Diabetic ketoacidosis diagnostic study of choice: Difference between revisions
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==Overview== | ==Overview== | ||
There are specific cut-offs for serum glucose level, ketone levels, body pH and serum bicarbonate levels for the diagnosis for diabetic ketoacidosis. | There is no specific diagnostic study of choice for diabetic ketoacidosis (DKA). There are specific cut-offs for [[serum]] [[glucose]] level, [[ketone]] levels, body [[pH]] and [[serum]] [[bicarbonate]] levels for the diagnosis for diabetic ketoacidosis as outlined by the American Association of Clinical Endocrinologists. | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
The diagnosis of DKA is based on the following features/criteria: | The American Association of Clinical Endocrinologists (AACE) states that the diagnosis of DKA is based on the following features/criteria:<ref name="urlwww.aace.com">{{cite web |url=https://www.aace.com/files/position-statements/SGLT-2-position-statement.pdf |title=www.aace.com |format= |work= |accessdate=}}</ref> | ||
* | {| class="wikitable" | ||
* | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Parameter | ||
* | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Lab value | ||
* | |- | ||
|'''[[Arterial]] pH''' | |||
| | |||
* <7.3 | |||
|- | |||
|'''Beta hydroxybutyrate''' | |||
| | |||
* Children: | |||
** ≥31 mg/dL (3.0 mmol/L) | |||
* Adults: | |||
** ≥40 mg/dL (3.8 mmol/L) | |||
|- | |||
|'''[[Serum]] [[ketones]]''' | |||
| | |||
* Positive | |||
|- | |||
|'''[[Anion gap]]''' | |||
| | |||
* > 10 | |||
|- | |||
|'''[[Mental status]]''' | |||
| | |||
* [[Drowsiness|Drowsy]] | |||
* [[Stupor]] | |||
* [[Coma]] in moderate to severe DKA | |||
|} | |||
==References== | ==References== | ||
Latest revision as of 16:35, 6 November 2017
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Diabetic ketoacidosis Microchapters |
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Diabetic ketoacidosis diagnostic study of choice On the Web |
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Diabetic ketoacidosis diagnostic study of choice in the news |
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Risk calculators and risk factors for Diabetic ketoacidosis diagnostic study of choice |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
There is no specific diagnostic study of choice for diabetic ketoacidosis (DKA). There are specific cut-offs for serum glucose level, ketone levels, body pH and serum bicarbonate levels for the diagnosis for diabetic ketoacidosis as outlined by the American Association of Clinical Endocrinologists.
Diagnostic Criteria
The American Association of Clinical Endocrinologists (AACE) states that the diagnosis of DKA is based on the following features/criteria:[1]
| Parameter | Lab value |
|---|---|
| Arterial pH |
|
| Beta hydroxybutyrate |
|
| Serum ketones |
|
| Anion gap |
|
| Mental status |
References
- ↑ "www.aace.com" (PDF).