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Comparison of capillary blood ketone measurement by electrochemical method and urinary ketone in treatment of diabetic ketosis and ketoacidosis in children.
Acta Diabetol 2008; 45(2):83-5AD

Abstract

We aimed to compare the recent practical method of capillary beta-hydroxy butyrate (betaOHB) measurement with the widely used urinary ketone measurement in monitoring metabolic status of the patient during treatment of diabetic ketoacidosis (DKA) and diabetic ketosis (DK). Patients with DKA and DK admitted to the hospital were followed with simultaneous measurements of capillary betaOHB by electrochemical method (Medisense Optium, Abbott), and urinary ketone by semi-quantitative method. Blood gases were measured in 2-4 h intervals. Fourteen patients with DKA/DK (7 males and 7 females, age: 9.2 +/- 4.2 years) were included with 50 simultaneous measurements of capillary and urinary ketone. No correlation was detected between urinary ketone and blood pH (P = 0.06) and HCO3 (P = 0.79), whereas a significant negative correlation was found between capillary betaOHB and blood pH (r = -0.41, P < 0.05) and HCO3 (r = -0.35, P < 0.05). Capillary betaOHB and urinary ketone levels did not correlate at the beginning and 3.3 +/- 1.4 h after treatment, but did correlate in the third samples taken 7.8 +/- 2.0 h after treatment (r = 0.8, P < 0.05). Capillary betaOHB levels show good correlation with the degree of acidosis (pH and HCO3). Capillary betaOHB measurement is more sensitive than urinary ketone measurement in reflecting the patient's metabolic status and improvement during treatment.

Authors+Show Affiliations

Faculty of Medicine, Department of Pediatric Endocrinology, Marmara University, Istanbul, Turkey. serapdemircioglu@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18292962

Citation

Turan, Serap, et al. "Comparison of Capillary Blood Ketone Measurement By Electrochemical Method and Urinary Ketone in Treatment of Diabetic Ketosis and Ketoacidosis in Children." Acta Diabetologica, vol. 45, no. 2, 2008, pp. 83-5.
Turan S, Omar A, Bereket A. Comparison of capillary blood ketone measurement by electrochemical method and urinary ketone in treatment of diabetic ketosis and ketoacidosis in children. Acta Diabetol. 2008;45(2):83-5.
Turan, S., Omar, A., & Bereket, A. (2008). Comparison of capillary blood ketone measurement by electrochemical method and urinary ketone in treatment of diabetic ketosis and ketoacidosis in children. Acta Diabetologica, 45(2), pp. 83-5. doi:10.1007/s00592-008-0026-y.
Turan S, Omar A, Bereket A. Comparison of Capillary Blood Ketone Measurement By Electrochemical Method and Urinary Ketone in Treatment of Diabetic Ketosis and Ketoacidosis in Children. Acta Diabetol. 2008;45(2):83-5. PubMed PMID: 18292962.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of capillary blood ketone measurement by electrochemical method and urinary ketone in treatment of diabetic ketosis and ketoacidosis in children. AU - Turan,Serap, AU - Omar,Anjumanara, AU - Bereket,Abdullah, PY - 2006/10/25/received PY - 2008/01/14/accepted PY - 2008/2/23/pubmed PY - 2008/11/19/medline PY - 2008/2/23/entrez SP - 83 EP - 5 JF - Acta diabetologica JO - Acta Diabetol VL - 45 IS - 2 N2 - We aimed to compare the recent practical method of capillary beta-hydroxy butyrate (betaOHB) measurement with the widely used urinary ketone measurement in monitoring metabolic status of the patient during treatment of diabetic ketoacidosis (DKA) and diabetic ketosis (DK). Patients with DKA and DK admitted to the hospital were followed with simultaneous measurements of capillary betaOHB by electrochemical method (Medisense Optium, Abbott), and urinary ketone by semi-quantitative method. Blood gases were measured in 2-4 h intervals. Fourteen patients with DKA/DK (7 males and 7 females, age: 9.2 +/- 4.2 years) were included with 50 simultaneous measurements of capillary and urinary ketone. No correlation was detected between urinary ketone and blood pH (P = 0.06) and HCO3 (P = 0.79), whereas a significant negative correlation was found between capillary betaOHB and blood pH (r = -0.41, P < 0.05) and HCO3 (r = -0.35, P < 0.05). Capillary betaOHB and urinary ketone levels did not correlate at the beginning and 3.3 +/- 1.4 h after treatment, but did correlate in the third samples taken 7.8 +/- 2.0 h after treatment (r = 0.8, P < 0.05). Capillary betaOHB levels show good correlation with the degree of acidosis (pH and HCO3). Capillary betaOHB measurement is more sensitive than urinary ketone measurement in reflecting the patient's metabolic status and improvement during treatment. SN - 0940-5429 UR - https://www.unboundmedicine.com/medline/citation/18292962/Comparison_of_capillary_blood_ketone_measurement_by_electrochemical_method_and_urinary_ketone_in_treatment_of_diabetic_ketosis_and_ketoacidosis_in_children_ L2 - https://dx.doi.org/10.1007/s00592-008-0026-y DB - PRIME DP - Unbound Medicine ER -