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Endocrine Abstracts (2015) 39 EP67 | DOI: 10.1530/endoabs.39.EP67

BSPED2015 e-Posters Diabetes (47 abstracts)

Severity of presentation with diabetic ketoacidosis at diagnosis of diabetes; India versus the UK

Emma Dyer 1, & Rakesh Amin 1,


1Luton and Dunstable Hospital, Luton, UK; 2Developmental Endocrinology Research Group, UCL Institute of Child Health, London, UK.


Background: Diabetic ketoacidosis (DKA) is associated with significant morbidity and mortality. Comparison of healthcare systems often helps highlight areas of concern.

Design: In a short survey, we evaluated severity of DKA at presentation with diabetes by comparing clinical and biochemical data from clinic cohorts from paediatric diabetes units in Delhi, India and Manchester, UK.

Results: In the Delhi vs UK groups; there were no significant differences in pH (7.2 (S.D. 0.2) vs 7.2 (0.1)), blood glucose concentrations (28.8 (5.9) vs 26.7 (9.8) mmol/l) or HbA1c levels (10.4 (2.2) vs 10.4 (1.7)%) at diagnosis of DKA. However rate of readmission with DKA was greater (60.0 versus 10.7%).

Conclusions: Our data suggest a similar length of prodrome prior to first presentation with DKA between India and the UK and further highlights the need for DKA specific awareness campaigns in both countries.

Volume 39

43rd Meeting of the British Society for Paediatric Endocrinology and Diabetes

British Society for Paediatric Endocrinology and Diabetes 

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