Diabetic Hyperglycemic Emergencies: A Systematic Approach (Pharmacology CME) | Digest
TOC Will Appear Here

Diabetic Hyperglycemic Emergencies: A Systematic Approach (Pharmacology CME)

Below is a free preview. Log in or subscribe for full access. Or, get a free sample article Emergency Department Management of Abnormal Uterine Bleeding in the Nonpregnant Patient:
Please provide a valid email address.

Points and Pearls Excerpt

  • Both diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are usually triggered by a precipitating cause: infection, infarction, infant on board (pregnancy), dietary indiscretion, and insulin deficiency. (The “five Is.”)
  • In DKA, the pH is typically < 7.3, anion gap > 10, serum bicarbonate < 18 mEq/L, and with both elevated urine and serum ketones.
  • In HHS there is typically no ketosis and a normal anion gap, but serum osmolality > 320 mOsm/kg.
  • In most adult cases of DKA, fluid deficit is estimated to be 3 to 6 L; in HHS, the deficit is 9 to 12 L.
  • Provide volume resuscitation before starting insulin therapy, as it will decrease hyperglycemia 35 to 70 mg/dL, even without insulin.

Most Important References

To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Already purchased this course?
Log in to read.
Purchase a subscription

Price: $449/year

140+ Credits!

Purchase Issue & CME Test

Price: $59

+4 Credits!

Money-back Guarantee
Publication Information

H. Evan Dingle, MD; Corey Slovis, MD, FACP, FACEP, FAAEM, FAEMS

Peer Reviewed By

Melissa Parsons, MD, FACEP; Camiron Pfennig-Bass, MD, MHPE

Publication Date

February 1, 2020

CME Expiration Date

March 2, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits

Pub Med ID: 31978294

Get Permission

CME Information

Content You Might Be Interested In

Evidence-Based Management of Potassium Disorders in the Emergency Department (Pharmacology CME)

Get A Sample Issue Of Emergency Medicine Practice
Enter your email to get your copy today! Plus receive updates on EB Medicine every month.
Please provide a valid email address.