SciELO - Scientific Electronic Library Online

vol.6 issue3Fear and anxiety about death in doctors in several Latin American countries during the Covid-19 pandemicSurgery with operative awakening for expansive brain processes. Report of 20 cases. author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797


CABRAL, Santiago et al. Management of Diabetic Ketoacidosis in a Montevideo university hospital in the period June-September 2015. Rev. Urug. Med. Int. [online]. 2021, vol.6, n.3, pp.59-68.  Epub Dec 01, 2021. ISSN 2393-6797.


Diabetic ketoacidosis is a frequent and serious acute complication of diabetes mellitus, accounting for 5% of its mortality. There is international evidence that adherence to the treatment guidelines for diabetic ketoacidosis decreases its morbidity and mortality and that there is no rigorous compliance with these guidelines. The objective of the study was to evaluate the adequacy of the diabetic ketoacidosis treatment guidelines of the American Diabetes Association, at the emergency door.


A descriptive observational study was carried out on the treatment carried out in the emergency room of a Montevideo university hospital for patients diagnosed with diabetic ketoacidosis, between June and September 2015. The applied therapy was compared with the management protocol proposed by the American Diabetes Association in 2009.


A total of 17 cases were included in the analysis. The diagnosis was correct in 9 patients, the treatment in the first hour was complete in 7 patients and the paraclinical monitoring in the first 6 hours was complete in 3 patients.


Acceptable adequacy to the guidelines was evidenced in most cases.

Keywords : Diabetic Ketoacidosis; Practice Guidelines as Topic; Insulin.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )