diagnostic criteria
The diagnostic criteria for diabetic ketoacidosis are:
The American Diabetes Association diagnostic criteria for DKA are as follows:
classification of diabetic ketoacidosis
DKA can be classified according to the severity into mild, moderate and severe (2)
| mild (serum glucose > 250 mg/dL [13.88 mmol/L]) | moderate (serum glucose > 250 mg/dL) | severe (serum glucose > 250 mg/dL) |
anion gap | > 10 mEq/L (10 mmol/L) | > 12 mEq/L (12 mmol/L) | > 12 mEq/L (12 mmol/L) |
arterial pH | 7.24 to 7.30 | 7.00 to < 7.24 | < 7.00 |
effective serum osmolality | variable | variable | variable |
mental status | alert | alert/drowsy | stupor/coma |
serum bicarbonate | 15 to 18 mEq/L (15 to 18 mmol/L) | 10 to < 15 mEq/L (10 to < 15 mmol/L) | < 10 mEq/L (10 mmol/L) |
serum ketone | positive | positive | positive |
urine ketone | positive | positive | positive |
Reference:
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