Epidemiological and Clinical Characteristics of Diabetic Ketoacidosis Among Diabetic Patients in Mogadishu, Somalia.

Background Diabetic ketoacidosis (DKA) is a severe complication primarily affecting type 1 diabetes patients, though it can also occur in type 2 diabetes. In Somalia, decades of conflict have weakened the healthcare system, limiting access to regular diabetes care and education, which heightens the risk of DKA. This study explores the epidemiological and clinical characteristics of DKA in diabetic patients at hospitals in Mogadishu, Somalia, to identify patterns, risk factors, and outcomes. Methods A cross-sectional study was conducted at Aden Cade, Kalkal, and Martini hospitals involving 140 diabetic patients with DKA. Data were gathered through structured questionnaires and clinical records, and statistical analysis was done using SPSS to assess sociodemographic determinants, clinical presentations, and risk factors for DKA. Result The majority of patients were under 18 years old, with 75% having type 1 diabetes. Common symptoms included excessive thirst (92.9%), frequent urination (97.1%), and abdominal pain (95.7%). All patients received insulin therapy, and most were also treated with antibiotics. Half of the patients experienced recurrent DKA episodes after discharge, indicating a need for improved diabetes management and follow-up care Conclusion remains a significant public health issue in Mogadishu due to limited healthcare access, insufficient patient education, and poor insulin to treatment. Addressing these challenges through better healthcare infrastructure, patient education, and management protocols could reduce DKA occurrences in Somalia.