Endocrine Abstracts

The purpose: To estimate the frequency of appearance of different risk factors for the DKA (diabetic ketoacidosis) developing in a real clinical practice in Rostov-on-Don.

Materials: Patients who had a diagnosis of DKA.

Methods: Survey about the character of nutrition, alcohol drinking and other risk factors.

Design: All patients were divided into two groups according to their age. The first group-12 patients younger then 65 y.o.-Nutritional Risk Screening survey, the second group – 3 patients (65–90 y.o)-Mini Nutritional Assessment survey. ‘Alcoholic agnosia’ survey for identification of alcohol addiction.

Results: Fifteen patients – 11 men and 4 women. Average age – 36±0.93 y.o. According to diabetes types: 11 patients of type 1, 4 patients of type 2. From 15 members of the nutrition 10 members (66.66%) had nutrition problems. Five patients (33.33%) were closed to the nutrition risk questions. According to ‘Alcohol agnosia’ survey: five patients had alcohol problems(33.33%), three of them (60%) realized this problem, two (40%) were indifferent. Ten patients did not have (66.66%) alcohol addiction. The risk factors DKA: inadequate insulin therapy – 7 patients (46.66%), 5 of them (71.42%) had alcohol problems, 2 of them (13.33%) had sober life style. Two patients took drugs (13.33%) and alcohol problems. Exacerbation of concomitant diseases – 6 patients (40%), 4 of them had problems with alcohol (66.66%).

Conclusion: The most significant risk factors for DKA developing were inadequate insulin therapy, exacerbation of concomitant diseases (40%), alcohol drinking (33.33%), taking drugs (13.33%). 66.66% had nutrition problems but this state is rather result then cause of DKA.