Diabetes in Special Population

Diabetes affects a diverse range of populations, each with unique challenges and considerations for management and treatment. Understanding these special populations is crucial for providing tailored care and improving outcomes. There are special populations where features, management and outcome may differ from the usual patient with diabetes. Data on management of DKA in such special populations such as chronic kidney disease and pregnancy are sparse and recommendations are based mainly on small case series and expert opinion. Clinicians need to recognize and manage euglycaemic DKA in patients prescribed sodium-glucose cotransporter inhibitors. DKA is particularly a major health concern due to high rates of hospital admissions and mortality in resource-limited settings due to financial constraints, limiting the adequate provision of insulin and access to health care systems, and dysfunctional health systems. We review the challenges of diagnosis and management of DKA in these specific groups and provide recommendations on optimal patient care. Predominantly seen in this group, requiring insulin therapy, frequent blood sugar monitoring, and education on lifestyle management. Increasingly prevalent due to rising obesity rates, necessitating early intervention and lifestyle modifications. 

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