title: [Diabetic ketoacidosis in adults--update of an old complication].
abstract: Diabetic ketoacidosis is an acute complication of Diabetes Mellitus characterized by hyperglycemia, metabolic acidosis, dehydration, and ketosis, in patients with profound insulin deficiency. It occurs predominantly in patients with type 1 diabetes and is frequently precipitated by infections, insulin withdrawal or undiagnosed type 1 diabetes. The authors review its pathophysiology, diagnostic criteria and treatment options in adults, as well as its complications.
authors.affiliation: Instituto Estadual de Diabetes e Endocrinologia Luiz Capriglione, Instituto Estadual de Diabetes, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ.
authors.forename: Bianca
authors.initials: B
authors.lastname: Barone
authors.forename: Melanie
authors.initials: M
authors.lastname: Rodacki
authors.forename: Maria Claudia Peixoto
authors.initials: MC
authors.lastname: Cenci
authors.forename: Lenita
authors.initials: L
authors.lastname: Zajdenverg
authors.forename: Adolpho
authors.initials: A
authors.lastname: Milech
authors.forename: José Egidio P de
authors.initials: JE
authors.lastname: Oliveira
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D016883:Diabetic Ketoacidosis / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D006801:Humans