Tuesday, July 31, 2012

Diabetic Emergencies

Today at Noon Rounds, we talked about the management of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS).



Please click on the link below to read an oldie-but-goodie post regarding this topic:
http://morningreportmsh.blogspot.ca/2012/07/diabetic-ketoacidosis.html

The following is a nice schematic diagram outlining the initial management of patients with DKA and HHS from the American Diabetes Association Consensus Statement on Hyperglycemic Crises in Adult Patients With Diabetes. (Hint: click on the picture to make it bigger). Reference: Kitabchi AE et al., Diabetes Care. 2009;32(7):1335-1343.


Lastly, what's a post on diabetes and glycemic control without reference to the two landmark trials that changed the landscape of glycemic control for patients with type 1 (DCCT and it's follow-up trial, EDIC) and type 2 (UKPDS) diabetes. For your reference, please click on the links to read these important trials.

1) Diabetes Control and Complications Trial, NEJM (1993)
2) Epidemiology of Diabetes Interventions and Complications Trial, NEJM (2005)
3) United Kingdom Prospective Diabetes Study, Lancet (1998)