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DKA diagnostic criteria (2024 consensus)

Endocrinology

Also known as: Diabetische Ketoazidose: Diagnosekriterien und Schweregrade (Erwachsene) · Diyabetik ketoasidoz tanı ve şiddet kriterleri · Diabetic ketoacidosis (DKA) diagnostic criteria and severity in adults (2024 consensus)

What it is for

Diabetic ketoacidosis (DKA) in adults needs all three components (D, K, A).

Classification

CategoryDescription
D – diabetes/hyperglycaemiaplasma glucose ≥200 mg/dl (≥11.1 mmol/l) or a known history of diabetes regardless of glucose.
K – ketosisblood β-hydroxybutyrate ≥3.0 mmol/l, or urine ketones 2+ or more.
A – acidosispH <7.3 and/or serum bicarbonate <18 mmol/l.
Euglycaemic DKADKA criteria met with plasma glucose <200 mg/dl (<11.1 mmol/l).
Severity – mildβ-hydroxybutyrate 3.0–6.0 mmol/l; pH >7.25 to <7.30 or bicarbonate 15–18 mmol/l; alert.
Severity – moderateβ-hydroxybutyrate 3.0–6.0 mmol/l; pH 7.00–7.25 or bicarbonate 10 to <15 mmol/l; alert or drowsy.
Severity – severeβ-hydroxybutyrate >6.0 mmol/l; pH <7.00 or bicarbonate <10 mmol/l; stupor or coma. Not every variable must be met.

Source

Hyperglycemic Crises in Adults With Diabetes: A Consensus Report

ADA / EASD / JBDS / AACE / DTS · Diabetes Care 2024;47:1257–1275 (Umpierrez GE et al.)

DOI: 10.2337/dci24-0032

PMID: 39052901

Edition
ADA / EASD / JBDS / AACE / DTS consensus report 2024 (adults)
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Summary of the published classification in our own words. Not a substitute for the original publication.

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