ISPAD Clinical Practice Consensus Guidelines 2018 ...

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ISPAD Clinical Practice Consensus GUIDELINESISPAD Clinical Practice Consensus Guidelines 2018: Diabeticketoacidosis and the hyperglycemic hyperosmolar stateJoseph I. Wolfsdorf1| Nicole Glaser2| Michael Agus1,3| Maria Fritsch4|Ragnar Hanas5| Arleta Rewers6| Mark A. Sperling7| Ethel Codner81Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts2Department of Pediatrics, Section of Endocrinology, University of California, Davis School of Medicine, Sacramento, California3Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts4Department of Pediatric and Adolescent Medicine, Medical University of Vienna, Vienna, Austria5Department of Pediatrics, NU Hospital Group, Uddevalla and Sahlgrenska Academy, Gothenburg University, Uddevalla, Sweden6Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado7Division of Endocrinology, Diabetes and Metabolism, Department of Pediatrics.

omission of insulin for various reasons, limited access to medical ser-vices, and unrecognized interruption of insulin delivery in patients using an insulin pump. The following recommendations are based on currently avail-able evidence and are intended to be a general guide to DKA man-agement. Because there is considerable individual variability in

  Guidelines, Insulin