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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