Ketosis Decompensations at the National Hospital in Benin (West Africa), What Did We Learn about the Precipitating Factors?

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AuteurGNINKOUN, COMLAN JULES
AuteurALASSANI, ADEBAYO
AuteurDJROLO, FRANCOIS
AuteurADJAGBA, MAHOUNA PHILIPPE DOTOU
AuteurSAGNA, YEMPABOU
Date d'ajout2026-06-02T16:06:57Z
Date de disponibilite2026-06-02T16:06:57Z
Date de publication2016
ResumeWe performed a retrospective study on diabetic ketosis decompensations in 101 diabetic patients in Endocrinology and Metabolic Diseases Service of the National Hospital and Universitary Koutoukou Hubert Maga (CNHU-HKM) for a period of 3 years. Objective: The main objective of the study was to identify the underlying factors of ketosis decompensations for a more focused education program. Results: The mean age was 43.84 years. In half of cases (49.5%), the ketosis decompensations were inaugural for the diabetes. Type 2 diabetes was predominant with a frequency of 85.1% versus 14.9% for type 1 diabetes. The overall prevalence rate of ketosis decompensations was 21.82%. The precipitating factors were infections (51.49%) and treatment withdrawal (25.74%). The average blood glucose was 4.46 g/L with ranges of 1.86 g/L and 13 g/L. The outcome was favorable in 89.1% of cases. The mortality rate was 7.9%. The average hospital stay was 13.23 days. Conclusion: This study showed that ketosis decompensations are still frequent. The main precipitating factors are infection and therapeutic noncompliance. Preventive actions are needed through screening programs, regular monitoring and targeted education.
DOI10.4236/jdm.2016.64031
Autre identifiantBECDB-6528
URIhttps://dspace.uac.bj/handle/123456789/5952
Languefr
Fait partie deJournal of Diabetes Mellitus
SujetKetoacidosis
SujetDiabetes
Sujetcomplications
SujetKetosis-Prone
TitreKetosis Decompensations at the National Hospital in Benin (West Africa), What Did We Learn about the Precipitating Factors?
TypeArticle

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