Campaign for Diabetic Ketoacidosis Prevention Still Effective 8 Years Later

Diabetic ketoacidosis (DKA) in children with type 1 diabetes at onset is considered an increased risk factor of death and is generally related to a long duration of misdiagnosed hyperglycemia-associated symptoms (1). Shortening this latency period could be a winning preventive strategy. In the period of 1991–1997, we investigated this hypothesis in the province of Parma and demonstrated that, thanks to a school and physician campaign centered on the earliest symptom of diabetes (nocturnal enuresis in a “dry” child) as reported by 89% of parents, it was possible to prevent DKA (2 …