An upcoming joint society statement on hyperglycaemic emergencies in adults with diabetes will de-emphasize glucose from the diagnostic criteria for diabetic ketoacidosis (DKA).
Based on extensive literature reviews and observations of current trends, the new document — due to be published soon — will cover diagnosis and management of the two most serious acute hyperglycemic emergencies seen in adults, DKA and hyperosmolar hyperglycemic state (HHS).
There will also be a strong emphasis on the excess morbidity and mortality risks associated with the increasingly common ‘hybrid’ presentation of these two conditions together, which is now seen in about a third of cases. The new report will also more strongly urge clinicians to investigate why the person experienced the emergency.
The new consensus report will be jointly endorsed by the American Diabetes Association (ADA), the European Association for the Study of Diabetes (EASD), the American Association of Clinical Endocrinology, the Diabetes Technology Society, and the Joint British Diabetes Societies for Inpatient Care. The previous consensus statement on the subject was published in 2009 by the ADA alone.
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