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Dka Management Flowchart

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Flow Chart For Diabetic Ketoacidosis In Adults Management Of

Overview National guidelines flowchart for the management of DKA from the Joint British Diabetes Societies Inpatient Care Group. Clinical Guidelines This guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes. The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document. Continue reading >>

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Popular Questions

  1. rsp5820

    Metformin time to clear/Liver AST ALT

    Age 62, 330# (trim=220#), fasting glucose was 90-99 for many years, recently 108. ha1c 5.4-6.4. Eat mostly paleo, few carbs. take milk thistle, NAC, many B's, and many other vitamins and supplements (mostly Life Extension), exercise daily. Cardiologist rx-d metformin 500mg in March as a cardio preventative, increased to 500mg 2x in June. In July I started frequently drowsiness toi the point where I limited my driving. Looking at my journal, I realized that metformin might be the culprit so I stopped cold turkey. Drowsiness improved daily until no more drowsiness 7 days without metformin. Two days after stopping I had routine CMP labs that showed AST (SGOT) 49 IU/L and ALT (SGPT) 67 IU/L, normally I am in high 20's for both, 30's if an infection. Questions: (1) Does metformin cause drowsiness (in general), (2) does metformin harm or burden liver , (3) how long should I wait for metformin to clear by body before repeating CMP? My GP wanted liver ultrasound ($$$ even with insurance) but agreed to wait 4 weeks and repeat CMP. I just got hosed $3,131 for a basic echocardiogram at this hospital so I will definitely shop around if I really need the liver ultrasound after all. BTW the CMP costs $35 at Life Extension and from the doctor "about $150" (no details yet) - and both are done at Labcorp.

  2. furball64801

    Hi and welcome to DD did you test your blood sugar at home when you felt that way. For most metformin will not do what you described. It can take up to 30 days for met to clear a body but everyone is very different.

  3. JohnC3

    Liver toxicity is rare but it has happened.
    http://care.diabetesjournals.org/content/35/3/e21

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