Changes in the Prevalence of Diabetes Ketoacidosis at the Onset of Type 1 Diabetes in Polish Children: A Comparative Analysis Between Two 9‐Year Periods—2006–2014 and 2015–2023
Authors' conclusion
The escalating prevalence of DKA at T1D onset in children is a concerning public health issue that necessitates a multifaceted approach to education, prevention, and early intervention.
Study context
- Population
- Children aged <18 years with newly diagnosed T1D in Greater Poland (Poland) (Poland)18 years
- Participants
- 2,432 children
- Exposure
- 2006-2014 vs 2015-2023
- Outcome
- Prevalence of DKA at T1D onset (International Society for Pediatric and Adolescent Diabetes (ISPAD) criteria)
Methodological detailscomplete regional cohort
- Complete regional cohort
Main finding
As reported in the abstract
DKA at T1D onset
P = 0.007
- Overall prevalence of DKA
- 51.3% (n = 1248)
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Mild DKA (share of DKA cases) | P = 0.145 |
| Moderate DKA (share of DKA cases) | P = 0.003 |
| Severe DKA (share of DKA cases) | P < 0.001 |
Mild DKA (share of DKA cases)
- Prevalence of mild DKA decreased slightly
Moderate DKA (share of DKA cases)
- Moderate DKA had a notable decline
Severe DKA (share of DKA cases)
- Proportion of severe DKA cases rose sharply; significant shift toward more severe DKA presentations
Original publication
Changes in the Prevalence of Diabetes Ketoacidosis at the Onset of Type 1 Diabetes in Polish Children: A Comparative Analysis Between Two 9‐Year Periods—2006–2014 and 2015–2023. Pediatr Diabetes. Published 23 July 2025. doi:10.
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