![]() The frequency of DKA in Poland was estimated to be between 22 to 36% and the incidence of coma due to DKA was around 4.7% of children. The socioeconomic inequalities play a crucial and important role in the DKA rate at diabetes diagnosis. A large global variation is observed in DKA prevalence, with the values varying from 14.7% (Denmark) to 79,8% (Saudi Arabia) depending on a geographic location, the socioeconomic factors of the country and the incidence of diabetes (the awareness is poorer in countries with a lower incidence). Overall, more than one-third of newly diagnosed children are affected by DKA. The incidence of this problem is still unacceptably high, especially in the youngest group (below 5 years) and has not changed over the last 20 years despite a sharp increase in T1D diagnoses and improvement in medical care. The International Society for Pediatric and Adolescent Diabetes (ISPAD) stated that diabetic ketoacidosis (DKA) was the most common, but potentially preventable life-threatening complication related to newly diagnosed T1D. In children aged 0–14 the disease frequency boosted approximately six-fold from 4.2 per 100,000 persons/year in the early 1970s to 24.3 per 100,000 persons/year in 2013 with regular, sinusoidal fluctuations and a slight levelling-off over the past few years. The alarming epidemiological situation may also be observed in Poland with the tendency toward younger age groups. The global increase in the incidence of type 1 diabetes among children still remains at the level of 3 to 5% annually. Type 1 diabetes (T1D) is one of the most common metabolic diseases in the pediatric population worldwide. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Everybody is happy and healthy and the weather is lining up.Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Bacon Mac & Cheese is the main course followed by sleeves of Oreos and mini Snickers bars. Huge amounts of carbs and electrolytes were consumed. So, like stinky cuckoos, we rolled into 11,200' Camp and got set up quickly. One of the benefits of later season trips is moving into tent platforms and toilet facilities that were already built by teams ahead of us on the mountain. ![]() Andy only threatened to turn the car around once. Over the last 1,000', we encountered the rare Type 2.9 fun but RMI Guides Andy, Grayson and Ben kept us moving and motivated. Steve’s hula-hoop proved to be a challenge in the 6 inches of fresh snow we got overnight as it acted like a West Virginia earth mover until he put it were it belonged - around his waist. We gained 3,400 vertical feet over about 3.5 miles with backpacks and sleds in 5.5 hours. The weather has been in our favor, and we are right on schedule. Explore something new with our Adventure Finder.
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