Diabetic ketoacidosis screening: Difference between revisions
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{{Diabetic ketoacidosis}} | {{Diabetic ketoacidosis}} | ||
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==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 === | |||
* 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><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== | ||
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[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Emergency medicine]] | |||
Latest revision as of 20:31, 6 September 2017
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Diabetic ketoacidosis Microchapters |
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Risk calculators and risk factors for Diabetic ketoacidosis screening |
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
- 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.
- It is considered that urine dip test is a better tool for screening of DKA than serum ketone levels or serum bicarbonate levels.[1][2]
References
- ↑ Schwab TM, Hendey GW, Soliz TC (1999). "Screening for ketonemia in patients with diabetes". Ann Emerg Med. 34 (3): 342–6. PMID 10459090.
- ↑ "Diabetes Care".