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Diabetic ketoacidosis
Definition
These guidelines are recommended for children with
- Heavy glycosuria (>55 mmol/l) and ketonuria
- Hyperglycemia (BG >11 mmol/l)
- pH <7.3
- Bicarbonate <15 mmol/l and who are
5% or more dehydrated
± vomiting
± drowsy
- In rare cases the BG is not elevated
- Children <5% dehydrated and not clinically unwell usually tolerate oral rehydration and SC insulin
Recommendation
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Children and adolescents who develop DKA as defined above
should be managed in centers with experience of such treatment,
where vital signs, neurological status and laboratory results can be
monitored and evaluated frequently
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