Consistently high incidence of diabetic ketoacidosis in children with newly diagnosed type 1 diabetes

Femke M A P Claessen, Kim Donaghue and Maria Craig
Med J Aust 2012; 197 (4): . || doi: 10.5694/mja12.10686
Published online: 20 August 2012

To the Editor: The incidence of type 1 diabetes (T1D) in children is rising globally, including in Australia.1 Diabetic ketoacidosis (DKA) is the leading cause of diabetes-related deaths in children.2 Clinical manifestations of DKA include dehydration; rapid, deep, sighing (Kussmaul respiration); nausea; vomiting; abdominal pain and a reduced level of consciousness.2 There is an inverse relationship between the frequency of presentation with DKA and background incidence of T1D in a given country,3 suggesting that the diagnosis is more likely to be considered earlier in countries with higher incidence of T1D, such as Australia.

  • Femke M A P Claessen
  • Kim Donaghue
  • Maria Craig

  • Institute of Endocrinology and Diabetes, The Children’s Hospital at Westmead, Sydney, NSW.


Competing interests:

No relevant disclosures.


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