From Clinical Data to Better Outcomes: Analysing Pediatric Diabetic Ketoacidosis and Pathways to Sustainable Management, Siska Lubis, Melda Deliana, Shofiyya Imtiyaz, Allam Ahmed

Siska Mayasari Lubis
Department of Pediatrics, Faculty of Medicine, Universitas Sumatera Utara / Adam Malik Hospital
Medan
Indonesia
Melda Deliana
Department of Pediatrics, Faculty of Medicine, Universitas Sumatera Utara / Adam Malik Hospital
Medan
Indonesia
Shofiyya Imtiyaz
Faculty of Medicine Universitas Indonesia
Jakarta
Indonesia
Allam Ahmed
World Association for Sustainable Development (WASD)
London
United Kingdom
ORCID: 0000-0002-1494-354X
DOI: 10.47556/B.OUTLOOK2026.24.1

Purpose: To evaluate the clinical characteristics, outcomes, and key biomarkers associated with pediatric diabetic ketoacidosis (DKA) in Indonesia and propose evidence-based pathways toward sustainable care.
Methods: We conducted a cross-sectional analysis from a tertiary hospital in Medan, Indonesia, retrospective review of clinical and laboratory data from pediatric DKA cases, including blood gas analysis, blood glucose, electrolyte profiles, and other biomarkers.
Findings: These findings indicate that delayed presentation and underutilization of point-of-care of early diabetes testing contribute to more severe metabolic derangements at admission.
Value: We propose an integrative framework that emphasizes capacity building in rural health facilities, implementation of standardized management protocols, and community-based education interventions to reduce DKA incidence, improve clinical outcomes, and support sustainable pediatric diabetes care within Indonesia’s diverse healthcare landscape.
Keywords: Child, Diabetic Ketoacidosis, Biomarkers, Point-of-Care