The management of diabetic ketoacidosis in adults – An updated guideline from the Joint British Diabetes Society for Inpatient Care (2022) Ketan K. Dhatariya

Description

This position statement summarizes the updated Joint British Diabetes Societies for Inpatient Care guidelines on managing diabetic ketoacidosis (DKA) in adults. Key updates include recommendations for considering insulin de-escalation when glucose drops below 14 mmol/L to prevent hypoglycaemia, addressing euglycaemic ketoacidosis related to SGLT2 inhibitor use, and including management strategies for DKA in people with end-stage renal failure or on dialysis. The guideline continues to emphasize ketone-based management over glucose-based management.