Why the study?
Diabetic ketoacidosis and hyperglycemic hyperosmolar state represent common and challenging clinical management in practice, motivating an updated review of management and a suggested practical pathway.
Design
Review article
Key result
This review provides updated guidance on the management of diabetic ketoacidosis and hyperglycemic hyperosmolar state, emphasizing appropriate fluid resuscitation, insulin therapy, and electrolyte monitoring.
Authors
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Requires heightened vigilance for HHS given its mortality; leaves open optimal protocol refinements pending prospective trials.
This review summarizes the pathophysiology, diagnosis, and updated management pathways for diabetic ketoacidosis and hyperglycemic hyperosmolar state based on recent guidelines.
Aldhaeefi et al. (2022) conducted a review in Hyperglycemic Crisis (Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State). Management of Hyperglycemic Crisis (Fluids, Insulin, Electrolytes) was evaluated. This review provides updated guidance on the management of diabetic ketoacidosis and hyperglycemic hyperosmolar state, emphasizing appropriate fluid resuscitation, insulin therapy, and electrolyte monitoring.
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