0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Acidosis and Coma in Juvenile Diabetics

THADDEUS S. DANOWSKI, M.D.; LAWRENCE GREENMAN, M.D.; FRANKLIN A. WEIGAND, M.D.; FRANK M. MATEER, M.D.
AMA Am J Dis Child. 1957;93(4):341-356. doi:10.1001/archpedi.1957.02060040343001.
Text Size: A A A
Published online

From published reports, including this one, it might be concluded that the formerly high death rate from acidosis and coma in juvenile diabetics1-3 is reaching the vanishing point.4-11 Such complacency is unjustified. Diabetes mellitus is the eighth cause of death in the 1- to 14-year age group,12 and, though specific diagnoses are not available, it is highly probable that almost all of these deaths occur in acidosis and coma. These isolated fatalities, largely unreported in the pediatric literature, account for the bulk of more than 3000 deaths recorded during the past decade.13 It is reasonable to presume that such deaths are largely preventable. We have reviewed our series of acidosis and coma for principles that might be applicable to these fatalities.

Materials and Methods  Criteria for the diagnosis of diabetic ketosis, acidosis, and coma vary.4-6,10,14,15 To provide objective standards for comparison, we divide our cases

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

* * SCHEDULED MAINTENANCE * *

Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();