Diabetic Ketoacidosis in Children and the Role of Outpatient Management

ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state

“…The severity of DKA is categorized by the degree of acidosis: Mild: venous pH <7.3 or serum bicarbonate <15 mmol/L Moderate: pH <7.2, serum bicarbonate <10 mmol/L Severe: pH <7.1, serum bicarbonate <5 mmol/L …”

ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents

“…25 27 MANAGEMENT OF DKA General issues Children with ketosis and hyperglycaemia without vomiting or severe dehydration can be managed at home or in an outpatient health care setting (for example, emergency ward or units with similar facilities) but the level of care needs to be re-evaluated frequently and supervised by an experienced diabetes team [(C) 3 …”

Diabetic ketoacidosis

“…In a child with established diabetes , whose parents have been trained in sick day management, hyperglycemia and ketosis without vomiting or severe dehydration can be managed at home or in an outpatient health care facility (e.g., emergency ward), provided an experienced diabetes team supervises the care (C,E) (17, 39, 40).…”