Managing diabetic ketoacidosis
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Managing diabetic ketoacidosis

Lynne Jerreat Lead diabetes specialist nurse, Diabetes Day Care Centre, South London Healthcare NHS Trust, Queen Elizabeth Hospital, London

Diabetic ketoacidosis is a common life-threatening complication, which usually occurs in patients with type 1 diabetes, but it may also occur in those with type 2 diabetes during severe concurrent illness, such as sepsis, myocardial infarction or corticosteroid treatment. This article provides an overview of the diagnosis, pathophysiology and management of diabetic ketoacidosis. The differential diagnosis and treatment of hyperosmolar non-ketotic coma is also discussed, as is the nurse’s role in promoting and providing health education to patients with diabetic ketoacidosis.

Nursing Standard. 24, 34,49-55. doi: 10.7748/ns2010.04.24.34.49.c7721

Correspondence

l.jerreat@nhs.net

Peer review

This article has been subject to double blind peer review