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Diabetic Ketoacidosis Producing Extreme Hyperkalemia in a Patient with Type 1 Diabetes on Hemodialysis

Overview
Journal Endocrinol Diabetes Metab Case Rep
Specialty Endocrinology
Date 2017 Sep 20
PMID 28924484
Citations 5
Authors
Hodaka Yamada
Shunsuke Funazaki
Masafumi Kakei
Kazuo Hara
San-E Ishikawa
Affiliations
Soon will be listed here.
Abstract

Learning Points: Patients with type 1 diabetes on hemodialysis may develop ketoacidosis because of discontinuation of insulin treatment.Patients on hemodialysis who develop ketoacidosis may have hyperkalemia because of anuria.Absolute insulin deficit alters potassium distribution between the intracellular and extracellular space, and anuria abolishes urinary excretion of potassium.Rapid hemodialysis along with intensive insulin therapy can improve hyperkalemia, while fluid infusions may worsen heart failure in patients with ketoacidosis who routinely require hemodialysis.

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Sun Y, Roumelioti M, Ganta K, Glew R, Gibb J, Vigil D Int Urol Nephrol. 2020; 52(3):505-517.

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