Nutritional Care Process in Pediatric Patients with Severe Diabetic Ketoacidosis, Type 1 Diabetes Mellitus, Septic Shock, and Obesity

Authors

  • Nurul Maulidyah Poltekkes Kemenkes Makassar
  • Chaerunnimah Poltekkes Kemenkes Makassar
  • Faramitha Poltekkes Kemenkes Makassar

Keywords:

Nutritional Care Process, KAD, DM Tipe-1, Obesity

Abstract

Background: The incidence rate of type 1 diabetes in several western countries is around 5–10% of the total number of diabetes patients, with >90% of diabetes cases in children and adolescents being type 1 diabetes. The highest incidence of Type 1 diabetes in the world is in Finland, at 43 per 100,000 cases. The prevalence of diabetes mellitus in children in Indonesia, based on data from the Indonesian Pediatric Association (PP IDAI) in 2018, was recorded at 1,220 children with Type 1 diabetes. Of these, 71% were first diagnosed with Type 1 diabetes with diabetic ketoacidosis. Sepsis and septic shock are global issues, as one in four sepsis patients dies. The underlying infection causing sepsis can trigger diabetic ketoacidosis (DKA) in patients with diabetes mellitus. The primary risk factors increasing the prevalence of diabetes mellitus are obesity, lack of physical activity, and unhealthy eating patterns. Objective: To determine the effect of nutritional management on improving the condition of patients with DKA, Type 1 Diabetes Mellitus, Sepsis Shock, and Obesity. Method: This study used an observational research method with a case study design. The data used in this study included primary data obtained through interviews and secondary data from patient medical records.Results: The five-day intervention resulted in a gradual increase in patients' intake, but it did not yet meet the target requirements. However, carbohydrate intake reached the target requirement from the third day until the last day of the intervention. Patients also experienced weight loss during the intervention period, resulting in their nutritional status being classified as overweight. Conclusion: Proper nutritional management in patients can maintain and improve their quality of life, particularly during the recovery process, and assist in reducing blood glucose levels in patients with diabetes mellitus.

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Published

2026-05-14

How to Cite

1.
Maulidyah N, Chaerunnimah, Faramitha. Nutritional Care Process in Pediatric Patients with Severe Diabetic Ketoacidosis, Type 1 Diabetes Mellitus, Septic Shock, and Obesity. JHCD [Internet]. 2026 May 14 [cited 2026 May 17];1(1):73-7. Available from: https://journalmpci.com/index.php/jhcd/article/view/614

Issue

Vol. 1 No. 1 (2026)

Section

Articles
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Copyright (c) 2026 Nurul Maulidyah, Chaerunnimah, Faramitha

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