Diabetic ketoacidosis classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
Classification
Classification based on severity
Diabetic ketoacidosis may be classified according to severity into the following types:
- Mild DKA
- Moderate DKA
- Severe DKA
| VARIABLE | DIABETIC KETOACIDOSIS | ||
|---|---|---|---|
| MILD (SERUM GLUCOSE > 250 MG PER DL [13.88 MMOL PER L]) | MODERATE (SERUM GLUCOSE > 250 MG PER DL) | SEVERE (SERUM GLUCOSE > 250 MG PER DL) | |
| Anion gap | > 10 mEq per L (10 mmol per L) | > 12 mEq per L (12 mmol per L) | > 12 mEq per L (12 mmol per L) |
| Arterial pH | 7.24 to 7.30 | 7.00 to < 7.24 | < 7.00 |
| Effective serum osmolality | Variable | Variable | Variable |
| Mental status | Alert | Alert/drowsy | Stupor/coma |
| Serum bicarbonate | 15 to 18 mEq per L (15 to 18 mmol per L) | 10 to < 15 mEq per L (10 to < 15 mmol per L) | < 10 mEq per L (10 mmol per L) |
| Serum ketones | Positive | Positive | Positive |