These factors coupled with the presence of a stressful condition result in more severe hyperglycemia than that seen in DKA. In addition, inadequate fluid intake contributes to hyperosmolarity ...

Current practise in a Welsh DGH was compared to these guidelines ... 30% of these patients presented in DKA out of which 66% were severe DKA (pH < 7.1). All the Intensive Care Unit admissions ...

In the present proposed protocol, we have used essentially the same insulin regimen for both DKA and HHS ... chloride administration and to prevent severe hypophosphatemia. Others use potassium ...