title: Characteristics of Type 2 Diabetes with Ketosis in Baoshan, Yunnan of China.
abstract: OBJECTIVE
  The study provided data to demonstrate the characteristics of type 2 diabetes (T2D) with ketosis in rural parts of south-west border of China in order to help health professionals with optimizing diabetic care.
  
  
  METHODS
  All hospitalized adult diabetic patients consecutively between January 2011 and July 2015 in Baoshan People's Hospital, Yunnan province of China, were evaluated. T2D with ketosis, ordinary T2D (without ketosis), and type 1 diabetes (T1D) patients were analyzed according to the clinical and biochemical parameters and chronic complications in these subjects.
  
  
  RESULTS
  The prevalence of T2D with ketosis was 12% in the whole study subjects. Overweight and obese patients were predominant (49.1%) in T2D patients with ketosis. The mean HbA1c (13.3 ± 3.1%, P = 0.01), fasting plasma glucose (16.9 ± 6 mmol/L, P < 0.0001), and plasma triglyceride (4.0 ± 4.0 mmol/L, P < 0.0001) in T2D patients with ketosis were significantly higher than ordinary T2D patients without ketosis. Infections were the most common inducements in T2D patients with ketosis. Chronic complications including peripheral neuropathy (34.9%), retinopathy (12.7%), diabetic foot (18.1%), and persistent microalbuminuria (11.7%) were common in T2D patients with ketosis.
  
  
  CONCLUSIONS
  . This study indicated the poor glycemic control in diabetic patients in rural areas of south-west part of China. More efforts were urgently required to popularize public health education and improve medical quality in diabetic treatment in these regions.
authors.affiliation: Department of Endocrinology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.
authors.forename: Shichun
authors.initials: S
authors.lastname: Du
authors.affiliation: Department of Endocrinology, Baoshan People's Hospital, Yunnan 678000, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of Endocrinology, Baoshan People's Hospital, Yunnan 678000, China.
authors.forename: Degang
authors.initials: D
authors.lastname: Shi
authors.affiliation: Department of Endocrinology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Su
mesh_terms: D000293:Adolescent; D000328:Adult; D000419:Albuminuria / Q000150:complications; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D002681:China / Q000453:epidemiology; D048909:Diabetes Complications / Q000453:epidemiology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology*; D017719:Diabetic Foot / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications; D005260:Female; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia / Q000150:complications; D007662:Ketosis / Q000150:complications / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012424:Rural Population; D014280:Triglycerides / Q000097:blood; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D014280:Triglycerides