98 results
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Pathophysiology of Diabetic Ketoacidosis ... Hyperosmolar Syndrome (HHS ... Polydipsia #dka #hhs ... endocrinology #diabetes ... #diabetic #ketoacidosis
"Eight I's" mnemonic for the main causes of hyperglycemia. #hhs #dka #ketoacidosis #diabetes #diabetic #em #differential
mnemonic for the main causes ... #hhs #dka #ketoacidosis ... #diabetes #diabetic ... #differential #diagnosis
Guideline for management of adult patients with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)

UCSD Internal
hyperglycemic state (HHS ... @ucsdim #DKA #HHS ... #ketoacidosis # ... management #algorithm ... #diabetes #treatment
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Diabetic Ketoacidosis ... Insulin 3. ... subcutaneous insulin ... an underlying cause ... #Diabetes #Management
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
of DKA and HHS ... = insulin sensitive ... restart any home insulin ... comparison #laboratory #diagnosis ... comparison #diabetic #ketoacidosis
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... (DKA) - caused ... Glucosuria causes ... #differential #diagnosis
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
DKA DIAGNOSTIC CRITERIA ... have new-onset diabetes ... Continue insulin ... and acidosis has ... #DKA #EDKA #Insulin
Hyperglycemic Crisis - Algorithm for DKA/HHS

Diagnostic criteria for DKA:
 • pH < 7.3
 • Anion gap
Hyperglycemic Crisis - Algorithm ... Diagnostic criteria ... > 250 mg/dL Diagnostic ... endocrinology #Diabetes ... #DM2 #Ketoacidosis
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
and Differential Diagnosis ... metabolic demand causes ... Measure glucose q6 hrs ... symptomatic or 72+hrs ... + Differential Diagnosis
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
- Screening, Diagnosis ... and Management Algorithm ... qhs (D/C Secretagogues ... • Secondary Causes ... Targets #Management #algorithm