Guidelines for the management of diabetes‐related ketoacidosis (DKA) have been poorly adopted and implemented, resulting in a lack of improvement in outcomes
Our study demonstrates suboptimal adoption of guidelines. Therefore, it was perhaps unsurprising that no favourable effect on the rate of complications or outcomes in DKA episodes with reduced-rate FRIII was demonstrated. In DKA episodes where FRIII rate reduction was adopted, there was a significant delay in adjusting the FRIII when glucose levels were <14 mmol/L. Understanding the barriers and facilitators is vital in creating resources to safely implement guidelines.
Authors
- Punith Kempegowda (ORCID: https://orcid.org/0000-0003-0954-6512)
- Lakshmi Rengarajan (ORCID: https://orcid.org/0009-0009-7894-3133)
- Parth Narendran (ORCID: https://orcid.org/0000-0002-4583-8793)
- Ketan Dhatariya (ORCID: https://orcid.org/0000-0003-3619-9579)
- Angelica Sharma (ORCID: https://orcid.org/0000-0001-8180-6388)
Institutions
- University of East Anglia (GB)
- University Hospitals Birmingham NHS Foundation Trust (GB)
- Norfolk and Norwich University Hospitals NHS Foundation Trust (GB)
- Queen Elizabeth Hospital (GB)
- University of Birmingham (GB)
Publication Details
- Journal
- Diabetic Medicine
- Published
- 2025-02-10
- DOI
- https://doi.org/10.1111/dme.70010
- Citations
- 2
- Primary Topic
- Diabetes and associated disorders
- Type
- article
- Field-Weighted Citation Impact
- 3.63