Official Title: Comparison of Saline and Ringer Lactate in Patients With Severe Diabetic Ketoacidosis DRINK a Double-blind Randomized Controlled Trial
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: DRINK
Brief Summary: Management of severe diabetic ketoacidosis is based on insulin therapy correction of metabolic disorders and fluid resuscitation Current recommendations recommend the first-line use of isotonic saline whose composition is unbalanced rich in chloride and sodium compared with plasma Administration of large volumes of isotonic saline is associated with a risk of hyperchloremic metabolic acidosis and acute renal failure Balanced solutions eg Ringer Lactate are solutions with a more balanced electrolyte composition close to that of plasma They could therefore enable diabetic ketoacidosis to be resolved more quickly than isotonic saline due to a lower risk of hyperchloremic acidosis Preliminary data suggest a potential benefit of balanced solutions for fluid resuscitation of patients with severe diabetic ketoacidosis in terms of resolution of diabetic ketoacidosis but no randomized controlled double-blind study to date has compared balanced solution vs isotonic saline in this context