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Review
. 2009 Jul;32(7):1335-43.
doi: 10.2337/dc09-9032.

Hyperglycemic crises in adult patients with diabetes

Abbas E Kitabchi  1 , Guillermo E Umpierrez, John M Miles, Joseph N Fisher
Affiliations
Review

Hyperglycemic crises in adult patients with diabetes

Abbas E Kitabchi et al. Diabetes Care. 2009 Jul.
No abstract available

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Figures

Figure 1
Figure 1
Pathogenesis of DKA and HHS: stress, infection, or insufficient insulin. FFA, free fatty acid.
Figure 2
Figure 2
Protocol for management of adult patients with DKA or HHS. DKA diagnostic criteria: blood glucose 250 mg/dl, arterial pH 7.3, bicarbonate 15 mEq/l, and moderate ketonuria or ketonemia. HHS diagnostic criteria: serum glucose >600 mg/dl, arterial pH >7.3, serum bicarbonate >15 mEq/l, and minimal ketonuria and ketonemia. †15–20 ml/kg/h; ‡serum Na should be corrected for hyperglycemia (for each 100 mg/dl glucose 100 mg/dl, add 1.6 mEq to sodium value for corrected serum value). (Adapted from ref. .) Bwt, body weight; IV, intravenous; SC, subcutaneous.
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