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Diabetes Type 1, with Acute Illness/Sick Day Rules — Ketone Meter — Clinical Pathway: Emergency

Diabetes Type 1 with Acute Illness Clinical Pathway — Emergency Department

Ketone Meter Is Not Available

Urine Ketones Recommendations
Trace/Small
5-39
  • Assure hydration
  • SubQ insulin as clinically indicated
Moderate
40-79
  • Give 1st dose rapid acting SubQ insulin, 0.15 unit/kg
Large > 80
  • Send VBG, BMP
    (See evaluate for DKA in the order set)
  • NS 10 mL/kg IV
  • If clinical suspicion for DKA is low, give 1st SubQ insulin,
    0.15 unit/kg
  • DKA Pathway
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