期刊
PEDIATRIC DIABETES
卷 15, 期 4, 页码 277-286出版社
WILEY-BLACKWELL
DOI: 10.1111/pedi.12154
关键词
diabetes; diabetic ketoacidosis; management guidelines
The current version of the International Society of Pediatric and Adolescent Diabetes (ISPAD) guidelines for management of diabetic ketoacidosis (DKA) is largely based on the Lawson Wilkins Pediatric Endocrine Society/European Society of Pediatric Endocrinology (LWPES/ESPE) consensus statement on DKA in children and adolescents published in 2004. This article critically reviews and presents the most pertinent new data published in the past decade, which have implications for diagnosis and management. Four elements of the guidelines warrant modification: (i) The definition of DKA; (ii) insulin therapy; (iii) water and salt replacement; and (iv) blood ss-hydroxybutyrate measurements for the management of DKA.
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