Diabetic ketoacidosis (DKA) and nonketotic hyperosmolar state (NKHS) are acute complications of diabetes. DKA is seen primarily in individuals with type 1 DM, and NKHS is seen in individuals with type 2 DM.Both disorders are associated with absolute or relative insulin deficiency, volume depletion, and altered mental status.

Prevalence of Diabetes Mellitus among patients attendingTabaka Mission Hospital, Kisii County . ABSTRACT In today’s world, 180 million people are suffering from diabetes. Out of these, 162 million have type 2 diabetes. Type 2 diabetes, a state of diminished systemic sensitivity to insulin, has its root in the lifestyle of the subjects. The prevalence of diabetes in the WHO African Region was estimated at 1.02 million (10%) had type 1 diabetes and 6.3 million (90%) had type 2 diabetes. The main objective of the study will be to determine the prevalence of Diabetes mellitus among patients above 18 years attending Tabakamissin hospital, kisii County. The study will adopt quantitive descriptive cross sectional as it will be hospital based. The study shall employ only 100 patients selected systematically out of total patients tested will represent all patients who will be tested. blood specimen will be used in analyzation of Diabetes mellitus. The method can be used on cases of emergency, it is reliable and easy to use. The study data shall be presented by use of bar graphs and pie charts. Ethical issues shall be adhered where research shall be carried upon grant of permission from relevant authorities.

ADHERENCE AND ASSOCIATED FACTORS TO TYPE 1 DIABETES MELLITUS CARE AMONG ADOLESCENTS AT KISII COUNTY the recommendations management is associated with better clinical outcomes. In Kisii County, the adherence of adolescents living with T1DM to diabetic care is not well known. The study had the purpose to assess the adherence of children suffering from T1DM to Diabetic care and its associated factors. The quantitative cross-section study was conducted in Kisii County Diabetic Association Centre in Nyamache Sub- County, Kisii County among a convenient sample of 108. The study was conducted from February to April (precise date). A structured questionnaire was used to collect data. Ethical approval was sought and obtained from UR-CMHS-IRB (number of ethics). Participation was voluntary and other ethical principles were observed throughout the study. Descriptive data were entered into the Statistical Package of Social Sciences (SPSS) version 21, and then analyzed using Pearson Chi-square, to determine association between variables. The significance level was set at p-value of < 0.05 A total of 106 (98%) participants who consisted of 40.6% male and 59.4% female completed the survey. The majority of participants were aged between 15-19 (79.2%) years while 22(20.8%) were between 10-14 years old. 79.2% were adherent to diabetic care while 20.8% were not adherent. (72.6%) had schooling while (27.4%) did not attend school. The majority of the participants (79.2%) were in boarding school and (20.8%) were living out of school. Moreover (63.2%) children were living with both parents and (61.3%) of parents were married. There is no association between adherence and Age, gender , Child in boding school, Duration of medication, or if there are causes delayed respect of nurse‘ instructions but the others factors are associated with adherence: schooling child( p:0.001) , Relationship with guardian p:0.001) Parent status(p:<001) ,Guardian‘ occupation(p:<001), education level of guardian( p:0.017) (p:),Ubudehe category(p:<001), Health insurance(p:0.025) Complication (p:0.001) and Co-morbidities