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Diabetic Emergencies

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Abstract

Diabetic emergencies consist of hyperglycemic conditions such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS) and hypoglycemic emergencies.

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Suggested Reading

  • Dhatariya KK, Vellanki P. Treatment of diabetic ketoacidosis (DKA)/hyperglycemic hyperosmolar state (HHS): novel advances in the management of hyperglycemic crises (UK versus USA). Curr Diab Rep. 2017;17(5):33. This review discusses the differences in diagnosis and treatment of Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) between the UK and USA

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  • Dingle HE, Slovis C. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome management. Emerg Med. 2018;50(8):161–71. A comprehensive review article on DKA and HHS

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  • Kitabchi AE, Murphy MB, Spencer J, Matteri R, Karas J. Is a priming dose of insulin necessary in a low-dose insulin protocol for the treatment of diabetic ketoacidosis? Diabetes Care. 2008;31(11):2081–5. A priming dose in low-dose insulin therapy in patients with DKA is unnecessary if an adequate dose of regular insulin of is given

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  • Magee MF, Bhatt BA. Management of decompensated diabetes. Diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome. Crit Care Clin. 2001;17(1):75–106. A comprehensive review article on DKA and HONK

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  • Modi A, Agrawal A, Morgan F. Euglycemic diabetic ketoacidosis: a review. Curr Diabetes Rev. 2017;13(3):315–21. Review article to discuss possible etiologies and the associated pathophysiology of patients presenting with euglycemic DKA. It also discusses the approach to diagnosis and management of such patients. The recent use of sodium glucose cotransporter 2 (SGLT2) inhibitors is discussed as another possible mechanism of euglycemic DKA

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  • Viallon A, Zeni F. Does bicarbonate therapy improve the management of severe diabetic ketoacidosis? Crit Care Med. 1999;27(12):2690. Data from the literature and this study are not in favor of the use of bicarbonate in the treatment for diabetic ketoacidosis with pH values between 6.90 and 7.1

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Talekar, S., Shukla, U. (2020). Diabetic Emergencies. In: Chawla, R., Todi, S. (eds) ICU Protocols. Springer, Singapore. https://doi.org/10.1007/978-981-15-0902-5_5

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  • DOI: https://doi.org/10.1007/978-981-15-0902-5_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0901-8

  • Online ISBN: 978-981-15-0902-5

  • eBook Packages: MedicineMedicine (R0)

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