| Titre |
Diabetic Ketosis Decompensations at the National Hospital in Benin (West Africa), What Did We Learn about the Precipitating Factors? |
| Auteurs |
GNINKOUN COMLAN JULES [1],
ALASSANI ADEBAYO [2],
Sagna Yempabou [3],
ADJAGBA MAHOUNA PHILIPPE DOTOU [4],
DJROLO FRANÇOIS [5],
|
| Journal: |
Journal of Diabetes Mellitus |
| Catégorie Journal: |
Internationale |
| Impact factor: |
0 |
| Volume Journal: |
6 |
| DOI: |
|
| Resume |
We performed a retrospective study on diabetic ketosis decompensations in 101 diabetic
patients in Endocrinology and Metabolic Diseases Service of the National
Hospital and Universitary Koutoukou Hubert Maga (CNHU-HKM) for a period of 3
years. Objective: The main objective of the study was to identify the underlying factors
of ketosis decompensations for a more focused education program. Results: The
mean age was 43.84 years. In half of cases (49.5%), the ketosis decompensations were
inaugural for the diabetes. Type 2 diabetes was predominant with a frequency of
85.1% versus 14.9% for type 1 diabetes. The overall prevalence rate of ketosis decompensations
was 21.82%. The precipitating factors were infections (51.49%) and
treatment withdrawal (25.74%). The average blood glucose was 4.46 g/L with ranges
of 1.86 g/L and 13 g/L. The outcome was favorable in 89.1% of cases. The mortality
rate was 7.9%. The average hospital stay was 13.23 days. Conclusion: This study
showed that ketosis decompensations are still frequent. The main precipitating factors
are infection and therapeutic noncompliance. Preventive actions are needed
through screening programs, regular monitoring and targeted education. |
| Mots clés |
Ketoacidosis, Diabetes, Complications, Ketosis-Prone |
| Pages |
301 - 306 |
| Fichier |
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