Unrecognized persistence of beta-hydroxybutyrate in diabetic ketoacidosis.

Abstract:

:We quantitated serial serum beta-hydroxybutyrate (beta-OHB) levels using the Ketosite method in 9 children with IDDM who were treated for diabetic ketoacidosis (DKA) and compared them to urinary ketone measurements by dipstick. Persistent elevations of serum beta-OHB were seen in six patients when the urine became clear of ketones; five of these patients had a recurrence of ketonuria. We conclude that many patients recovering from ketoacidosis have continuing elevations of beta-OHB after the urine is free of ketones and this unrecognized abnormality is the likely cause of recurrence of the ketonuria. We recommend that fluid therapy be continued beyond clearance of ketonuria and suggest using the Ketosite method to document restoration of normal serum beta-OHB levels in patients recovering from DKA.

journal_name

Endocr Res

journal_title

Endocrine research

authors

Nadgir UM,Silver FL,MacGillivray MH

doi

10.1081/erc-100107168

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

41-6

issue

1-2

eissn

0743-5800

issn

1532-4206

journal_volume

27

pub_type

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