{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:32:21Z","timestamp":1779233541334,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    Mixed presentation of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) has been reported in up to 27% of hyperglycemic emergencies. This 15-year retrospective chart review describes clinical features, risk factors, and outcomes among children presenting with hyperglycemic emergencies at our center. Out of 322 patients, 92% were Afro-Caribbean or Black with a mean age of 13.6 years, comprising 266 (83%) with DKA, 52 (16%) mixed DKA-HHS, and rarely with HHS (1%,\n                    <jats:italic>n<\/jats:italic>\n                    = 4). Most (98%) of DKA and DKA-HHS groups had type 1 diabetes mellitus (T1DM). All 4 patients with HHS had type 2 diabetes mellitus (T2DM). Compared with the DKA group, the mixed DKA-HHS group had higher IV fluid rates (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .0001), 4.3-fold greater odds of acute kidney injury (AKI), and 3.3-fold greater odds of altered mental status (AMS). In the HHS group, 50% presented had AMS and AKI and required higher IV fluids rates (\u22652\u00d7 maintenance). Clinicians should recognize mixed cases of DKA-HHS to minimize complications.\n                  <\/jats:p>","DOI":"10.1177\/00099228251321899","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T09:13:21Z","timestamp":1741770801000},"page":"1131-1137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Hyperglycemic Emergencies in Minority Children and Adolescents With Diabetes"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5229-4751","authenticated-orcid":false,"given":"Ahmed","family":"Badran","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Utah Medical Center, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amruta","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Children\u2019s Hospital of Orange County, Orange County, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Despoina","family":"Galetaki","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Assia","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, SUNY Downstate Health Sciences University, Brooklyn, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vatcharapan","family":"Umpaichitra","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Kings County, NYC Health + Hospitals, SUNY Downstate Health Sciences University, Brooklyn, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6894-2182","authenticated-orcid":false,"given":"Renee","family":"Bargman","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Kings County, NYC Health + Hospitals, SUNY Downstate Health Sciences University, Brooklyn, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4445-7884","authenticated-orcid":false,"given":"Vivian L.","family":"Chin","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinology, Kings County, NYC Health + Hospitals, SUNY Downstate Health Sciences University, Brooklyn, NY, 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