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Clin Diabetes. 2019 Jul;37(3):276-281. doi: 10.2337/cd18-0088.

Misdiagnosis and Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes: Patient and Caregiver Perspectives.

Author information

1
University of Southern California (USC) Keck School of Medicine, Los Angeles, CA.
2
USC UCEDD & Endocrinology, Children's Hospital Los Angeles, Los Angeles, CA.
3
College Diabetes Network, Boston, MA.
4
T1D Exchange, Boston, MA.
5
Diabetes Research Institute Foundation, Hollywood, FL.
6
Harold Hamm Diabetes Center, University of Oklahoma School of Community Medicine, Tulsa, OK.
7
Barbara Davis Center, University of Colorado, Aurora, CO.

Abstract

IN BRIEF Diabetic ketoacidosis (DKA) is a life-threatening complication that frequently occurs at diagnosis of type 1 diabetes, occurs more commonly when a patient is misdiagnosed, is the leading cause of death in children with type 1 diabetes, and is associated with worse long-term outcomes. Our retrospective online survey found that 25% of all participants were misdiagnosed and that misdiagnosis was associated with an 18% increased risk for DKA compared to those correctly diagnosed. Adult providers should consider type 1 diabetes when diagnosing type 2 diabetes, and pediatric providers should rule out type 1 diabetes when a patient reports nonspecific viral symptoms.

PMID:
31371859
PMCID:
PMC6640891
[Available on 2020-07-01]
DOI:
10.2337/cd18-0088

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