosis, Severe metabolic acidosis

Citation Information : Is There Any Lower Limit of Serum Bicarbonate in Diabetic Ketoacidosis?. Indian J Crit Care Med 2019; 23 (11):542-542.

DOI: 10.5005/jp-journals-10071-23287

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Diabetic ketoacidosis (DKA) is known as one of the most serious complications of diabetes and associated with significant morbidity and mortality. It consists of a triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration.1 It leads to high anion gap metabolic acidosis with fall in serum bicarbonate.

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  1. Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care 2009;32(7):1335–1343. DOI: 10.2337/dc09-9032.
  2. Kamarzaman Z, Turner C, Clark F. How low can you go: a case presentation on a patient with diabetic ketoacidosis. Resuscitation 2009;80(8):967–968. DOI: 10.1016/j.resuscitation.2009.05.007.
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