Starvation in the Treatment of Diabetic Ketoacidosis

Launched by TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER · Dec 15, 2023

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Gender

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Eligibility criteria

• Inclusion Criteria:
• • Males and females with the diagnosis of diabetic ketoacidosis (defined as blood glucose greater than 250 mg/dL, arterial pH less than 7.3, serum bicarbonate less than 15 mEq/L, and the presence of ketonemia or ketonuria)
• • Age between 18-89
• • Admission to the Medical Intensive Care Unit
• • Able to provide informed consent
• Exclusion Criteria:
• • Pregnant and breast-feeding women
• • Institutionalized patients or prisoners
• • Patients unable to eat by mouth, including intubation, presence of any tube used for enteral feeding (nasogastric tube, orogastric tube, PEG tube, etc.), medical conditions requiring parenteral feeding, and a history of a medical condition that prevented oral intake prior to admission, including achalasia, esophageal cancer, stroke with residual deficits preventing oral intake, amyotrophic lateral sclerosis, or head and neck trauma.