Diabetic ketoacidosis screening: Difference between revisions

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{{Diabetic ketoacidosis}}
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==Overview==
==Overview==
There is insufficient evidence to recommend routine screening for diabetic ketoacidosis (DKA) but [[urine]] [[ketone]] dip test may be used in high risk population.


==Screening==
==Screening==


=== Urine ketone dip test ===
=== Urine ketone dip test ===
* The urine ketone dip test has high sensitivity for detecting DKA and a high negative predictive value for excluding DKA in hyperglycemic patients with diabetes.
* The urine [[ketone]] dip test has high [[Sensitivity (tests)|sensitivity]] for detecting DKA and a high [[negative predictive value]] for excluding DKA in [[hyperglycemic]] patients with [[diabetes]].
* It is considered that urine dip test is a better tool for screening of DKA than serum ketone levels or serum bicarbonate levels.<ref name="pmid10459090">{{cite journal |vauthors=Schwab TM, Hendey GW, Soliz TC |title=Screening for ketonemia in patients with diabetes |journal=Ann Emerg Med |volume=34 |issue=3 |pages=342–6 |year=1999 |pmid=10459090 |doi= |url=}}</ref>
* It is considered that [[urine]] dip test is a better tool for screening of DKA than [[serum]] [[ketone]] levels or [[serum]] [[bicarbonate]] levels.<ref name="pmid10459090">{{cite journal |vauthors=Schwab TM, Hendey GW, Soliz TC |title=Screening for ketonemia in patients with diabetes |journal=Ann Emerg Med |volume=34 |issue=3 |pages=342–6 |year=1999 |pmid=10459090 |doi= |url=}}</ref><ref name="urlDiabetes Care">{{cite web |url=http://care.diabetesjournals.org/content/32/7/1335.full |title=Diabetes Care |format= |work= |accessdate=}}</ref>


==References==
==References==

Latest revision as of 20:31, 6 September 2017

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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 insufficient evidence to recommend routine screening for diabetic ketoacidosis (DKA) but urine ketone dip test may be used in high risk population.

Screening

Urine ketone dip test

References

  1. Schwab TM, Hendey GW, Soliz TC (1999). "Screening for ketonemia in patients with diabetes". Ann Emerg Med. 34 (3): 342–6. PMID 10459090.
  2. "Diabetes Care".

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