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Mild DKAModerate DKA Severe DKA HHS
Plasma glucose >250 mg/dL >250 mg/dL >250 mg/dL >600 mg/dL
Arterial pH 7.25-7.30 7.00 to <7.24 <7.00 >7.30
Serum bicarbonate (mEq/l) 15-18 10 to <15 <10 >18
Urine ketone Positive Positive Positive Small
Serum ketone Positive Positive Positive Small
Effective serum osmolality Variable Variable Variable >320 mOsm/kg
Anion gap >10 >12 >12 Variable
Mental status Alert Alert/drowsy Stupor/coma Stupor/coma


 
 
 
 
 
 
123Mild DKAModerate DKASevere DKAHHS
Plasma glucose >250 mg/dL>250 mg/dL>250 mg/dL>600 mg/dL
Arterial pH 7.25-7.30 7.00 to <7.24 <7.00 >7.30
Serum bicarbonate (mEq/l) 15-18 10 to <15 <10>18
Urine ketone Positive Positive Positive Small
Serum ketone Positive Positive Positive Small
Effective serum osmolality Variable Variable Variable >320 mOsm/kg
Anion gap >10 >12 >12 Variable
Mental status Alert Alert/drowsy Stupor/coma Stupor/coma


table HIT