Virtual Conference

Anna Kacka

Regional Specialized Children’s Hospital, Poland

Title: Sodium imbalance during the diabetic ketoacidosis in children


Diabetic ketoacidosis in one of the most common acute complications in children, occasionally associated with sodium imbalance. Hyponatremia as well as hypernatremia increase morbidity and mortality. It can develop at each stage of a treatment, as a complication of hyperglycemia and intensity of the therapy, but also the other underlying causes should be considered. The diagnostic procedures, treatment and outcomes are presented based on the case reports. The first patient - the 5 years old child with symptomatic hyponatremia, the second 9 years old boy with hypernatremia which developed during the treatment of diabetic ketoacidosis and the third 16 years old girl with hyperosmolar ketoacidosis.


Anna Kacka graduated from Medical University in Gdansk in 2009. Since 2010 she works at the Regional Specialized Children’s Hospital in Olsztyn. She completed her training: in pediatrics in 2016, children’s endocrinology and diabetology – 2020 and Ph.D. in 2023. From June 2023 she is assistant Head of Endocrinology and Diabetology Department at the Regional Specialized Children’s Hospital in Olsztyn. Since 2012 she works as lecturer at Department of Clinical Pediatrics, University of Warmia and Mazury in Olsztyn.