Monday, 25 March 2013

DKA: Mind the Gap



- Check out our past blog posts on DKA management!

- The most reliable measure to diagnose DKA is the anion gap. Acidemia, ketonemia or hyperglycemia may be absent because of:
        - Mixed acid-base disturbance from vomiting or dehydration
        - Negative ketones: our lab measures acetoacetate and acetone, not B-hydroxybutyrate 
        - Normal blood glucose on presentation if partially treated with home sc insulin

A review of other common pitfalls and challenges of DKA management is found here




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