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Retrospective Chart Review of Pediatric Patients with Established T1D or T2D who have had DKA or HHS in 2022
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Retrospective Chart Review of Pediatric Patients with Established T1D or T2D who have had DKA or HHS in 2022
By: Shagunpreet Kaur
Goal
Goal
My project encompasses patients who were admitted due to DKA in the past year. I analyzed different parameters in the patient population.
This included
- gender
- age at DKA presentation
- years of T1D dx
-the primary reason for DKA
-Technology use, etc.
By extracting these values and analyzing this data, we can better understand any common factors, that can help guide improvement.
Diabetes
DKA
- The way your body converts food into energy is affected by diabetes, a persistent (long-lasting) health problem.
-With diabetes, your body can't use insulin as effectively or doesn't produce enough of it. Too much blood sugar remains in the bloodstream when there is insufficient insulin or when cells cease responding to insulin.
-That has the potential to develop into severe health issues over time, including renal disease, vision loss, and cardiac disease.
Diabetic Ketoacidosis
DKA
Cause
Cause
- An actual shortage of insulin and concurrent increases of the counter-regulatory chemicals glucagon, catecholamines, cortisol, and growth hormone are what lead to these metabolic disturbances.
- Infections, the failure to take insulin properly or at all, newly developed diabetes, and other occurrences brought on by surgery, can all cause DKA.
- Although it can happen in people with Type 2 diabetes, DKA happens most frequently in people with Type 1 diabetes.
Treatment
Treatment
Often entails admission to the hospital, insulin infusion, rehydration, careful electrolyte replacement, restoration of the acid/base balance, and therapy of any underlying infections or other triggering events.
Adult respiratory distress syndrome, thromboembolic events, and cerebral edema are the most common sequelae that lead to DKA mortality.
Results
Results
Finding #1
Finding #2
Closure
-The Integrated Diabetes Education and Support (IDEAS) Clinic is an integrated team care strategy used to manage Type 2 diabetes. The program helps individuals better manage their health, lower their risk of developing diabetic complications, and achieve better health outcomes.