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The International Society of Pediatric and Adolescent Diabetes guidelines for management of diabetic ketoacidosis: do the guidelines need to be modified?
Author(s) -
Wolfsdorf Joseph I.
Publication year - 2014
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12154
Subject(s) - diabetic ketoacidosis , medicine , intensive care medicine , pediatric endocrinology , diabetes mellitus , pediatrics , consensus conference , ketoacidosis , type 1 diabetes , endocrine system , family medicine , endocrinology , hormone
The current version of the International Society of Pediatric and Adolescent Diabetes ( ISPAD ) guidelines for management of diabetic ketoacidosis ( DKA ) is largely based on the Lawson Wilkins Pediatric Endocrine Society/European Society of Pediatric Endocrinology ( LWPES / ESPE ) consensus statement on DKA in children and adolescents published in 2004. This article critically reviews and presents the most pertinent new data published in the past decade, which have implications for diagnosis and management. Four elements of the guidelines warrant modification: (i) The definition of DKA ; (ii) insulin therapy; (iii) water and salt replacement; and (iv) blood ß‐hydroxybutyrate measurements for the management of DKA .