Type 1 diabetes

Time Trends in the Incidence of Diabetic Ketoacidosis Leading to Hospital Admission Among Adults With Type 1 Diabetes: A Nationwide Danish Register Study

Diabetes CarePublished Nationwide register-based cohort study

Authors' conclusion

The incidence rates of DKA are declining for all ages, with an overall decline from 2008 for both men and women. This likely reflects improved diabetes management for individuals with type 1 diabetes in Denmark.

Study context

Population
Adults aged ≥18 years with T1D identified from a nationwide Danish diabetes register; Diabetic ketoacidosis (DKA) admissions from the National Patient Register
Participants
24,718 adults
Outcome
Incidence of hospital admission due to DKA by age, and its time trend
Follow-up
1996 to 2020
Methodological detailsFollow-up 1996 to 2020
  • Follow-up 1996 to 2020

Main finding

As reported in the abstract

DKA incidence rate by age

DKA incidence rate, age 20 to age 80

3.27 to 0.38 per 100 PY

Observational data: associations, not effects.

Further findings

Time trend of DKA incidence rate · 1996 to 2008

20-year-old individual
1.91 to 3.77 per 100 person-years (PY)
80-year-old individual
0.22 to 0.44 per 100 PY
Incidence rate of DKA increased for all age-groups

Time trend of DKA incidence rate · 2008 to 2020

20-year-old individual
3.77 to 3.27 per 100 PY
80-year-old individual
0.44 to 0.38 per 100 PY
Subsequent minor decrease in incidence rate

Original publication

Time Trends in the Incidence of Diabetic Ketoacidosis Leading to Hospital Admission Among Adults With Type 1 Diabetes: A Nationwide Danish Register Study. Diabetes Care. Published 11 July 2023. doi:10.2337/dc23-0475

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