Hyperglycemic crises (DKA / HHS) ⭐

dka-hhs · society: ADA/EASD · high-yield

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Summary

2024 ADA/EASD/JBDS/AACE/DTS consensus update on diagnosis and management of DKA and HHS in adults, revising the 2009 ADA statement. Key changes: lowered DKA glucose threshold to ≥200 mg/dL (or any prior diabetes history) to capture euglycemic DKA, adoption of β-hydroxybutyrate ≥3.0 mmol/L as the preferred ketone criterion, endorsement of balanced crystalloids as an alternative to 0.9% saline, and expanded guidance on SGLT2 inhibitor–associated DKA, pregnancy, ESKD, and frail older adults.

Current guideline: 2024 ADA/EASD Consensus on Hyperglycemic Crises · download Anki sub-deck

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