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October 17, 2022Pediatric Diabetes

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state

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Authors

NGNicole GlaserMFMaria FritschLPLeena Priyambada

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Overview

Clinical consensus statement reports updated management protocols for diabetic ketoacidosis and hyperglycemic hyperosmolar state in youth, highlighting standardized fluid and insulin regimens.

Key Points

  • Provide updated international consensus recommendations for the clinical diagnosis, fluid resuscitation, insulin administration, and complication management of diabetic ketoacidosis and hyperglycemic hyperosmolar state in pediatric patients.
  • Expert consensus panel convened by the International Society for Pediatric and Adolescent Diabetes (ISPAD).
  • Comprehensive systematic synthesis of pediatric evidence concerning glycemic crisis definitions, rehydration protocols, electrolyte replacement, and cerebral injury prevention.
  • Recommends conservative two-bag fluid resuscitation protocols and delayed low-dose intravenous insulin infusion to reduce risk of cerebral edema.
  • Defines distinct diagnostic criteria and rehydration strategies for pediatric hyperglycemic hyperosmolar state compared to classic diabetic ketoacidosis.

Cite This Study

Glaser et al. (2022) studied this question.

synapsesocial.com/papers/69db1c840d8d6ef495a3cd34https://doi.org/10.1111/pedi.13406
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prolonged QT Interval Corrected for Heart Rate During Diabetic Ketoacidosis in Children2008 · 42 citations
  2. 2STUDIES IN DIABETIC ACIDOSIS AND COMA, WITH PARTICULAR EMPHASIS ON THE RETENTION OF ADMINISTERED POTASSIUM1949 · 123 citations
  3. 3Ketoacidosis at the diagnosis of type 1 (insulin dependent) diabetes mellitus is related to poor residual beta cell function. Childhood Diabetes in Finland Study Group.1996 · 138 citations
  4. 4Can Serum β-Hydroxybutyrate Be Used to Diagnose Diabetic Ketoacidosis?2008 · 179 citations
  5. 5Diabetic ketoacidosis in juvenile rats is associated with reactive gliosis and activation of microglia in the hippocampus2015 · 36 citations