Risk Factors Associated with the Development of Diabetic Ketoacidosis Among Diabetic Patients Attending the Diabetes Clinic at Phanom Sarakham Hospital.
Keywords:
Type 2 diabetes, diabetic ketoacidosis, DKA, risk factorsAbstract
Objective To examine the association between personal, clinical, health behavior, and complication-related risk factors and the occurrence of DKA. Methods: A retrospective analytical study was conducted among 176 patients with type 2 diabetes, comprising 44 patients with DKA and 132 without DKA. Data were collected from medical records between October 2022 and September 2024. Statistical analyses included descriptive statistics, chi-square test, t-test, and logistic regression.
Results: Significant risk factors for DKA included HbA1c ≥12% (OR = ∞, p<0.001), fasting blood glucose ≥400 mg/dL (OR = ∞, p<0.001), irregular medication use (OR = 10.82, p<0.001), concurrent infection (OR = 8.57, p<0.001), history of DKA (OR = 7.68, p<0.001), and insulin therapy (OR = 3.63, p=0.001).
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