Comment On Desai Et Al. Health Care Utilization And Burden Of Diabetic Ketoacidosis In The Us Over The Past Decade: A Nationwide Analysis. Diabetes Care 2018;41:1631-1638

We read with great interest the outstanding study by Desai et al. (1) in the recent issue of Diabetes Care . The authors aimed to determine the incidence and costs of hospitalizations for diabetes ketoacidosis (DKA) in the U.S. The authors searched the National Inpatient Sample (NIS) database for all DKA admissions during 2003–2014. Consistent with recent Centers for Disease Control and Prevention reports (2), the study confirmed a decrease in hospital mortality but a significant increase in the number of hospitalizations for DKA. Notably, they reported a significant increase (56%) in the “inflation-adjusted hospital charges” for DKA admissions, from $18,987 in 2003 to $26,566 in 2014 ( P u003c 0.001). Thus, the inflation-adjusted “national bill” for …