Excess osmolal gap in diabetic ketoacidosis explained.

Abstract:

:Even in the absence of detectable ethanol or visible lipemia, a large plasma osmolal gap is the usual finding in cases of diabetic ketoacidosis. This gap decreases to an insignificant value within 20 h of treatment. Detailed biochemical analysis of six cases showed that, on average, the gap could be almost wholly accounted for by an increase in acetone, a decrease in the plasma water fraction, and smaller increments in amino acids and glycerol. Calculated plasma osmolality can seriously underestimate the true value in diabetic ketoacidosis, and so some previously observed anomalies may be explained.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Davidson DF

subject

Has Abstract

pub_date

1992-05-01 00:00:00

pages

755-7

issue

5

eissn

0009-9147

issn

1530-8561

journal_volume

38

pub_type

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