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Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit

Cilt: 33 Sayı: 5 25 Ekim 2023
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Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit

Öz

Aims: Vitamin D deficiency is a risk factor for autoimmune diseases such as diabetes mellitus. This study aimed to investigate the association between Diabetic ketoacidosis (DKA) and vitamin D levels and the impact of vitamin D on the duration of DKA and pediatric intensive care unit length of stay in Turkish pediatric patients. Methods: The study was a retrospective study conducted between January 2014 and March 2018. The study population was children under 18 admitted to the pediatric intensive care unit (PICU) with DKA. Results: The study included 130 patients, 51.5% of them were females. We found vitamin D deficiency in 39.2%(n=51) and vitamin D insufficiency in 33.1% (n=43) of the patients. Most of the patients with severe acidosis had low vitamin D levels (44/59) and % 45.8 of them (27/59) had vitamin D deficiency. Duration of diabetic ketoacidosis, length of pediatric intensive care unit stay, and hospitalization stay were longer in patients with low vitamin D levels but were not statistically significant. Conclusions: This study is the first study evaluating the association between vitamin D and diabetic ketoacidosis in Turkey. Although there is no association between vitamin D deficiency and the duration of diabetic ketoacidosis and the severity of acidosis, vitamin D deficiency is substantially common in patients with diabetic ketoacidosis.

Anahtar Kelimeler

Diabetic ketoacidosis, Diabetes mellitus, Pediatrics, Vitamin D

Kaynakça

  1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2011;34 Suppl 1(Suppl 1):S62-S69.
  2. Mobasseri M, Shirmohammadi M, Amiri T et al. Prevalence and incidence of type 1 diabetes in the world: a systematic review and meta-analysis. Health Promot Perspect. 2020;10(2):98-115.
  3. Wolfsdorf J, Glaser N, Sperling MA. Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association. Diabetes Care, 2006, 29(5), 1150–1159.
  4. Yang CY, Leung PS, Adamopoulos IE, et al. The implication of vitamin D and autoimmunity: a comprehensive review. Clin Rev Allergy Immunol. 2013 ;45(2):217-26.
  5. Pozzilli P, Manfrini S, Crinò A et al. Low levels of 25-hydroxyvitamin D3 and 1,25-dihydroxyvitamin D3 in patients with newly diagnosed type 1 diabetes. Horm Metab Res. 2005;37(11):680-3.
  6. Littorin B, Blom P, Schölin A et al. Lower levels of plasma 25-hydroxyvitamin D among young adults at diagnosis of autoimmune type 1 diabetes compared with control subjects: results from the nationwide Diabetes Incidence Study in Sweden (DISS). Diabetologia. 2006;49(12):2847-52.
  7. Hyppönen E, Läärä E, Reunanen A, et al. Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet (London, England). 2001;358(9292):1500-1503.
  8. Vitamin D supplement in early childhood and risk for Type I (insulin-dependent) diabetes mellitus. The EURODIAB Substudy 2 Study Group. Diabetologia. 1999;42(1):51-4.
  9. Al-Zubeidi H, Leon-Chi L, Newfield RS. Low vitamin D level in pediatric patients with new-onset type 1 diabetes is common, especially if in ketoacidosis. Pediatr Diabetes. 2016;17(8):592-598.
  10. Huynh T, Greer RM, Nyunt O et al. The association between ketoacidosis and 25(OH)-vitamin D levels at presentation in children with type 1 diabetes mellitus. Pediatr Diabetes. 2009;10(1):38-43.

Kaynak Göster

APA
Uysal Yazici, M., Ozel, E., Torun, E. G., Savaş Erdeve, Ş., & Çetinkaya, S. (2023). Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit. Genel Tıp Dergisi, 33(5), 523-526. https://doi.org/10.54005/geneltip.1301387
AMA
1.Uysal Yazici M, Ozel E, Torun EG, Savaş Erdeve Ş, Çetinkaya S. Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit. Genel Tıp Derg. 2023;33(5):523-526. doi:10.54005/geneltip.1301387
Chicago
Uysal Yazici, Mutlu, Erhan Ozel, Emine Gulsah Torun, Şenay Savaş Erdeve, ve Semra Çetinkaya. 2023. “Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit”. Genel Tıp Dergisi 33 (5): 523-26. https://doi.org/10.54005/geneltip.1301387.
EndNote
Uysal Yazici M, Ozel E, Torun EG, Savaş Erdeve Ş, Çetinkaya S (01 Ekim 2023) Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit. Genel Tıp Dergisi 33 5 523–526.
IEEE
[1]M. Uysal Yazici, E. Ozel, E. G. Torun, Ş. Savaş Erdeve, ve S. Çetinkaya, “Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit”, Genel Tıp Derg, c. 33, sy 5, ss. 523–526, Eki. 2023, doi: 10.54005/geneltip.1301387.
ISNAD
Uysal Yazici, Mutlu - Ozel, Erhan - Torun, Emine Gulsah - Savaş Erdeve, Şenay - Çetinkaya, Semra. “Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit”. Genel Tıp Dergisi 33/5 (01 Ekim 2023): 523-526. https://doi.org/10.54005/geneltip.1301387.
JAMA
1.Uysal Yazici M, Ozel E, Torun EG, Savaş Erdeve Ş, Çetinkaya S. Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit. Genel Tıp Derg. 2023;33:523–526.
MLA
Uysal Yazici, Mutlu, vd. “Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit”. Genel Tıp Dergisi, c. 33, sy 5, Ekim 2023, ss. 523-6, doi:10.54005/geneltip.1301387.
Vancouver
1.Mutlu Uysal Yazici, Erhan Ozel, Emine Gulsah Torun, Şenay Savaş Erdeve, Semra Çetinkaya. Vitamin D Level of Children with Diabetic Ketoacidosis in Pediatric Intensive Care Unit. Genel Tıp Derg. 01 Ekim 2023;33(5):523-6. doi:10.54005/geneltip.1301387