What has changed in diabetic ketoacidosis management over the past decade?
Measurement of capillary (not urinary) ketones
Using capillary ketone level to guide treatment rather than capillary glucose
Measuring venous (not arterial) pH and bicarbonate
Using weight-based fixed rate intravenous insulin infusion (FRIII) instead of ‘sliding scales’
Monitoring of electrolytes on blood gas analyser with intermittent laboratory confirmation
Continuing long acting basal insulin analogues alongside FRIII