Thirty Years of Personal Experience in Hyperglycemic Crises: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State
Author(s) -
Abbas E. Kitabchi,
Guillermo E. Umpierrez,
Joseph N. Fisher,
Mary Beth Murphy,
Frankie B. Stentz
Publication year - 2008
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2007-2577
Subject(s) - medicine , diabetic ketoacidosis , insulin , proinflammatory cytokine , diabetes mellitus , endocrinology , prospective cohort study , ketosis , ketoacidosis , type 1 diabetes , intensive care medicine , inflammation
Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) cause major morbidity and significant mortality in patients with diabetes mellitus. For more than 30 yr, our group, in a series of prospective, randomized clinical studies, has investigated the pathogenesis and evolving strategies of the treatment of hyperglycemic crises. This paper summarizes the results of these prospective studies on the management and pathophysiology of DKA.
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