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World J Diabetes. Dec 15, 2014; 5(6): 932-938
Published online Dec 15, 2014. doi: 10.4239/wjd.v5.i6.932
Published online Dec 15, 2014. doi: 10.4239/wjd.v5.i6.932
Risk factors for mortality in children with diabetic keto acidosis from developing countries
Varadarajan Poovazhagi, Government Raja Mirasdar Hospital, Thanjavur Medical College, Thanjavur 613001, India
Author contributions: Poovazhagi V solely contributed to this paper.
Correspondence to: Dr. Varadarajan Poovazhagi, MD, DCH, Associate Professor of Pediatrics, Government Raja Mirasdar Hospital, Thanjavur Medical College, Hospital Road, Annasalai, Thanjavur 613001, India. poomuthu@yahoo.com
Telephone: +91-98400-33020
Received: July 3, 2014
Revised: August 15, 2014
Accepted: October 23, 2014
Published online: December 15, 2014
Revised: August 15, 2014
Accepted: October 23, 2014
Published online: December 15, 2014
Core Tip
Core tip: Mortality in Diabetic keto acidosis (DKA) among children from developed countries is due to cerebral edema and is very low. The mortality in DKA among children from developing countries is due to higher incidence of cerebral edema, sepsis, shock and renal failure. Delayed diagnosis is the root cause for high mortality in children with DKA from developed countries. There is an urgent need to increase the awareness about diabetes among the public and physicians.