4.3 Article

The management of diabetic ketoacidosis in adults-An updated guideline from the Joint British Diabetes Society for Inpatient Care

Journal

DIABETIC MEDICINE
Volume 39, Issue 6, Pages -

Publisher

WILEY
DOI: 10.1111/dme.14788

Keywords

diabetic ketoacidosis; guideline; management

Ask authors/readers for more resources

This article summarises the Joint British Diabetes Societies for Inpatient Care guidelines on the management of ketoacidosis, including recommendations for different age groups and consideration of new evidence on hypoglycaemia and hypokalaemia. It also addresses the increased risk of euglycaemic ketoacidosis associated with the use of sodium glucose co-transporter 2 inhibitors and provides guidance for managing ketoacidosis in patients with end-stage renal failure or on dialysis.
This article summarises the Joint British Diabetes Societies for Inpatient Care guidelines on the management of ketoacidosis; available at . The document explicitly states that when a person aged 16-18 is under the care of the paediatric team, then the paediatric guideline should be used, and if they are cared for by an adult team, then this guideline should be used. The guideline takes into account new evidence on the use of the previous version of this document, particularly the high prevalence of hypoglycaemia and hypokalaemia, and recommends that when the glucose concentration drops below 14 mmol/L, that de-escalating the insulin infusion rate from 0.1 to 0.05 units/kg/h should be considered. Furthermore, a section has been added to address the recognition that use of sodium glucose co-transporter 2 inhibitors is associated with an increased risk of euglycaemic ketoacidosis. The management of ketoacidosis in people with end-stage renal failure or on dialysis is also mentioned. Finally, the algorithms to illustrate the guideline have been updated.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available