Awareness Campaigns to Prevent Diabetic Ketoacidosis at Diabetes Onset Are Successful When Constantly Maintained: From Local to Federal State Results
Authors' conclusion
The expansion of our local awareness campaign was possible and successful.
Study context
- Population
- Children and adolescents newly diagnosed with T1D in Baden-Württemberg, Germany14 of 38 PHD participated
- Participants
- 3,038 children
- Exposure
- Districts participating in diabetic ketoacidosis (DKA) prevention campaign vs nonparticipating districts
- Outcome
- DKA incidence at diabetes onset
- Follow-up
- Prior (2015-2020) vs during campaign (2021-2023)
Methodological detailsfederal state-wide, participating vs nonparticipating districts, before (2015-2020) and during campaign (2021-2023)
- Federal state-wide
- Participating vs nonparticipating districts
- Before (2015-2020) and during campaign (2021-2023)
Main finding
As reported in the abstract
DKA rate at onset, prior to during campaign · 2015-2020 to 2021-2023
Participating
29.9%-36.3%
Nonparticipating
27.0%-41.0%
P < 0.03
- DKA rates increased in both groups; time-trend
- P < 0.0001 for time-trend
Observational data: associations, not effects.
Further findings
DKA and severe DKA at onset, overall · observation period
- DKA
- 990 (32.6%)
- Severe DKA
- 346 (11.4%)
Original publication
Awareness Campaigns to Prevent Diabetic Ketoacidosis at Diabetes Onset Are Successful When Constantly Maintained: From Local to Federal State Results. Pediatr Diabetes. Published 19 August 2025. doi:10.
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