1. Hyperlactatemia in diabetic ketoacidosis
- Author
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Masharani, Umesh, Strycker, Lisa A, Lazar, Ann A, Wu, Karin, and Brooks, George A
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Diabetes ,Metabolic and endocrine ,3-Hydroxybutyric Acid ,Blood Glucose ,Diabetes Mellitus ,Diabetic Ketoacidosis ,Humans ,Hyperglycemia ,Hyperlactatemia ,Lactic Acid ,blood glucose ,diabetic ketoacidosis ,hydrogen ion ,lactate ,Public Health and Health Services ,Psychology ,Endocrinology & Metabolism ,Clinical sciences - Abstract
AimsThe study examined the prevalence and degree of lactate elevation in diabetic ketoacidosis, and explored which biochemical abnormalities predicted L-lactate levels.MethodsWe reviewed episodes of diabetic ketoacidosis from 79 diabetes patients (one episode per patient). Separate univariate linear regression models were specified to predict lactate level from each of nine biochemical variables. Significant predictors from the univariate models were included in a final multivariate linear regression model to predict lactate levels.ResultsMean (SD) lactate level was 3.05 (1.66) mmol/L; about 65% of patients had lactate levels >2 mmol/L. In the final multivariate linear regression model (R2 = 0.45), higher lactate levels were associated with greater hydrogen ion concentration (standardised β = .60, t = 4.16, p
- Published
- 2022