The diagnosis and treatment of DKA have been changed because of the increasing number of cases of euglycemic DKA.
What is the cut-off blood glucose to diagnose DKA?
less than 250 or in some guidelines less than 200mg/dl
This condition is treated in exactly the same way as hyperglycaemic DKA.
1) Initiate glucose 10% straight away at 125 ml/hr because the glucose is <14 mmol/L
2) Begin with 0.1units/kg/hr insulin rate
3) If glucose falling despite 10% glucose reduce to 0.05 units/
euglycemic dka is usually caused by widespread use of sglt2 inhibitors
Blood glucose: < 200 suggested as the cut off so as to not miss euglycemic DKA
Bicarbonate: <18
PH: <7.3
Ketones: >3 mmol/L