Diabetic ketoacidosis primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
Primary prevention of diabetic ketoacidosis (DKA) includes the following measures: | |||
* '''Recognition of early signs:''' | |||
** Vomiting | |||
** Hyperglycemia | |||
** Large ketonuria | |||
** Weakness | |||
** Heavy breathing or shortness of breath | |||
* '''Early recognition of inciting event of DKA:''' | |||
** Missed insulin dose or error in dosing | |||
** Intercurrent illness, especially infection | |||
** Psychologic stress | |||
** Surgery or trauma | |||
* '''Early intervention:''' | |||
** Enhanced and more frequent monitoring of blood glucose and urine ketones | |||
** Increased fluid intake | |||
** Seek advice from health care team | |||
* '''Aggressive intervention in patients with recurrent episodes of DKA:''' | |||
** Psychiatric evaluation | |||
** Individual and family evaluation/intervention usually required | |||
** Continuous subcutaneous insulin infusion helpful in some patients | |||
** Possible out-of-home placement | |||
==References== | ==References== | ||
Revision as of 16:05, 9 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Primary Prevention
Primary prevention of diabetic ketoacidosis (DKA) includes the following measures:
- Recognition of early signs:
- Vomiting
- Hyperglycemia
- Large ketonuria
- Weakness
- Heavy breathing or shortness of breath
- Early recognition of inciting event of DKA:
- Missed insulin dose or error in dosing
- Intercurrent illness, especially infection
- Psychologic stress
- Surgery or trauma
- Early intervention:
- Enhanced and more frequent monitoring of blood glucose and urine ketones
- Increased fluid intake
- Seek advice from health care team
- Aggressive intervention in patients with recurrent episodes of DKA:
- Psychiatric evaluation
- Individual and family evaluation/intervention usually required
- Continuous subcutaneous insulin infusion helpful in some patients
- Possible out-of-home placement