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Clinical reviews
DIABETIC HYPERGLYCEMIC EMERGENCIES: A SYSTEMATIC APPROACH
Vanderbilt University Medical Center
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The document discusses the management of patients presenting with DKA and HHS, highlighting the underlying precipitating causes such as infection and noncompliance with insulin therapy. It reviews current guidelines and suggests that certain recommendations regarding arterial blood gas, insulin bolus, and IV fluid replacement should be re-evaluated based on recent evidence. A simplified pathway for emergency department management is also presented.
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