Rugg-Gunn et al identified factors associated with diabetic ketoacidosis occurring as the presenting sign of Type 1 diabetes in a pediatric patient. The authors are from the University of Liverpool, University of Edinburgh, and University of Cambridge.
Patient selection: pediatric patient with type 1 diabetes
Factors increasing the risk of diabetic ketoacidosis:
(1) age < 2 years (OR 3.5)
(2) presentation during the COVID-19 pandemic (OR 2.3)
(3) lower body mass index at diagnosis
(4) lack of private insurance and/or low family income
(5) ethnic minority (OR 0.40)
Factors reducing the risk of diabetic ketoacidosis:
(1) participation in a screening program for diabetes (0.35)
(2) family history of type 1 diabetes (OR 0.46)
(3) parental education
(4) high serum C-peptide level
(5) receiving care from a family physician or pediatrician
where:
• The text states that being from an ethnic minority was associated with increased risk, but the reported OR was 0.40.
