DKA is a rare yet potentially fatal diabetic crisis that can occur in patients with both type 1 and 2 diabetes mellitus.
The mortality rate is still high in developing countries illustrating the necessity of early diagnosis and prompt and adequate management. Some of our health facilities are yet to embrace new and more efficacious treatment protocols.
DKA usually occurs as a consequence of absolute or relative insulin deficiency that is accompanied by an increase in counter regulatory hormones inclusing glucagon, cortisol, growth hormone, catecholamines such as adrenaline, noradrenaline that promotes glucose synthesis (gluconeogenesis) and breakdown of glucose stores (glycolysis . . .
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