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Joint British Diabetes Societies Guideline For The Management Of Diabetic Ketoacidosis

The Joint British Diabetes Societies guidelines for the management of diabetic ketoacidosis (these do not cover Hyperosmolar Hyperglycaemic Syndrome) are available in full at: (i) (ii) (iii) This article summarizes the main changes from previous guidelines and discusses the rationale for the new recommendations. The key points are: Monitoring of the response to treatment (i) The method of choice for monitoring the response to treatment is bedside measurement of capillary blood ketones using a ketone meter. (ii) If blood ketone measurement is not available, venous pH and bicarbonate should be used in conjunction with bedside blood glucose monitoring to assess treatment response. (iii) Venous blood should be used rather than arterial (unless respiratory problems dictate otherwise) in blood gas analysers. (iv) Intermittent laboratory confirmation of pH, bicarbonate and electrolytes only. Insulin administration (i) Insulin should be infused intravenously at a weight-based fixed rate until the ketosis has resolved. (ii) When the blood glucose falls below 14 mmol/l, 10% glucose should be added to allow the fixed-rate insulin to be continued. (iii) If already taking, long-acting insulin a Continue reading >>

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Popular Questions

  1. bflohockeymom

    I vaguely remember our CDE saying this on diagnosis day #1 but I don't have a container in front of me to check. My daughter's school nurse just called and said she thought she smelled ketones on her breath but she checked and the strip said negative. She's been high all week - we've see maybe 3 readings in the 100s which is very abnormal for her. Thought she was getting sick at first, then we had 3 problems with bubbles in the pump tubing, and now this. Her lunch reading was 298.
    Thanks!

  2. Abby-Dabby-Doo

    The urine strips have an expiration date from when you opened them- due to being exposed to air. It should say it on the side of the bottle.
    Blood strips- the date is on the box, I think the foil wrapper too, but I thought the meter wouldn't take them if they were expired.

  3. frizzyrazzy

    Abby-Dabby-Doo said: ↑
    The urine strips have an expiration date from when you opened them- due to being exposed to air. It should say it on the side of the bottle.
    Blood strips- the date is on the box, I think the foil wrapper too, but I thought the meter wouldn't take them if they were expired. I agree with Lanae. The urine strips if I recall was 6 months after opening (or 3) and the blood ketones simply won't work after expiration. Which ticks me off - on 1/1/08 I tried to use a 12/31/07 strip and I got a big fat error.

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