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To the editor:  I thank Dr. Rosival, who provided the interests and comments on my paper "Endocrine and metabolic emergencies in children ...."1). Dr. Rosival questioned about absolute and relative insulin deficiency of the patients with diabetic ketoacidosis (DKA), and why bicarbonate therapy should be sparing for patients with DKA.

annals of pediatric endocrinology and metabolism

The Author Reply: Endocrine and metabolic emergencies in children: hypocalcemia, hypoglycemia, adrenal insufficiency, and metabolic acidosis including diabetic ketoacidosis