23 results
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Ketoacidosis (DKA) and Hyperglycemic ... Hyperosmolar Syndrome ... (HHS) Absolute ... Polydipsia #dka #hhs ... #hyperosmolar
Algorithm for treatment of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS)

#DKA #HHS #Algorithm #Diabetic #Ketoacidosis
Hyperosmolar State ... (HHS) #DKA # ... HHS #Algorithm # ... #Ketoacidosis #Hyperglycemic ... #Hyperosmolar #
Guideline for management of adult patients with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)

UCSD Internal
ketoacidosis (DKA) or hyperosmolar ... hyperglycemic state ... (HHS) UCSD Internal ... @ucsdim #DKA #HHS
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
DKA vs HHS - Think ... of DKA and HHS ... a spectrum of hyperglycemic ... #ketoacidosis #hyperosmolar ... #hyperglycemic
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Euglycemic DKA • Hyperglycemic ... Hyperosmolar State ... (HHS) • DKA/ ... HHS Overlap
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
of re-feeding syndrome ... • Hyperglycemic ... hyperosmolar state ... (HHS) - partial ... of both DKA & HHS
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Insulin Autoimmune Syndrome ... fast to trigger hypoglycemic ... Measure glucose q6 hrs ... symptomatic or 72+hrs ... Insulin Autoimmune Syndrome
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
-> Start Oral Hypoglycemic ... Second Oral Hypoglycemic ... Basal Insulin qhs ... Endocrinopathies (Cushing Syndrome
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... infections, thrombosis, hyperglycemia ... deficiencies) Dumping Syndrome ... Rapid delivery of hyperosmolar ... hepatocellular failure has
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
conditions, serum BHB has ... for Refeeding Syndrome ... If Hyperglycemic ... ketoacidosis, Hyperglycemia