Trends in rates of complications and adverse outcomes in diabetic ketoacidosis following changes to the Joint British Diabetes Societies' management guidelines

Skaria, Maria; Ponniah, Gobeka; Birchenough, Amy; Owen, Megan; Pan, Carina; Soghal, Shamanth; Warmington, Emily; Sheikh, Haaziq; Karamat, Ali; Saraf, Sanjay; Kempegowda, Punith

Author

Skaria, Maria
Ponniah, Gobeka
Birchenough, Amy
Owen, Megan
Pan, Carina
Soghal, Shamanth
Warmington, Emily
Sheikh, Haaziq
Karamat, Ali
Saraf, Sanjay

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Affiliation

University of Birmingham; Sandwell and West Birmingham Hospitals; Walsall Healthcare NHS Trust; Queen Elizabeth Hospital, Birmingham; Haberdashers' Adams Grammar School, Newport; Heartlands Hospital, Birmingham; Good Hope Hospital, Birmingham

Publication date

2022-07

Subject

Endocrinology
Diabetes

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Abstract

Serious complications of diabetes-related ketoacidosis (DKA) and its management with fixed rate intravenous insulin infusion (FRIII) include hypoglycaemia, hyperkalaemia and hypokalaemia. Revised Joint British Diabetes Societies for Inpatient Care (JBDS) guidelines in June 2021 recommend a reduced rate FRIII of 0.05 units/kg/hour from 0.1 units/kg/hour once blood glucose levels fall to ≤14.0 mmol/L to alleviate the risk of these complications.

Citation

Skaria M, Ponniah G, Birchenough A, Owen M, Pan C, Soghal S, Warmington E, Sheikh H, Karamat A, Saraf S, Kempegowda P. Trends in rates of complications and adverse outcomes in diabetic ketoacidosis following changes to the Joint British Diabetes Societies' management guidelines. Clin Med (Lond). 2022 Jul;22(Suppl 4):71.

Type

Article