Diabetic ketoacidosis

A. E. Kitabchi, Barry Wall

Research output: Contribution to journalArticle

105 Citations (Scopus)

Abstract

This article reviews the pathogenesis of diabetic ketoacidosis (DKA) and provides a rational approach to the management of patients with DKA. The therapeutic discussion includes the use of low-dose insulin, no bicarbonate, or phosphate therapy on the majority of DKA patients, based on numerous prospective randomized studies. The article also discusses controversial subjects such as the use of hypotonic versus isotonic saline with and without colloids, hydration of subjects before insulin therapy, and admission of DKA patients to the general ward versus emergency ward versus intensive care unit. A concise, simple protocol is also presented as a suitable reference for management of patients with DKA.

Original languageEnglish (US)
Pages (from-to)9-37
Number of pages29
JournalMedical Clinics of North America
Volume79
Issue number1
DOIs
StatePublished - Jan 1 1995

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Diabetic Ketoacidosis
Insulin
Patients' Rooms
Colloids
Bicarbonates
Intensive Care Units
Hospital Emergency Service
Therapeutics
Phosphates
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Diabetic ketoacidosis. / Kitabchi, A. E.; Wall, Barry.

In: Medical Clinics of North America, Vol. 79, No. 1, 01.01.1995, p. 9-37.

Research output: Contribution to journalArticle

Kitabchi, A. E. ; Wall, Barry. / Diabetic ketoacidosis. In: Medical Clinics of North America. 1995 ; Vol. 79, No. 1. pp. 9-37.
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