Resumen

BLANCO ESPINOLA, Claudia Fabiola; ROLON, María Alejandra; ANZOATEGUI ESPINOLA, Roque Esteban  y  NEVES DE SOUZA ESPINOLA, Claudia Patricia. Diabetic Ketoacidosis in Children and Adolescents. Update in Diagnosis and Treatment. Pediatr. (Asunción) [online]. 2024, vol.51, n.2, pp.127-139. ISSN 1683-9803.  https://doi.org/10.31698/ped.51022024008.

Diabetic ketoacidosis is caused by extreme insulin deficiency and is characterized by dehydration, hyperglycemia, acidosis, and ketosis. Treatment includes basic life support, parenteral hydration to replace fluids and electrolytes and insulin therapy to reverse acidosis, ketosis, and normalize blood glucose levels. Management requires following guidelines for strict clinical and laboratory monitoring to avoid complications and obtain a favorable clinical outcome. The guidelines published in our previous Consensus on Diabetic Ketoacidosis diagnosis and treatment are presented, modified according to the latest changes in ISPAD (International Society of Pediatric and Adolescent Diabetes) and the Ministry of Public Health and Social Welfare Diabetes Program guidelines.

Palabras clave : Diabetic ketoacidosis; type 1 diabetes.

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