A Practical Guide to the Management of Diabetic Ketoacidosis in Adults

A Practical Guide to the Management of Diabetic Ketoacidosis in Adults

Abstract

Diabetic ketoacidosis is a life-threatening medical emergency which requires prompt diagnosis and treatment. Understanding the mechanism by which lack of insulin causes dehydration and acidosis is helpful in managing this condition. Numerous guidelines exist to improve management but adherence to guidelines is often poor. This guide aims to provide practical advice for the doctors and nurses involved in the immediate management of these patients

[download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]

References

  1. Booth GL. Short-Term Clinical Consequences of Diabetes in Adults. In Gerstein HC, Haynes RB (eds): Evidence-Based Diabetes Care. BC
    Decker
    2001. p68-106.
  2. Hyperglycemic crises in patients with diabetes mellitus. ADA Clinical Practice Recommendations 2001. Diabetes Care 2001 Nov; 24(11): 1988-1996.
  3. Faich GA, Fishbein HA, Ellis SE. The epidemiology of diabetic acidosis: a population-based study. Am J Epidemiol 1983; 117: 5551-558.
  4. Johnson DD, Palumbo PJ, Chu C-P. Diabetic ketoacidosis in a community-based population. Mayo Clin Proc 1980; 55: 83-88.
  5. Marshall SM, Alberti KGMM Management of Hyperglycaemic Emergencies. Proc R Coll Physicians Edinb 1995; 25: 105-117.
  6. Adrogue HJ, Barrero J, Eknoyan G. Salutary effects of modest fluid replacement in the treatment of adults with diabetic ketoacidosis. JAMA
    1989; 262: 2108-2113.
  7. Viallon A, Zeni F, Lafond P, et al; Does bicarbonate therapy improve the management of severe diabetic ketoacidosis? Crit Care Med 1999; 27:
    2690-2693.
  8. Chan NN, Manchanda S, Feher MD, et al; Fatal cerebral oedema associated with hyponatraemia in adult diabetic ketoacidosis. Practical
    Diabetes Int
    1997; 15(7): 209-211.
  9. Mullhauser I, Bruckner I, Berger M et al; Evaluation of an intensified insulin treatment and teaching program as routine management of Type 1
    (insulin-dependent) diabetes. Diabetologia 1987; 30: 681-690.
  10. Singh RK, Perros P, Frier BM. Hospital management of ketoacidosis: are clinical guidelines implemented effectively. Diabet Med 1997 Jun; 14(6):
    482-486.

Request Permissions

To request copyright permission to republish or share portions of our works, please visit Copyright Clearance Center’s (CCC) Marketplace website by clicking the button below:

Get Permission

A Practical Guide to the Management of Diabetic Ketoacidosis in Adults

8th February 2016
Authors Affiliations
Alison Evans Consultant Physician Diabetes and Endocrinology Cheltenham General Hospital
Martin Taylor Consultant Physician Acute Medicine Royal Bournemouth Hospital

A Practical Guide to the Management of Diabetic Ketoacidosis in Adults

Cite this article as:

No PMID provided!

A Practical Guide to the Management of Diabetic Ketoacidosis in Adults

Share this article

Click the icon of the social media platform on which you would like to share this article.


Shopping Basket
Scroll to Top