Acid–base and electrolyte disorders in patients with diabetes mellitus
Joint Authors
Sotirakopoulos, Nikolaos
Armentzioiou, Karmen
Kalogiannidou, Irini
Mavromatidis, Konstantinos
Tersi, Maria
Sivridis, Dimitrios
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 23, Issue 1 (28 Feb. 2012), pp.58-62, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2012-02-28
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
Diabetes mellitus is the most common metabolic disorder in the community.
The diabetics may suffer from acid-base and electrolyte disorders due to complications of diabetes mellitus and the medication they receive.
In this study, acid-base and electrolyte disorders were evaluated among outpatient diabetics in our hospital.
The study consisted of patients with diabetes mellitus who visited the hospital as outpatients between the period January 1, 2004 to December 31, 2006.
The patients’ medical history, age and type of diabetes were noted, including whether they were taking diuretics and calcium channel blockers or not.
Serum creatinine, proteins, sodium, potassium and chloride and blood gases were measured in all patients.
Proteinuria was measured by 24-h urine collection.
Two hundred and ten patients were divided in three groups based on the serum creatinine.
Group A consisted of 114 patients that had serum creatinine <1.2 mg / dL, group B consisted of 69 patients that had serum creatinine ranging from 1.3 to 3 mg / dL and group C consisted of 27 patients with serum creatinine >3.1 mg / dL.
Of the 210 patients, 176 had an acid-base disorder.
The most common disorder noted in group A was metabolic alkalosis.
In groups B and C, the common disorders were metabolic acidosis and alkalosis, and metabolic acidosis, respectively.
The most common electrolyte disorders were hypernatremia (especially in groups A and B), hypernatremia (group C) and hyperkalemia (especially in groups B and C).
It is concluded that : (a) in diabetic outpatients, acid-base and electrolyte disorders occurred often even if the renal function is normal, (b) the most common disorders are metabolic alkalosis and metabolic acidosis (the frequency increases with the deterioration of the renal function) and (c) the common electrolyte disorders are hypernatremia and hyperkalemia.
American Psychological Association (APA)
Sotirakopoulos, Nikolaos& Kalogiannidou, Irini& Tersi, Maria& Armentzioiou, Karmen& Sivridis, Dimitrios& Mavromatidis, Konstantinos. 2012. Acid–base and electrolyte disorders in patients with diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation،Vol. 23, no. 1, pp.58-62.
https://search.emarefa.net/detail/BIM-292885
Modern Language Association (MLA)
Sotirakopoulos, Nikolaos…[et al.]. Acid–base and electrolyte disorders in patients with diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation Vol. 23, no. 1 (Feb. 2012), pp.58-62.
https://search.emarefa.net/detail/BIM-292885
American Medical Association (AMA)
Sotirakopoulos, Nikolaos& Kalogiannidou, Irini& Tersi, Maria& Armentzioiou, Karmen& Sivridis, Dimitrios& Mavromatidis, Konstantinos. Acid–base and electrolyte disorders in patients with diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation. 2012. Vol. 23, no. 1, pp.58-62.
https://search.emarefa.net/detail/BIM-292885
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 62
Record ID
BIM-292885