What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis? (Select all that apply.)
a. Altered sleep/rest patterns
b. Eating disorder
c. Exposure to influenza
d. High levels of stress
e. Lack of financial resources
A, B, D, E
Psychosocial factors may lead to changes in diabetes self-management practices that precipitate diabetic ketoacidosis. Eating disorders may complicate 20% of recurrent cases of DKA in young women. Changes in sleep patterns and psychosocial stressors may lead to increased insulin demands in the face of declining self-care practices. Financial and time limitations impacted the ability to monitor for changes in control. Exposure to influenza is a physiological factor; it would not be a psychosocial factor associated with DKA.
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