Abstract
To determine the impact of adherence to the care protocol in patients with type 2 diabetes and diabetic ketoacidosis. A descriptive, observational, cross-sectional, and prospective study was conducted in adult patients diagnosed with diabetic ketoacidosis. Z-tests, chi-square tests, Mann-Whitney U tests, and Pearson's correlation coefficient were used in IBM SPSS Statistics version 24. Ninety-seven records were analyzed, of which 58 (59.8%) were adherent and 39 (40.2%) were non-adherent. The proportion of adherence was greater than 50% (Z=1.96, p=0.049), with an association between severity and adherence (p=0.027). Adherence was higher in patients with comorbidities such as obesity than in those with hypertension (p=0.028), and the duration of diabetes was positively correlated with adherence (p=0.044). Adherence to the care protocol in patients with type 2 diabetes and diabetic ketoacidosis has a positive impact, as it was associated with greater compliance with the recommended management and less severe clinical presentation.