
"Updated Hyperglycemia Emergency Guidance Redefines DKA"
The upcoming joint society statement on hyperglycemic emergencies in adults with diabetes will update the definition of diabetic ketoacidosis (DKA) and emphasize the risks associated with the "hybrid" presentation of DKA and hyperosmolar hyperglycemic state (HHS). The new guidance will recommend investigating the underlying causes of hyperglycemic emergencies, including insulin omission related to finances and mental health. The definition of DKA will no longer rely on glucose levels, and the use of beta-hydroxybutyrate testing will be strongly recommended. The statement will provide detailed management algorithms for DKA and HHS, including the use of subcutaneous insulin for mild DKA. The guidance will also address complications, prevention of recurrence, and the importance of addressing social determinants of health in managing hyperglycemic emergencies.

