This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I find the article by Dr Fulop and colleagues¹ on chemical measurements in ketoacidosis to be deficient on several important issues. The title states that it is about patients with uncontrolled diabetes mellitus, and yet 6% of the episodes studied were "in patients without diabetes." Which patients made up the study is further confused in the following statement: "We included nearly all of the adult patients with diabetic ketoacidosis," which ignores the subjects who did not have diabetic ketoacidosis. I take "nearly all" to mean "all the patients who we think had what we wanted to study and whose records we could find." There is no definition of ketoacidosis, or even of acidosis. There is no distinction made between acidosis and acidemia, a crucial omission since some of the patients had "normal or elevated" levels of carbon dioxide. One might assume that the distinctive characteristic that characterized the patients included . . . [Full Text of this Article]

RELATED ARTICLE

Serum -Hydroxybutyrate Measurement in Patients With Uncontrolled Diabetes Mellitus
Milford Fulop, Vadiraja Murthy, Angelo Michilli, Jhansi Nalamati, Qi Qian, and Alan Saitowitz
Arch Intern Med. 1999;159(4):381-384.
ABSTRACT | FULL TEXT